Food Food Which Whichfoods foodsare arecalcium calciumrich? rich? 122 122 Milk Milksemi semiskimmed skimmed 100ml 100ml 120 120 Milk Milkwhole whole 100ml 100ml 118 118 Milk Milksoya* soya* 100ml 100ml 89 89 Cheese CheeseCheddar Cheddar 3½oz/100g 3½oz/100g 739 739 C K Pilchards/ Pilchards/tomato tomatosauce sauce 3½oz/100g 3½oz/100g 250 250 Sardines Sardinesininoil oil 3½oz/100g 3½oz/100g 500 500 Whitebait Whitebaitfried fried 3½oz/100g 3½oz/100g 860 860 Salmon Salmontinned tinned 3½oz/100g 3½oz/100g 91 91 C Curly Curlykale kaleboiled boiled 3½oz/100g 3½oz/100g 150 150 K Okra Okrastir stirfried fried 3½oz/100g 3½oz/100g 220 220 Spring Springgreens greensboiled boiled 3½oz/100g 3½oz/100g 75 75 Watercress Watercress 3½oz/100g 3½oz/100g 170 170 Green/French Green/Frenchbeans beans 3½oz/100g 3½oz/100g 56 56 Cabbage Cabbageboiled boiled 3½oz/100g 3½oz/100g 33 33 * *May Maybe becalcium calciumenriched. enriched. C M 100ml 100ml Fish Fish Broccoli Broccoliboiled boiled 3½oz/100g 3½oz/100g 40 40 Which Whichfoods foodsare arerich richin invitamin vitaminD? D? Peas Peasfrozen, frozen,boiled boiled 3½oz/100g 3½oz/100g 35 35 Red Redkidney kidneybeans, beans,canned canned 3½oz/100g 3½oz/100g 71 71 Tofu Tofusteamed* steamed* 3½oz/100g 3½oz/100g 510 510 Baked Bakedbeans beans 3½oz/100g 3½oz/100g 53 53 Tahini Tahini(sesame (sesamepaste) paste) 3½oz/100g 3½oz/100g Cereal Cerealproducts* products* White Whitebread* bread* 3½oz/100g 3½oz/100g 840 840 3½oz/100g 3½oz/100g 795 795 Yoghurt Yoghurtfruit fruitlow lowfat fat 3½oz/100g 3½oz/100g 140 140 Ice Icecream creamdairy dairy 3½oz/100g 3½oz/100g 100 100 Ice Icecream creamnon-dairy non-dairy 3½oz/100g 3½oz/100g 72 72 Custard Custardfrom frompowder powder 3½oz/100g 3½oz/100g 140 140 Rice Ricepudding pudding 3½oz/100g 3½oz/100g 88 88 www.nos.org.uk www.nos.org.uk 680 680 Tinned Tinnedpilchards pilchardsinintomato tomatosauce sauce 14 14 Tinned Tinnedsardines sardinesinintomato tomatosauce sauce 88 3½oz/100g 3½oz/100g 177 177 Bangladeshi Bangladeshicurried curriedfish fish 2.7 2.7 Wholemeal Wholemealbread bread 3½oz/100g 3½oz/100g 106 106 Muesli MuesliSwiss Swissstyle style 3½oz/100g 3½oz/100g 110 110 Fortified Fortifiedinstant instantcereals cereals 3½oz/100g 3½oz/100g Fruit Fruit Apricots Apricotsdried dried 7.9 7.9 Up Uptoto1333 1333 Ghee Gheebutter butter 1.9 1.9 3½oz/100g 3½oz/100g 73 73 Boiled Boiledhen’s hen’segg egg Figs Figsdried dried 3½oz/100g 3½oz/100g 250 250 Orange Orange 3½oz/100g 3½oz/100g 47 47 Bran Branflakes flakes 4.2 4.2 Sultana Sultanabran bran 3.1 3.1 Other Othersources sources 3½oz/100g 3½oz/100g 262 262 Macaroni Macaronicheese cheese 3½oz/100g 3½oz/100g 170 170 Pizza Pizzacheese cheese&&tomato tomato 3½oz/100g 3½oz/100g 210 210 Eggs Eggs 1.8 1.8 Breakfast BreakfastCereals Cereals Camerton, Camerton,Bath, Bath,BA2 BA20PJ 0PJ General Generalemail: email:[email protected] [email protected] President: President:HRH HRHThe TheDuchess DuchessofofCornwall Cornwall Complan Complanpowder powder 4.4 4.4 Ovaltine 55 Calcium Calcium&&Vitamin VitaminDDReferences: References:McCance McCance&&Widdowson Widdowson(2002) (2002) The TheComposition CompositionofofFoods Foods6th 6thed. ed.The TheFoods FoodsStandards StandardsAgency, Agency, The TheRoyal RoyalSociety SocietyofofChemistry, Chemistry,Cambridge. Cambridge. National National NationalOsteoporosis Osteoporosis OsteoporosisSociety Society Societyisis isaaaregistered registered registeredcharity charity charityNo. No. No.1102712 1102712 1102712inin in England England Englandand and andWales Wales Walesand and andno. no. no.SC039755 SC039755 SC039755inin inScotland. Scotland. Scotland. Registered Registered Registeredasas asaaacompany company companylimited limited limitedbyby byguarantee guarantee guaranteeinin inEngland England Englandand and andWales Wales Walesno. no. no.4995013 4995013 4995013 NOS NOS NOS00201 00201 00201 Last reviewed July 2012. 2011. First last Firstpublished published December December 1. NOS-Healthy Living 8pp DL.indd 1 12/01/2012 10:57 Milk Milksoya* soya* 100ml 100ml 89 89 3½oz/100g 3½oz/100g 500 500 Whitebait Whitebaitfried fried 3½oz/100g 3½oz/100g 860 860 S/D Salmon Salmontinned tinned 3½oz/100g 3½oz/100g 91 91 BAL Vegetables Vegetables Y Curly Curlykale kaleboiled boiled 3½oz/100g 3½oz/100g 150 150 Okra Okrastir stirfried fried 3½oz/100g 3½oz/100g 220 220 Spring Springgreens greensboiled boiled 3½oz/100g 3½oz/100g 75 75 Watercress Watercress 3½oz/100g 3½oz/100g 170 170 Green/French Green/Frenchbeans beans 3½oz/100g 3½oz/100g 56 56 Cabbage Cabbageboiled boiled 3½oz/100g 3½oz/100g 33 33 * *May Maybe becalcium calciumenriched. enriched. Broccoli Broccoliboiled boiled 3½oz/100g 3½oz/100g 40 40 Which Whichfoods foodsare arerich richin invitamin vitaminD? D? Peas Peasfrozen, frozen,boiled boiled 3½oz/100g 3½oz/100g 35 35 Red Redkidney kidneybeans, beans,canned canned 3½oz/100g 3½oz/100g 71 71 S/D Tofu Tofusteamed* steamed* 3½oz/100g 3½oz/100g 510 510 Baked Bakedbeans beans 3½oz/100g 3½oz/100g 53 53 Tahini Tahini(sesame (sesamepaste) paste) 3½oz/100g 3½oz/100g White Whitebread* bread* 3½oz/100g 3½oz/100g 739 739 3½oz/100g 3½oz/100g 840 840 Cheese CheeseEdam Edam 3½oz/100g 3½oz/100g 795 795 Yoghurt Yoghurtfruit fruitlow lowfat fat 3½oz/100g 3½oz/100g 140 140 Ice Icecream creamdairy dairy 3½oz/100g 3½oz/100g 100 100 Ice Icecream creamnon-dairy non-dairy 3½oz/100g 3½oz/100g 72 72 3½oz/100g 3½oz/100g 140 140 3½oz/100g 3½oz/100g 88 88 Bangladeshi Bangladeshicurried curriedfish fish 2.7 2.7 Wholemeal Wholemealbread bread 3½oz/100g 3½oz/100g 106 106 Muesli MuesliSwiss Swissstyle style 3½oz/100g 3½oz/100g 110 110 Fortified Fortifiedinstant instantcereals cereals 3½oz/100g 3½oz/100g Apricots Apricotsdried dried Up Uptoto1333 1333 Ghee Gheebutter butter 1.9 1.9 3½oz/100g 3½oz/100g 73 73 Boiled Boiledhen’s hen’segg egg Figs Figsdried dried 3½oz/100g 3½oz/100g 250 250 Orange Orange 3½oz/100g 3½oz/100g 47 47 Bran Branflakes flakes 4.2 4.2 S/D Convenience Conveniencefoods foods Sultana Sultanabran bran 3.1 3.1 Omelette Omelettecheese cheese 3½oz/100g 3½oz/100g 287 287 Other Othersources sources Quiche Quichecheese cheese&&egg egg 3½oz/100g 3½oz/100g 262 262 Macaroni Macaronicheese cheese 3½oz/100g 3½oz/100g 170 170 3½oz/100g 3½oz/100g 210 210 50% 20% Eggs Eggs 1.8 1.8 Breakfast BreakfastCereals Cereals Camerton, Camerton,Bath, Bath,BA2 BA20PJ 0PJ General Generalemail: email:[email protected] [email protected] President: President:HRH HRHThe TheDuchess DuchessofofCornwall Cornwall Complan Complanpowder powder 4.4 4.4 Ovaltine 55 Calcium Calcium&&Vitamin VitaminDDReferences: References:McCance McCance&&Widdowson Widdowson(2002) (2002) The TheComposition CompositionofofFoods Foods6th 6thed. ed.The TheFoods FoodsStandards StandardsAgency, Agency, The TheRoyal RoyalSociety SocietyofofChemistry, Chemistry,Cambridge. Cambridge. National National NationalOsteoporosis Osteoporosis OsteoporosisSociety Society Societyisis isaaaregistered registered registeredcharity charity charityNo. No. No.1102712 1102712 1102712inin in England England Englandand and andWales Wales Walesand and andno. no. no.SC039755 SC039755 SC039755inin inScotland. Scotland. Scotland. Registered Registered Registeredasas asaaacompany company companylimited limited limitedbyby byguarantee guarantee guaranteeinin inEngland England Englandand and andWales Wales Walesno. no. no.4995013 4995013 4995013 NOS NOS NOS00201 00201 00201 Last reviewed July 2012. 