Monday 20 January 2020

Alcohol use increases risk of, and worsens, osteoporosis


Drinking is a health risk for many reasons, such as what it does to the heart and many other organs. What several studies have revealed in the past decade and a half is how alcohol deteriorates bone and cartilage.

Is Drinking Alcohol Harming Your Bones

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Soft tissue, like spinal discs, are largely comprised of fluid. Alcohol dehydrates the body. As I personally experienced, the dehydrated discs lose elasticity. The spine is a series of joints cushioned by the discs, and when the discs get deteriorate, the lining of these joints gets worn and aggravated. It's not a pleasant feeling.

Bones deteriorate, too. Alcohol use, especially during adolescence and young adult years ups the risk of osteoporosis later in life. Two or three ounces of alcohol every day is all it takes for the small intestine to not absorb calcium adequately. Alcohol also messes with the kidneys, pancreas and liver and their regulation of calcium and vitamin D. Vitamin D, which in turn is important for calcium absorption. When alcohol lowers blood calcium, a parathyroid hormone is released by four rice-sized glands at the rear of the thyroid. The hormone leaches calcium from the bone.

Two other hormones important to bone health also are under seige from alcohol. For women, alcohol decreases estrogen. As estrogen drops, it leads to bone loss. In the menopausal years, this adds to the bone loss that's naturally occurring. The stress hormone cortisol – a key topic in the alcoholism relapse book Every Silver Lining Has a Cloud – is found at a higher baseline in those of us with the disease of alcoholism, and remains high even after quitting. High levels of cortisol decrease bone formation and increase bone breakdown.

Also, excess alcohol kills osteoblasts and osteoclasts, that's doctor-speak for cells that make bones. No osteo-cells, no new bone growth or remodeling.

Let's compound that with lousy balance when drinking. A drinker is more likely to fall, and the bones depleted by drinking are more apt to break. There's good news here though: Some studies have found that lost bone can be partially restored within 60 days of quitting. Another reason sobriety is better to have than to lack.

Calcium, Bone Density and Osteoporosis


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