2011. First last Firstpublished published December December 1. NOS-Healthy Living 8pp DL.indd 1 12/01/2012 10:57 Food Food Which Whichfoods foodsare arecalcium calciumrich? rich? Milk Milkskimmed skimmed 100ml 100ml 122 122 Milk Milksemi semiskimmed skimmed 100ml 100ml 120 120 Milk Milkwhole whole 100ml 100ml 118 118 Milk Milksoya* soya* 100ml 100ml 89 89 Dairy Dairyproducts products K S/D Quantity Quantity mg mg mg mg Y 3½oz/100g 3½oz/100g 250 250 M Sardines Sardinesininoil oil 3½oz/100g 3½oz/100g 500 500 C Whitebait Whitebaitfried fried 3½oz/100g 3½oz/100g 860 860 Salmon Salmontinned tinned 3½oz/100g 3½oz/100g 91 91 Curly Curlykale kaleboiled boiled 3½oz/100g 3½oz/100g 150 150 Y Okra Okrastir stirfried fried 3½oz/100g 3½oz/100g 220 220 M Spring Springgreens greensboiled boiled 3½oz/100g 3½oz/100g 75 75 C K Watercress Watercress 3½oz/100g 3½oz/100g 170 170 M+Y Green/French Green/Frenchbeans beans 3½oz/100g 3½oz/100g 56 56 S/D Cabbage Cabbageboiled boiled 3½oz/100g 3½oz/100g 33 33 * *May Maybe becalcium calciumenriched. enriched. Broccoli Broccoliboiled boiled 3½oz/100g 3½oz/100g 40 40 Which Whichfoods foodsare arerich richin invitamin vitaminD? D? Y Peas Peasfrozen, frozen,boiled boiled 3½oz/100g 3½oz/100g 35 35 Pulses, Pulses,beans beans&&seeds seeds Red Redkidney kidneybeans, beans,canned canned 3½oz/100g 3½oz/100g 71 71 Tofu Tofusteamed* steamed* 3½oz/100g 3½oz/100g 510 510 Baked Bakedbeans beans 3½oz/100g 3½oz/100g 53 53 Tahini Tahini(sesame (sesamepaste) paste) 3½oz/100g 3½oz/100g White Whitebread* bread* 3½oz/100g 3½oz/100g 739 739 3½oz/100g 3½oz/100g 840 840 Cheese CheeseEdam Edam 3½oz/100g 3½oz/100g 795 795 Yoghurt Yoghurtfruit fruitlow lowfat fat 3½oz/100g 3½oz/100g 140 140 Ice Icecream creamdairy dairy 3½oz/100g 3½oz/100g 100 100 Ice Icecream creamnon-dairy non-dairy 3½oz/100g 3½oz/100g 72 72 Custard Custardfrom frompowder powder 3½oz/100g 3½oz/100g 140 140 Rice Ricepudding pudding 3½oz/100g 3½oz/100g 88 88 Fish Fish Grilled Grilledsalmon salmon 7.1 7.1 680 680 Tinned Tinnedpilchards pilchardsinintomato tomatosauce sauce 14 14 Tinned Tinnedsardines sardinesinintomato tomatosauce sauce 88 3½oz/100g 3½oz/100g 177 177 Bangladeshi Bangladeshicurried curriedfish fish 2.7 2.7 K Wholemeal Wholemealbread bread 3½oz/100g 3½oz/100g 106 106 Muesli MuesliSwiss Swissstyle style 3½oz/100g 3½oz/100g 110 110 Fortified Fortifiedinstant instantcereals cereals 3½oz/100g 3½oz/100g Ghee Gheebutter butter 1.9 1.9 Y Apricots Apricotsdried dried 3½oz/100g 3½oz/100g 73 73 Boiled Boiledhen’s hen’segg egg M Figs Figsdried dried 3½oz/100g 3½oz/100g 250 250 C C Up Uptoto1333 1333 Orange Orange 3½oz/100g 3½oz/100g 47 47 Bran Branflakes flakes 4.2 4.2 Sultana Sultanabran bran 3.1 3.1 Omelette Omelettecheese cheese 3½oz/100g 3½oz/100g 287 287 Other Othersources sources Quiche Quichecheese cheese&&egg egg 3½oz/100g 3½oz/100g 262 262 Macaroni Macaronicheese cheese 3½oz/100g 3½oz/100g 170 170 3½oz/100g 3½oz/100g 210 210 Camerton, Camerton,Bath BathBA2 BA20PJ 0PJ Eggs Eggs 1.8 1.8 Breakfast BreakfastCereals Cereals Complan Complanpowder powder Ovaltine Camerton, Camerton,Bath, Bath,BA2 BA20PJ 0PJ General Generalemail: email:[email protected] [email protected] President: President:HRH HRHThe TheDuchess DuchessofofCornwall Cornwall 4.4 4.4 55 Calcium Calcium&&Vitamin VitaminDDReferences: References:McCance McCance&&Widdowson Widdowson(2002) (2002) The TheComposition CompositionofofFoods Foods6th 6thed. ed.The TheFoods FoodsStandards StandardsAgency, Agency, The TheRoyal RoyalSociety SocietyofofChemistry, Chemistry,Cambridge. Cambridge. National National NationalOsteoporosis Osteoporosis OsteoporosisSociety Society Societyisis isaaaregistered registered registeredcharity charity charityNo. No. No.1102712 1102712 1102712inin in England England Englandand and andWales Wales Walesand and andno. no. no.SC039755 SC039755 SC039755inin inScotland. Scotland. Scotland. Registered Registered Registeredasas asaaacompany company companylimited limited limitedbyby byguarantee guarantee guaranteeinin inEngland England Englandand and andWales Wales Walesno. no. no.4995013 4995013 4995013 NOS NOS NOS00201 00201 00201 Last reviewed July 2012. 2011. First last Firstpublished published December December 1. 1 Front 12-07-03 11:03:54 Black Yellow Magenta Cyan BAL 12/01/2012 10:57 SIG Y NOS-Healthy Living 8pp DL.indd 1 Healthy Living_3up SWork S/D C+M K C M Y BAL 80% 40% 0 K BAL 7.9 7.9 Pizza Pizzacheese cheese&&tomato tomato IfIfyou youwould wouldlike likemore moreinformation, information, please pleaseget getin intouch: touch: Fats Fats Margarine Margarine Convenience Conveniencefoods foods Healthy Healthy Living Living for for Strong Strong Bones Bones www.nos.org.uk www.nos.org.uk 16.1 16.1 Fruit Fruit The TheNational NationalOsteoporosis Osteoporosis Society Societyhas hasaawide widerange rangeofof detailed detailedpublications publicationsincluding including our ourcomprehensive comprehensivebooklet booklet All Allabout aboutosteoporosis. osteoporosis.Please Please get getinintouch touchififyou youwould wouldlike like totoreceive receivemore moreinformation information or ortotospeak speaktotoone oneofofthe the Helpline Helplineteam: team: 0845 0845130 1303076 3076(General (GeneralEnquiries) Enquiries) Micrograms Microgramsof ofVitamin VitaminDDavailable availableinin100g 100g Grilled Grilledherring herring Cereal Cerealproducts* products* Want Want to to know know more? more? 0845 0845450 4500230 0230or or01761 01761472 472721 721(Helpline) (Helpline) C+Y Vegetables Vegetables Cheese CheeseCheddar Cheddar Cheese Cheeselow lowfat fat(hard) (hard) S/D K BAL BAL 80% 40% 0 K Pilchards/ Pilchards/tomato tomatosauce sauce M Fish Fish C BAL Food Food Quantity Quantity 55962_NOS_Healthy Living 8ppDL 2% 3% 4% 5% K C M Y BAL 80% 40% 0 K C M C+M K C M Y 7.9 7.9 BAL Fats Fats Margarine Margarine Pizza Pizzacheese cheese&&tomato tomato 5% 177 177 0% 3½oz/100g 3½oz/100g Checkerboard Patterns 88 1% Tinned Tinnedsardines sardinesinintomato tomatosauce sauce 99% 14 14 Kodak Plate Control Strip v4.0.1 Tinned Tinnedpilchards pilchardsinintomato tomatosauce sauce 4x4 680 680 Camerton, Camerton,Bath BathBA2 BA20PJ 0PJ 3x3 7.1 7.1 2x2 Grilled Grilledsalmon salmon 10% www.nos.org.uk www.nos.org.uk Interpreter: Kodak Prinergy Normalizer Fish Fish 30% 0845 0845130 1303076 3076(General (GeneralEnquiries) Enquiries) Micrograms Microgramsof ofVitamin VitaminDDavailable availableinin100g 100g 16.1 16.1 Fruit Fruit 40% 0845 0845450 4500230 0230or or01761 01761472 472721 721(Helpline) (Helpline) Grilled Grilledherring herring Cereal Cerealproducts* products* IfIfyou youwould wouldlike likemore moreinformation, information, please pleaseget getin intouch: touch: 60% Custard Custardfrom frompowder powder Rice Ricepudding pudding Healthy Healthy Living Living for for Strong Strong Bones Bones 1x1 Pulses, Pulses,beans beans&&seeds seeds Cheese CheeseCheddar Cheddar Cheese Cheeselow lowfat fat(hard) (hard) Y BAL 80% 40% 0 K C M C+Y K C K C M M+Y K C Sardines Sardinesininoil oil The TheNational NationalOsteoporosis Osteoporosis Society Societyhas hasaawide widerange rangeofof detailed detailedpublications publicationsincluding including our ourcomprehensive comprehensivebooklet booklet All Allabout aboutosteoporosis. osteoporosis.Please Please get getinintouch touchififyou youwould wouldlike like totoreceive receivemore moreinformation information or ortotospeak speaktotoone oneofofthe the Helpline Helplineteam: team: Parallel Lines 118 118 250 250 < Reference Screening 212 lpi, uncalibrated 100ml 100ml 3½oz/100g 3½oz/100g 100% Milk Milkwhole whole Pilchards/ Pilchards/tomato tomatosauce sauce 95% 120 120 90% 100ml 100ml 80% Milk Milksemi semiskimmed skimmed BAL Fish Fish Want Want to to know know more? more? 70% 122 122 1 Pix 2 Pix 1 Pix 2 Pix 100ml 100ml 2% mg mg < Requested Screening Calibrated and screened per job settings Milk Milkskimmed skimmed Dairy Dairyproducts products 98% Quantity Quantity mg mg Resolution: 2400 dpi Screen: 200 lpi Pixel Size: 10.6 µm © 2006 Kodak BAL 80% 40% Y Food Food Quantity Quantity Y M Food Food Which Whichfoods foodsare arecalcium calciumrich? rich? 2400-200I-H 633-00651A 0 K C M Y BAL S/D K M C Quiche Quichecheese cheese&&egg egg Camerton, Camerton,Bath BathBA2 BA20PJ 0PJ Fats Fats Margarine Margarine K Y BAL 80% 40% 0 M Y BAL S/D C+M M Y 7.1 7.1 287 287 IfIfyou youwould wouldlike likemore moreinformation, information, please pleaseget getin intouch: touch: Fish Fish 16.1 16.1 3½oz/100g 3½oz/100g Healthy Healthy Living Living for for Strong Strong Bones Bones 0845 0845130 1303076 3076(General (GeneralEnquiries) Enquiries) Grilled Grilledsalmon salmon Omelette Omelettecheese cheese The TheNational NationalOsteoporosis Osteoporosis Society Societyhas hasaawide widerange rangeofof detailed detailedpublications publicationsincluding including our ourcomprehensive comprehensivebooklet booklet All Allabout aboutosteoporosis. osteoporosis.Please Please get getinintouch touchififyou youwould wouldlike like totoreceive receivemore moreinformation information or ortotospeak speaktotoone oneofofthe the Helpline Helplineteam: team: Micrograms Microgramsof ofVitamin VitaminDDavailable availableinin100g 100g Grilled Grilledherring herring Convenience Conveniencefoods foods Want Want to to know know more? more? 0845 0845450 4500230 0230or or01761 01761472 472721 721(Helpline) (Helpline) C Pulses, Pulses,beans beans&&seeds seeds Cheese Cheeselow lowfat fat(hard) (hard) Cheese CheeseEdam Edam K BAL 80% 40% 0 M Y BAL S/D C+Y Vegetables Vegetables 2% 3% 4% 5% Milk Milkskimmed skimmed K mg mg C Quantity Quantity mg mg K Food Food Quantity Quantity Dairy Dairyproducts products Y BAL S/D M+Y K C M Y BAL 004A-B7E0004A-B91C004A-BA58004A-BB94 Y BAL Healthy Living_3up SWork SIG 1 Back 12-07-03 11:03:54 Black Yellow Magenta Cyan S/D 55962_NOS_Healthy Living 8ppDL C+M K C 550mg 550mg 550mg 11-18 11-18 11-18years years yearsboys/girls boys/girls boys/girls 1000/800mg 1000/800mg 1000/800mg Adults Adults Adults(19+) (19+) (19+)years years years 700mg 700mg 700mg Pregnant Pregnant Pregnantwomen women women 700mg 700mg 700mg Breast Breast Breastfeeding feeding feedingwomen women women 700mg 700mg 700mg+++550mg 550mg 550mg • • • Y BAL S/D M+Y Vitamin VitaminDD D Vitamin M There recommended intake (RNI) of of vitamin vitaminDD Thereisisaadaily dailyrecommended recommendedintake intake(RNI) forthese thesegroups, groups,including includingthose thoseover over65 for including those over 65 years, years,of of10 10 micrograms(mcg) (mcg)or or400 400international internationalunits micrograms or 400 international units (IU). (IU).Infants Infants under66months monthsrequire require8.5 8.5micrograms microgramsdaily; under require 8.5 micrograms daily; children children aged66months monthsto to33years yearsrequire require777micrograms aged years require microgramsdaily. daily. Remember,it’s it’simportant importantto tostay stayactive activeand andfind findexercise exercise Remember, Remember, it’s important to stay active and find exercise enjoy.Broken Brokenhips hipsoccur occurinininolder olderpeople people you youenjoy. enjoy. Broken hips occur older people theyare arefrail frailand andmore morelikely likelyto tofall. fall. when whenthey they are frail and more likely to fall. Exerciseslike likeswimming, swimming,gardening, gardening, Exercises Exercises like swimming, gardening, andTai TaiChi Chimay mayhelp helpto tomaintain maintain golf golfand and Tai Chi may help to maintain musclestrength, strength,balance balanceand and muscle muscle strength, balance and co-ordination co-ordination and reduce your co-ordinationand andreduce reduceyour your risk riskof of falling. See our booklet offalling. falling.See Seeour ourbooklet booklet Exercise Exercise and osteoporosis for Exerciseand andosteoporosis osteoporosisfor for specific specific exercises. specificexercises. exercises. C Those Thosepeople people peopletaking taking takingosteoporosis osteoporosis osteoporosisdrug drug drugtreatments treatments treatmentsmight might Those benefit benefitfrom from fromaaadaily daily dailycalcium calcium calciumintake intake intakeof of ofaround around around1000mg 1000mg 1000mgaaday. day. benefit code exposure codereduces reducessun sunexposure exposure Those who always wear sun block when outdoors outdoors alwayswear wearsun sunblock blockwhen •• Those whoalways breastfeeding women Pregnantor orbreastfeeding breastfeedingwomen women •• Pregnant anti-epileptic drugs, have severe severekidney kidneyor Thosetaking takinganti-epileptic anti-epilepticdrugs, drugs,have or •• Those liver condition that reduces foodabsorption absorption liverdisease diseaseor oraacondition conditionthat thatreduces reducesfood K 7-10 7-10 7-10years years years especially frail, older people Thehousebound houseboundespecially especiallyfrail, frail,older olderpeople •• The poor diet Thosewho whohave haveaaapoor poordiet diet •• Those children, especially their dress dress Asianwomen womenand andchildren, children,especially especiallyifif their •• Asian C 450mg 450mg 450mg K 4-6 4-6 4-6years years years C+Y 350mg 350mg 350mg S/D 1-3 1-3 1-3years years years BAL People need People who who might might need need aa vitamin supplement include: vitamin D D supplement supplement include: include: Y 525mg 525mg 525mg M 0-12 0-12 0-12months months months (non breast (non (nonbreast breastfed fed fedonly) only) only) Anotherway wayyour yourskeleton skeletoncan cangrow growstronger strongerisisisifififyou you Another Another way your skeleton can grow stronger you do regular weight-bearing exercise. This is any kind do doregular regularweight-bearing weight-bearingexercise. exercise.This Thisisisany anykind kindof ofof physicalactivity activitywhere whereyou youare aresupporting supportingthe theweight weightof physical physical activity where you are supporting the weight ofof yourown ownbody, body,for forexample examplejogging, jogging,aerobics, aerobics,tennis, tennis, your your own body, for example jogging, aerobics, tennis, dancingand andbrisk briskwalking. walking.IfIfIfyou youhave haveosteoporosis osteoporosisand and dancing dancing and brisk walking. you have osteoporosis and are at high risk of breaking bones, you may need to be are at high highrisk riskof ofbreaking breakingbones, bones,you youmay mayneed needto tobe be carefulof ofvigorous, vigorous,high highimpact impactexercise exerciseand andforward forward careful careful of vigorous, high impact exercise and forward bending(touching (touchingyour yourtoes). toes). bending bending (touching your toes). C 0 K C M Y BAL S/D (Dept (Dept Health (2009) Chief Medical Officer (2011) recommendations). (Deptofof ofHealth Health(2009) (2009)&&&Chief ChiefMedical MedicalOfficer Officer(2011) (2011)recommendations). recommendations). BAL 80% 40% Children Children 60 minutes of moderate-intensity Children---60 60minutes minutesof ofmoderate-intensity moderate-intensity physical physical activity daily. Adults 30 minutes of physicalactivity activitydaily. daily.Adults Adults---30 30minutes minutesof of moderate-intensity moderate-intensity physical activity at least five moderate-intensityphysical physicalactivity activityat atleast leastfive five days days a a week. week. Also Also physical physical activity activity to to improve improve days a week. Also physical activity to improve muscle muscle strength on at least two days week. musclestrength strengthon onat atleast leasttwo twodays daysaaaweek. week. Older Older Adults (over the age of 65) incorporate physical OlderAdults Adults(over (overthe theage ageof of65) 65)---incorporate incorporatephysical physical activity activity to to improve improve balance balance and and co-ordination co-ordination on on at at least activity to improve balance and co-ordination on atleast least two two days days a a week. week. Avoid Avoid sitting sitting for for extended extended periods. periods. two days a week. Avoid sitting for extended periods. Y K 2% 3% 4% 5% K C Stop Stopsmoking smoking--itithas hasaaaharmful harmful has harmful effecton onbone. bone.It’s It’sanother anothergood good effect another good reasonto totry tryto togive giveup. up.Reduce Reduce reason up. Reduce an anexcessive excessivealcohol alcoholintake intakeas asititit an excessive alcohol intake as increases increases the the risk risk of of osteoporosis osteoporosis increases the risk of osteoporosis and andfractures. fractures.The Thecurrent currentdaily daily and fractures. The current daily recommended recommended upper upper limit, limit, as as recommended upper limit, as suggested suggested by by the the Food Food Standards Standards suggested by the Food Standards Agency, Agency,is twoto tothree threeunits unitsfor for Agency, isistwo two to three units for women womenand andthree threeto tofour fourunits units women and three to four units for for men. men. A A unit unit equals equals one one small for men. A unit equals one small small glass glass (125ml) (125ml) of of wine wine or or half half pint glass (125ml) of wine or half aaapint pint (300ml) (300ml) of of beer beer or or cider. cider. (300ml) of beer or cider. Exercise Exercise Exercise recommendations recommendations recommendations M Other lifestyle lifestyle factors factors Other factors C You Youneed need needvitamin vitamin vitaminDDDto to tohelp help helpyour your yourbody body bodyabsorb absorb absorbcalcium. calcium. calcium. You Adequate Adequate vitamin vitamin D D will will also also keep keep muscles muscles strong strong and and Adequate vitamin D will also keep muscles strong and help help prevent prevent falls falls in in older older people. people. For For most most people people vitamin vitamin help prevent falls in older people. For most people vitamin needs needsare are aremet met metby by bythe the theaction action actionof of ofsunlight sunlight sunlighton on onthe the theskin, skin, skin,which which DDDneeds your yourbody body bodyuses uses usesduring during duringthe the thesummer summer summermonths months monthsto to tomanufacture manufacture manufacture your the thevital vital vitalvitamin vitamin vitamininininyour your yourskin. skin. skin.You You Youshould should shouldtry try tryto to toget get getten ten ten the minutes minutes of of sun sun exposure exposure to to your your bare bare skin, skin, once once or or twice twice minutes of sun exposure to your bare skin, once or twice day, day,without without withoutsunscreen sunscreen sunscreenand and andtaking taking takingcare care carenot not notto to toburn. burn. burn. aaaday, Get Get outside outside between between May May and and September September so so that that your your Get outside between May and September so that your body body can can produce produce enough enough vitamin vitamin D D to to help help see see you you body can produce enough vitamin D to help see you through throughthe the thewinter winter wintermonths. months. months.Compared Compared Comparedwith with withhow how howmuch much much through you youcan can canget get getfrom from fromsun, sun, sun,aaanormal normal normaldiet diet dietcontributes contributes contributes you relatively relatively little little vitamin vitamin D D (10%). (10%). There There no norecommended recommended recommended relatively little vitamin D (10%). There isisisno dietary dietary intake intake of of vitamin vitamin D D for for adults adults under under 65 65years years yearsand and and dietary intake of vitamin D for adults under 65 older older children children except except for for the the groups groups listed listed opposite. opposite. older children except for the groups listed opposite. K Calcium Calcium isvital vital for strong strong teeth teeth and and bones bonesbecause because becauseititit Calcium isisvital forfor strong teeth and bones gives gives them them strength strength and and rigidity. rigidity. Our Our bodies bodies contain contain gives them strength and rigidity. Our bodies contain about about 1kg 1kg of of this this important important mineral, mineral, 99 99 per per cent cent of about 1kg of this important mineral, 99 per cent ofof which which isfound found our our bones. bones. Most Most people people should shouldbe be be which isisfound ininin our bones. Most people should able able to to get get enough enough calcium calcium through through healthy healthy eating, eating, able to get enough calcium through healthy eating, without without the the need need for for additional additional supplements. supplements. without the need for additional supplements. Daily Daily DailyRNI RNI RNI (Reference (Reference (ReferenceNutrient Nutrient NutrientIntake) Intake) Intake) K Calcium Calcium Calcium Exerciseand andstrong strongbones bones Exercise Exercise and strong bones Age Age Age 0 Whatever Whatever your your age age or sex, sex, itisis vital vital to make makesure sure surethat that that Whatever your age oror sex, it itis vital toto make what what you you eat eat today today will will help help to keep keep your your skeleton skeleton what you eat today will help toto keep your skeleton strong strong for the the future. future. Although Although getting getting enough enoughcalcium calcium calcium strong forfor the future. Although getting enough is is important, important, a a healthy, healthy, balanced balanced diet diet is is essential essential is important, a healthy, balanced diet is essential to provide provide all the the vitamins, vitamins, minerals minerals and and other other toto provide allall the vitamins, minerals and other nutrients nutrients that that your your bones bones need. need. Aim Aim to eat eatmeals meals mealsthat that that nutrients that your bones need. Aim toto eat incorporate incorporate awide wide variety variety of foods foods from from the thefour four fourmain main main incorporate a awide variety ofof foods from the groups, groups, including including fruit fruit and and vegetables; vegetables; carbohydrates carbohydrates groups, including fruit and vegetables; carbohydrates like like bread, bread, potatoes, potatoes, pasta pasta and and cereals; cereals; milk milkand and anddairy dairy dairy like bread, potatoes, pasta and cereals; milk products; products; and and protein protein such such as meat, meat, fish, fish, eggs, eggs,pulses, pulses, pulses, products; and protein such asas meat, fish, eggs, nuts nuts and and seeds. seeds. Aim Aim for for ahealthy healthy body body weight weighttoto tohelp help help nuts and seeds. Aim for a ahealthy body weight protect protect your your bones. bones. protect your bones. BAL 80% 40% Healthy Healthy balanced balancedeating eating eating Healthy balanced Exercise Exercise How How Howmuch much muchcalcium calcium calciumdo do doIIIneed? need? need? Y Osteoporosis occurs when the struts which Osteoporosis Osteoporosis occurs occurs when when the the struts struts which whichmake make make upup the mesh-like structure within bones become upthe themesh-like mesh-likestructure structurewithin withinbones bones become become thin, causing them toto become fragile and thin, thin, causing causing them them to become become fragile fragile and andbreak break break easily, often following a aminor bump oror fall. easily, easily, often often following following aminor minor bump bump or fall. fall.These These These broken bones are often referred to as ‘fragility broken brokenbones bonesare areoften oftenreferred referredto toas as‘fragility ‘fragility fractures’. The terms ‘fracture’ and ‘broken fractures’. fractures’. The The terms terms ‘fracture’ ‘fracture’ and and ‘broken ‘brokenbone’ bone’ bone’ mean the same thing. Although fractures mean mean the the same same thing. thing. Although Although fractures fracturescan can canoccur occur occur ininin different parts ofof the body, the wrists, hips different different parts parts of the the body, body, the the wrists, wrists, hips hipsand and and spine are most commonly affected. ItItIt isisisthese spine spine are are most most commonly commonly affected. affected. these these broken bones oror fractures which can lead broken broken bones bones or fractures fractures which which can can lead leadtoto tothe the thepain pain pain associated with osteoporosis. Spinal fractures associated associated with with osteoporosis. osteoporosis. Spinal Spinal fractures fracturescan can can also cause loss ofof height and curvature ofof also also cause cause loss loss of height height and and curvature curvature ofthe the thespine. spine. spine. M What What Whatisis is osteoporosis? osteoporosis? osteoporosis? M Y 12/01/2012 10:57 BAL 80% 40% NOS-Healthy Living 8pp DL.indd 2 0 700mg 700mg 700mg Pregnant Pregnant Pregnantwomen women women 700mg 700mg 700mg Breast Breast Breastfeeding feeding feedingwomen women women 700mg 700mg 700mg+++550mg 550mg 550mg • • • C+Y K C 30% 40% 50% 60% 70% Vitamin VitaminDD D Vitamin 80% Other lifestyle lifestyle factors factors Other factors M 100% Y BAL S/D M+Y < Requested Screening Calibrated and screened per job settings < Reference Screening 212 lpi, uncalibrated K C M Y 1 Pix 2 Pix 1 Pix 2 Pix Parallel Lines Children Children 60 minutes of moderate-intensity Children---60 60minutes minutesof ofmoderate-intensity moderate-intensity physical physical activity daily. Adults 30 minutes of physicalactivity activitydaily. daily.Adults Adults---30 30minutes minutesof of moderate-intensity moderate-intensity physical activity at least five moderate-intensityphysical physicalactivity activityat atleast leastfive five days days a a week. week. Also Also physical physical activity activity to to improve improve days a week. Also physical activity to improve muscle muscle strength on at least two days week. musclestrength strengthon onat atleast leasttwo twodays daysaaaweek. week. Older Older Adults (over the age of 65) incorporate physical OlderAdults Adults(over (overthe theage ageof of65) 65)---incorporate incorporatephysical physical activity activity to to improve improve balance balance and and co-ordination co-ordination on on at at least activity to improve balance and co-ordination on atleast least two two days days a a week. week. Avoid Avoid sitting sitting for for extended extended periods. periods. two days a week. Avoid sitting for extended periods. C 95% (Dept (Dept Health (2009) Chief Medical Officer (2011) recommendations). (Deptofof ofHealth Health(2009) (2009)&&&Chief ChiefMedical MedicalOfficer Officer(2011) (2011)recommendations). recommendations). BAL 80% 40% 0 Stop Stopsmoking smoking--itithas hasaaaharmful harmful has harmful effecton onbone. bone.It’s It’sanother anothergood good effect another good reasonto totry tryto togive giveup. up.Reduce Reduce reason up. Reduce an anexcessive excessivealcohol alcoholintake intakeas asititit an excessive alcohol intake as increases increases the the risk risk of of osteoporosis osteoporosis increases the risk of osteoporosis and andfractures. fractures.The Thecurrent currentdaily daily and fractures. The current daily recommended recommendedupper upperlimit, limit,as as recommended upper limit, as suggested suggested by by the the Food Food Standards Standards suggested by the Food Standards Agency, Agency,is twoto tothree threeunits unitsfor for Agency, isistwo two to three units for women womenand andthree threeto tofour fourunits units women and three to four units for for men. men. A A unit unit equals equals one one small for men. A unit equals one small small glass glass (125ml) (125ml) of of wine wine or or half half pint glass (125ml) of wine or half aaapint pint (300ml) (300ml) of of beer beer or or cider. cider. (300ml) of beer or cider. Exercise Exercise Exercise recommendations recommendations recommendations K 90% You Youneed need needvitamin vitamin vitaminDDDto to tohelp help helpyour your yourbody body bodyabsorb absorb absorbcalcium. calcium. calcium. You Adequate Adequatevitamin vitamin vitaminDDDwill will willalso also alsokeep keep keepmuscles muscles musclesstrong strong strongand and and Adequate help help prevent prevent falls falls in in older older people. people. For For most most people people vitamin vitamin help prevent falls in older people. For most people vitamin needs needsare are aremet met metby by bythe the theaction action actionof of ofsunlight sunlight sunlighton on onthe the theskin, skin, skin,which which DDDneeds your yourbody body bodyuses uses usesduring during duringthe the thesummer summer summermonths months monthsto to tomanufacture manufacture manufacture your the thevital vital vitalvitamin vitamin vitamininininyour your yourskin. skin. skin.You You Youshould should shouldtry try tryto to toget get getten ten ten the minutes minutes of of sun sun exposure exposure to to your your bare bare skin, skin, once once or or twice twice minutes of sun exposure to your bare skin, once or twice day, day,without without withoutsunscreen sunscreen sunscreenand and andtaking taking takingcare care carenot not notto to toburn. burn. burn. aaaday, Get Getoutside outside outsidebetween between betweenMay May Mayand and andSeptember September Septemberso so sothat that thatyour your your Get body body can can produce produce enough enough vitamin vitamin D D to to help help see see you you body can produce enough vitamin D to help see you through throughthe the thewinter winter wintermonths. months. months.Compared Compared Comparedwith with withhow how howmuch much much through you youcan can canget get getfrom from fromsun, sun, sun,aaanormal normal normaldiet diet dietcontributes contributes contributes you relatively relatively little little vitamin vitamin D D (10%). (10%). There There no norecommended recommended recommended relatively little vitamin D (10%). There isisisno dietary dietary intake intake of of vitamin vitamin D D for for adults adults under under 65 65years years yearsand and and dietary intake of vitamin D for adults under 65 older older children children except except for for the the groups groups listed listed opposite. opposite. older children except for the groups listed opposite. K C M 12/01/2012 10:57 Y NOS-Healthy Living 8pp DL.indd 2 BAL M Exerciseand andstrong strongbones bones Exercise Exercise and strong bones 700mg 700mg 700mg Pregnant Pregnant Pregnantwomen women women 700mg 700mg 700mg Breast Breast Breastfeeding feeding feedingwomen women women 700mg 700mg 700mg+++550mg 550mg 550mg C M Y K C K Children Children 60 minutes of moderate-intensity Children---60 60minutes minutesof ofmoderate-intensity moderate-intensity physical physical activity daily. Adults 30 minutes of physicalactivity activitydaily. daily.Adults Adults---30 30minutes minutesof of moderate-intensity moderate-intensity physical activity at least five moderate-intensityphysical physicalactivity activityat atleast leastfive five days days a a week. week. Also Also physical physical activity activity to to improve improve days a week. Also physical activity to improve muscle muscle strength on at least two days week. musclestrength strengthon onat atleast leasttwo twodays daysaaaweek. week. Older Older Adults (over the age of 65) incorporate physical OlderAdults Adults(over (overthe theage ageof of65) 65)---incorporate incorporatephysical physical activity activity to improve balance and co-ordination on atatleast least activityto toimprove improvebalance balanceand andco-ordination co-ordinationon onat least two two days days a a week. week. Avoid Avoid sitting sitting for for extended extended periods. periods. two days a week. Avoid sitting for extended periods. C+Y C (Dept (Dept Health (2009) Chief Medical Officer (2011) recommendations). (Deptofof ofHealth Health(2009) (2009)&&&Chief ChiefMedical MedicalOfficer Officer(2011) (2011)recommendations). recommendations). M Y BAL S/D Stop Stopsmoking smoking--itithas hasaaaharmful harmful has harmful effect effecton onbone. bone.It’s It’sanother another good another good good reasonto totry tryto togive giveup. up.Reduce Reduce reason up. Reduce an anexcessive excessivealcohol alcoholintake intakeas asititit an excessive alcohol intake as increases increases the the risk risk of of osteoporosis osteoporosis increases the risk of osteoporosis and andfractures. fractures.The Thecurrent currentdaily daily and fractures. The current daily recommended recommendedupper upperlimit, limit,as as recommended upper limit, as suggested suggested by by the the Food Food Standards Standards suggested by the Food Standards Agency, Agency,is twoto tothree threeunits unitsfor for Agency, isistwo two to three units for women women and and three three to to four four units units women and three to four units for formen. men.A unitequals equalsone onesmall small for men. AAunit unit equals one small glass glass (125ml) (125ml) of of wine wine or or half half pint glass (125ml) of wine or half aaapint pint (300ml) (300ml) of of beer beer or or cider. cider. (300ml) of beer or cider. Exercise Exercise Exercise recommendations recommendations recommendations S/D Other lifestyle lifestyle factors factors Other factors BAL You Youneed need needvitamin vitamin vitaminDDDto to tohelp help helpyour your yourbody body bodyabsorb absorb absorbcalcium. calcium. calcium. You Adequate Adequatevitamin vitamin vitaminDDDwill will willalso also alsokeep keep keepmuscles muscles musclesstrong strong strongand and and Adequate help help prevent prevent falls falls in in older older people. people. For For most most people people vitamin vitamin help prevent falls in older people. For most people vitamin D D needs needs are are met met by by the the action action of of sunlight sunlight on on the the skin, skin, which D needs are met by the action of sunlight on the skin, which your yourbody body bodyuses uses usesduring during duringthe the thesummer summer summermonths months monthsto to tomanufacture manufacture manufacture your the thevital vital vitalvitamin vitamin vitamininininyour your yourskin. skin. skin.You You Youshould should shouldtry try tryto to toget get getten ten ten the minutes minutes of of sun sun exposure exposure to to your your bare bare skin, skin, once once or or twice twice minutes of sun exposure to your bare skin, once or twice a a day, day, without without sunscreen sunscreen and and taking taking care care not not to to burn. burn. a day, without sunscreen and taking care not to burn. Get Getoutside outside outsidebetween between betweenMay May Mayand and andSeptember September Septemberso so sothat that thatyour your your Get body body can can produce produce enough enough vitamin vitamin D D to to help help see see you you body can produce enough vitamin D to help see you through throughthe the thewinter winter wintermonths. months. months.Compared Compared Comparedwith with withhow how howmuch much much through you you can can get get from from sun, sun, a a normal normal diet diet contributes contributes you can get from sun, a normal diet contributes relatively relativelylittle little littlevitamin vitamin vitaminDDD(10%). (10%). (10%).There There Thereisisisno no norecommended recommended recommended relatively dietary dietary intake intake of of vitamin vitamin D D for for adults adults under under 65 65years years yearsand and and dietary intake of vitamin D for adults under 65 older older children children except except for for the the groups groups listed listed opposite. opposite. older children except for the groups listed opposite. K Vitamin VitaminDD D Vitamin 0 Those Thosepeople people peopletaking taking takingosteoporosis osteoporosis osteoporosisdrug drug drugtreatments treatments treatmentsmight might might Those benefit benefitfrom from fromaaadaily daily dailycalcium calcium calciumintake intake intakeof of ofaround around around1000mg 1000mg 1000mgaaday. day. benefit There recommended intake (RNI) of of vitamin vitaminDD Thereisisaadaily dailyrecommended recommendedintake intake(RNI) forthese thesegroups, groups,including includingthose thoseover over65 for including those over 65 years, years,of of10 10 micrograms(mcg) (mcg)or or400 400international internationalunits micrograms or 400 international units (IU). (IU).Infants Infants under66months monthsrequire require8.5 8.5micrograms microgramsdaily; under require 8.5 micrograms daily; children children aged66months monthsto to33years yearsrequire require777micrograms aged years require microgramsdaily. daily. Remember,it’s it’simportant importantto tostay stayactive activeand andfind findexercise exercise Remember, Remember, it’s important to stay active and find exercise enjoy.Broken Brokenhips hipsoccur occurinininolder olderpeople people you youenjoy. enjoy. Broken hips occur older people theyare arefrail frailand andmore morelikely likelyto tofall. fall. when whenthey they are frail and more likely to fall. Exerciseslike likeswimming, swimming,gardening, gardening, Exercises Exercises like swimming, gardening, andTai TaiChi Chimay mayhelp helpto tomaintain maintain golf golfand and Tai Chi may help to maintain musclestrength, strength,balance balanceand and muscle muscle strength, balance and co-ordination co-ordination and reduce your co-ordinationand andreduce reduceyour your risk riskof of falling. See our booklet offalling. falling.See Seeour ourbooklet booklet Exercise Exercise and osteoporosis for Exerciseand andosteoporosis osteoporosisfor for specific specific exercises. specificexercises. exercises. BAL 80% 40% Adults Adults Adults(19+) (19+) (19+)years years years • • • Y 1000/800mg 1000/800mg 1000/800mg M 11-18 11-18 11-18years years yearsboys/girls boys/girls boys/girls code exposure codereduces reduces sun sunexposure exposure Those always wear sun block when outdoors outdoors Those who who always always wear wearsun sunblock blockwhen •• breastfeeding women Pregnantor orbreastfeeding breastfeedingwomen women •• Pregnant anti-epileptic drugs, have severe severekidney kidneyor Thosetaking takinganti-epileptic anti-epilepticdrugs, drugs,have or •• Those liver condition that reduces foodabsorption absorption liverdisease diseaseor oraacondition conditionthat thatreduces reducesfood C 550mg 550mg 550mg K 7-10 7-10 7-10years years years especially frail, older people Thehousebound houseboundespecially especiallyfrail, frail,older olderpeople •• The poor diet Thosewho whohave haveaaapoor poordiet diet •• Those Asian women and children, especially their dress dress children,especially especiallyifif their •• Asian women andchildren, C+M 450mg 450mg 450mg S/D 4-6 4-6 4-6years years years BAL 350mg 350mg 350mg Y 1-3 1-3 1-3years years years M People need People who who might might need need aa vitamin D supplement include: vitamin D supplement supplement include: include: C 525mg 525mg 525mg K 0-12 0-12 0-12months months months (non breast (non (nonbreast breastfed fed fedonly) only) only) Anotherway wayyour yourskeleton skeletoncan cangrow growstronger strongerisisisifififyou you Another Another way your skeleton can grow stronger you do regular weight-bearing exercise. This is any kind do doregular regularweight-bearing weight-bearingexercise. exercise.This Thisisisany anykind kindof ofof physical activity where you are supporting the weight physical physicalactivity activitywhere whereyou youare aresupporting supportingthe theweight weightof ofof yourown ownbody, body,for forexample examplejogging, jogging,aerobics, aerobics,tennis, tennis, your your own body, for example jogging, aerobics, tennis, dancingand andbrisk briskwalking. walking.IfIfIfyou youhave haveosteoporosis osteoporosisand and dancing dancing and brisk walking. you have osteoporosis and are at high risk of breaking bones, you may need to be are at high highrisk riskof ofbreaking breakingbones, bones,you youmay mayneed needto tobe be carefulof ofvigorous, vigorous,high highimpact impactexercise exerciseand andforward forward careful careful of vigorous, high impact exercise and forward bending(touching (touchingyour yourtoes). toes). bending bending (touching your toes). 0 Daily Daily DailyRNI RNI RNI (Reference (Reference (ReferenceNutrient Nutrient NutrientIntake) Intake) Intake) BAL 80% 40% Age Age Age Y Calcium Calcium isvital vital for strong strong teeth teeth and and bones bonesbecause because becauseititit Calcium isisvital forfor strong teeth and bones gives gives them them strength strength and and rigidity. rigidity. Our Our bodies bodies contain contain gives them strength and rigidity. Our bodies contain about about 1kg 1kg of of this this important important mineral, mineral, 99 99 per per cent cent of about 1kg of this important mineral, 99 per cent ofof which which is is found found in in our our bones. bones. Most Most people people should should be be which is found in our bones. Most people should be able able to get get enough enough calcium calcium through through healthy healthyeating, eating, eating, able toto get enough calcium through healthy without without the the need need for for additional additional supplements. supplements. without the need for additional supplements. C Calcium Calcium Calcium K Whatever Whatever your your age age or sex, sex, itisis vital vital to make makesure sure surethat that that Whatever your age oror sex, it itis vital toto make what what you you eat eat today today will will help help to keep keep your your skeleton skeleton what you eat today will help toto keep your skeleton strong strong for the the future. future. Although Although getting getting enough enoughcalcium calcium calcium strong forfor the future. Although getting enough isimportant, important, ahealthy, healthy, balanced balanced diet diet essential essential is isimportant, a ahealthy, balanced diet isisis essential to provide provide all the the vitamins, vitamins, minerals minerals and and other other toto provide allall the vitamins, minerals and other nutrients nutrients that that your your bones bones need. need. Aim Aim to eat eatmeals meals mealsthat that that nutrients that your bones need. Aim toto eat incorporate incorporate awide wide variety variety of foods foods from from the thefour four fourmain main main incorporate a awide variety ofof foods from the groups, groups, including including fruit fruit and and vegetables; vegetables; carbohydrates carbohydrates groups, including fruit and vegetables; carbohydrates like like bread, bread, potatoes, potatoes, pasta pasta and and cereals; cereals; milk milkand and anddairy dairy dairy like bread, potatoes, pasta and cereals; milk products; products; and and protein protein such such as meat, meat, fish, fish, eggs, eggs,pulses, pulses, pulses, products; and protein such asas meat, fish, eggs, nuts nuts and and seeds. seeds. Aim Aim for for ahealthy healthy body body weight weighttoto tohelp help help nuts and seeds. Aim for a ahealthy body weight protect protect your your bones. bones. protect your bones. K Healthy Healthy balanced balancedeating eating eating Healthy balanced Exercise Exercise How How Howmuch much muchcalcium calcium calciumdo do doIIIneed? need? need? 2% 3% 4% 5% Osteoporosis occurs when the struts which Osteoporosis Osteoporosis occurs occurs when when the the struts struts which whichmake make make upup the mesh-like structure within bones become upthe themesh-like mesh-likestructure structurewithin withinbones bonesbecome become thin, causing them toto become fragile and thin, thin, causing causing them them to become become fragile fragile and andbreak break break easily, often following a aminor bump oror fall. easily, easily, often often following following aminor minor bump bump or fall. fall.These These These broken bones are often referred toto as ‘fragility broken broken bones bones are are often often referred referred to as as ‘fragility ‘fragility fractures’. The terms ‘fracture’ and ‘broken fractures’. fractures’. The The terms terms ‘fracture’ ‘fracture’ and and ‘broken ‘brokenbone’ bone’ bone’ mean the same thing. Although fractures mean mean the the same same thing. thing. Although Although fractures fracturescan can canoccur occur occur ininin different parts ofof the body, the wrists, hips different different parts parts of the the body, body, the the wrists, wrists, hips hipsand and and spine are most commonly affected. ItItIt isisisthese spine spine are are most most commonly commonly affected. affected. these these broken bones or fractures which can lead broken brokenbones bonesor orfractures fractureswhich whichcan canlead leadtoto tothe the thepain pain pain associated with osteoporosis. Spinal fractures associated associated with with osteoporosis. osteoporosis. Spinal Spinal fractures fracturescan can can also cause loss ofof height and curvature ofof also also cause cause loss loss of height height and and curvature curvature ofthe the thespine. spine. spine. S/D What What Whatisis is osteoporosis? osteoporosis? osteoporosis? M+Y K 12/01/2012 10:57 C NOS-Healthy Living 8pp DL.indd 2 M Y BAL 004A-BCD0004A-BE0C004A-BF48004A-C084 20% There recommended intake (RNI) of of vitamin vitaminDD Thereisisaadaily dailyrecommended recommendedintake intake(RNI) forthese thesegroups, groups,including includingthose thoseover over65 for including those over 65 years, years,of of10 10 micrograms(mcg) (mcg)or or400 400international internationalunits micrograms or 400 international units (IU). (IU).Infants Infants under66months monthsrequire require8.5 8.5micrograms microgramsdaily; under require 8.5 micrograms daily; children children aged66months monthsto to33years yearsrequire require777micrograms aged years require microgramsdaily. daily. Remember,it’s it’simportant importantto tostay stayactive activeand andfind findexercise exercise Remember, Remember, it’s important to stay active and find exercise enjoy.Broken Brokenhips hipsoccur occurinininolder olderpeople people you youenjoy. enjoy. Broken hips occur older people theyare arefrail frailand andmore morelikely likelyto tofall. fall. when whenthey they are frail and more likely to fall. Exerciseslike likeswimming, swimming,gardening, gardening, Exercises Exercises like swimming, gardening, andTai TaiChi Chimay mayhelp helpto tomaintain maintain golf golfand and Tai Chi may help to maintain musclestrength, strength,balance balanceand and muscle muscle strength, balance and co-ordination co-ordination and reduce your co-ordinationand andreduce reduceyour your risk riskof of falling. falling. See See our our booklet booklet of falling. See our booklet Exercise Exercise and osteoporosis for Exerciseand andosteoporosis osteoporosisfor for specific specific exercises. specificexercises. exercises. S/D Adults Adults Adults(19+) (19+) (19+)years years years code exposure codereduces reducessun sunexposure exposure Those who always wear sun block when outdoors outdoors alwayswear wearsun sunblock blockwhen •• Those whoalways breastfeeding women Pregnantor orbreastfeeding breastfeedingwomen women •• Pregnant anti-epileptic drugs, have severe severekidney kidneyor Thosetaking takinganti-epileptic anti-epilepticdrugs, drugs,have or •• Those liver condition that reduces foodabsorption absorption liverdisease diseaseor oraacondition conditionthat thatreduces reducesfood BAL 1000/800mg 1000/800mg 1000/800mg Y 11-18 11-18 11-18years years yearsboys/girls boys/girls boys/girls M 550mg 550mg 550mg C 7-10 7-10 7-10years years years especially frail, older people Thehousebound houseboundespecially especiallyfrail, frail,older olderpeople •• The poor diet Thosewho whohave haveaaapoor poordiet diet •• Those children, especially their dress dress Asianwomen womenand andchildren, children,especially especiallyifif their •• Asian K 450mg 450mg 450mg 0 4-6 4-6 4-6years years years BAL 80% 40% 350mg 350mg 350mg Y 1-3 1-3 1-3years years years M People need People who who might might need need aa vitamin D supplement include: vitamin D supplement supplement include: include: C 525mg 525mg 525mg K 0-12 0-12 0-12months months months (non breast (non (nonbreast breastfed fed fedonly) only) only) Anotherway wayyour yourskeleton skeletoncan cangrow growstronger strongerisisisifififyou you Another Another way your skeleton can grow stronger you do regular weight-bearing exercise. This is any kind do doregular regularweight-bearing weight-bearingexercise. exercise.This Thisisisany anykind kindof ofof physical activity where you are supporting the weight physical physicalactivity activitywhere whereyou youare aresupporting supportingthe theweight weightof ofof yourown ownbody, body,for forexample examplejogging, jogging,aerobics, aerobics,tennis, tennis, your your own body, for example jogging, aerobics, tennis, dancingand andbrisk briskwalking. walking.IfIfIfyou youhave haveosteoporosis osteoporosisand and dancing dancing and brisk walking. you have osteoporosis and are at high risk of breaking bones, you may need to be are at high highrisk riskof ofbreaking breakingbones, bones,you youmay mayneed needto tobe be carefulof ofvigorous, vigorous,high highimpact impactexercise exerciseand andforward forward careful careful of vigorous, high impact exercise and forward bending(touching (touchingyour yourtoes). toes). bending bending (touching your toes). C+M 4x4 10% Daily Daily DailyRNI RNI RNI (Reference (Reference (ReferenceNutrient Nutrient NutrientIntake) Intake) Intake) S/D 3x3 5% Calcium Calcium isvital vital for strong strong teeth teeth and and bones bonesbecause because becauseititit Calcium isisvital forfor strong teeth and bones gives gives them them strength strength and and rigidity. rigidity. Our Our bodies bodies contain contain gives them strength and rigidity. Our bodies contain about about 1kg 1kg of of this this important important mineral, mineral, 99 99 per per cent cent of about 1kg of this important mineral, 99 per cent ofof which which isfound found our our bones. bones. Most Most people people should shouldbe be be which isisfound ininin our bones. Most people should able able to to get get enough enough calcium calcium through through healthy healthy eating, eating, able to get enough calcium through healthy eating, without without the the need need for for additional additional supplements. supplements. without the need for additional supplements. BAL 2x2 0% 2400-200I-H 633-00651A Calcium Calcium Calcium Exerciseand andstrong strongbones bones Exercise Exercise and strong bones Age Age Age Those Thosepeople people peopletaking taking takingosteoporosis osteoporosis osteoporosisdrug drug drugtreatments treatments treatmentsmight might Those benefit benefitfrom from fromaaadaily daily dailycalcium calcium calciumintake intake intakeof of ofaround around around1000mg 1000mg 1000mgaaday. day. benefit Y 1x1 Checkerboard Patterns Whatever Whatever your your age age or sex, sex, itisis vital vital to make makesure sure surethat that that Whatever your age oror sex, it itis vital toto make what what you you eat eat today today will will help help to keep keep your your skeleton skeleton what you eat today will help toto keep your skeleton strong strong for the the future. future. Although Although getting getting enough enoughcalcium calcium calcium strong forfor the future. Although getting enough isimportant, important, ahealthy, healthy, balanced balanced diet diet essential essential is isimportant, a ahealthy, balanced diet isisis essential to provide provide all the the vitamins, vitamins, minerals minerals and and other other toto provide allall the vitamins, minerals and other nutrients nutrients that that your your bones bones need. need. Aim Aim to eat eatmeals meals mealsthat that that nutrients that your bones need. Aim toto eat incorporate incorporate awide wide variety variety of foods foods from from the thefour four fourmain main main incorporate a awide variety ofof foods from the groups, groups, including including fruit fruit and and vegetables; vegetables; carbohydrates carbohydrates groups, including fruit and vegetables; carbohydrates like like bread, bread, potatoes, potatoes, pasta pasta and and cereals; cereals; milk milkand and anddairy dairy dairy like bread, potatoes, pasta and cereals; milk products; products; and and protein protein such such as meat, meat, fish, fish, eggs, eggs,pulses, pulses, pulses, products; and protein such asas meat, fish, eggs, nuts nuts and and seeds. seeds. Aim Aim for for ahealthy healthy body body weight weighttoto tohelp help help nuts and seeds. Aim for a ahealthy body weight protect protect your your bones. bones. protect your bones. M 2% 1% Healthy Healthy balanced balancedeating eating eating Healthy balanced Exercise Exercise How How Howmuch much muchcalcium calcium calciumdo do doIIIneed? need? need? C 98% 99% Osteoporosis occurs when the struts which Osteoporosis Osteoporosis occurs occurs when when the the struts struts which whichmake make make upup the mesh-like structure within bones become upthe themesh-like mesh-likestructure structurewithin withinbones bonesbecome become thin, causing them toto become fragile and thin, thin, causing causing them them to become become fragile fragile and andbreak break break easily, often following a aminor bump oror fall. easily, easily, often often following following aminor minor bump bump or fall. fall.These These These broken bones are often referred toto as ‘fragility broken broken bones bones are are often often referred referred to as as ‘fragility ‘fragility fractures’. The terms ‘fracture’ and ‘broken fractures’. fractures’. The The terms terms ‘fracture’ ‘fracture’ and and ‘broken ‘brokenbone’ bone’ bone’ mean the same thing. Although fractures mean mean the the same same thing. thing. Although Although fractures fracturescan can canoccur occur occur ininin different parts ofof the body, the wrists, hips different different parts parts of the the body, body, the the wrists, wrists, hips hipsand and and spine are most commonly affected. ItItIt isisisthese spine spine are are most most commonly commonly affected. affected. these these broken bones or fractures which can lead broken brokenbones bonesor orfractures fractureswhich whichcan canlead leadtoto tothe the thepain pain pain associated with osteoporosis. Spinal fractures associated associated with with osteoporosis. osteoporosis. Spinal Spinal fractures fracturescan can can also cause loss ofof height and curvature ofof also also cause cause loss loss of height height and and curvature curvature ofthe the thespine. spine. spine. K Resolution: 2400 dpi Screen: 200 lpi Pixel Size: 10.6 µm © 2006 Kodak Kodak Plate Control Strip v4.0.1 Interpreter: Kodak Prinergy Normalizer What What Whatisis is osteoporosis? osteoporosis? osteoporosis?
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