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BOOST
YOUR
BONE HEALTH Heredity and medical conditions aside, there are some ways to keep your aging bones strong and healthy. Here are some tips from The 2004 Surgeon General’s Report on Bone Health and Osteoporosis: What it Means to You.
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Field’s hope is to help educate through her campaign, “Rally With Sally For Bone Health,” sponsored by Roche and GlaxoSmithKline (GSK).
Wellness: What happened
on Capitol Hill today?
Sally Field:
I was urging the most powerful women in our
country to take care of their own health.
To make sure they’re getting bone density
tests, because two-thirds of the women on
Capitol Hill are over the age of 50 (and luckily,
there are more and more women on Capitol Hill
all the time). Also, they need to bring the
message home to their constituents that women
need to know to include a bone density test
in their annual health care ritual. And, if
they’re not getting that they need to
talk to their healthcare provider and tell
them they want one!
Wellness: Why is this test
so important?
Sally Field:
The only way you know if you have osteoporosis
is if you get a bone density test, or if you
break something. One out of two women over
50 will experience osteoporosisrelated fractures
sometime in their life. That is a pretty devastating
number. Depending on the age when you get
the fracture and where it is, there are some
pretty horrible statistics on how your health
can deteriorate and very quickly.
Wellness: In the 2004 Surgeon
General’s Report on Bone Health and
Osteoporosis, the recommendation is for women
to have their first bone density screening
at age 65.
Sally Field:
I think that’s too late. My doctor started
giving me bone density tests in my late 40s
because he thought I might be a prime candidate.
It’s in my history. Both of my grandmothers
and my mother — and I look like somebody
who would be a candidate. I’m small
and thin. I’m Caucasian. But I’m
also realizing that there’s not enough
research, not enough statistics on women of
color. So, these tests need to be done.
Wellness: So, age 50, even
if you haven’t gone through menopause?
Sally Field:
My doctor started giving me them as I was
nearing 50 so that he could have a baseline
understanding. You need a baseline bone density
test so he can watch as you go through menopause
how the loss of hormones affects your bones
— because you no longer have estrogen
to keep your bones safe. Your doctor wants
to watch when you start to lose bone, how
rapidly you lose it and how much you lose.
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HOW
SALLY
STAYS FIT Next time you tune into ABC’s “Brothers and Sisters” take a good look at this soon-to-be 61-year-old. Note the toned arms and flat abs. She’s small and slender, yes, but staying fit does not come naturally, the actress says. “I’ve been working out my whole life.” While on hiatus last spring Field worked with weights. “I like pumping and sweating for an hour three times a week,” she says. “I’ll always throw some aerobics in too, whether it’s hiking or swimming. It depends on what I feel like doing or what the weather’s like.” When the show is in production though, staying fit becomes challenging. “We’re [the cast members] all suffering. We work long hours and hardly go outside, unless we go on location. All of us have been trying to figure out, ‘OK. How do we do this job and still look good?’” What about diet? Think Field is naturally thin and eats whatever she wants? “No! I’ve stayed conscious of it all my life,” she insists. “Friends ask, ‘how come you’re not eating? There’s chocolate and ice cream …’ and I tell them, well, I’m just not, just not going to eat that.” Instead, the actress sticks to a healthy diet to maintain her weight and fuel her body. “When you’re working a 14 to 15 hour day, it’s hard to figure out how many meals you should be having.” She keeps a refrigerator in her room on the set and fills it with grilled chicken, salad, yogurt and string cheese. “Instead of snacking on carbs, like a bagel or something highly refined, I try to eat something that may not taste as well, but actually, in a few minutes my energy picks up.” Field laments, “ I keep waiting for the time when I can eat whatever I want. But I realize that it’s just never going to be, because now it’s just harder to lose those three pounds that creep up on you.” —Wolf
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Wellness: Nothing happened to you personally prompting you to have the test, but your grandmothers went undiagnosed?
Sally Field: My grandmother on my father’s side died in her 70s. I didn’t know her well. I don’t believe she died because of osteoporosis, but I don’t know. It may have impacted her health in some way. I remember her being a little, tiny bent over woman. She walked around, kind of fragile-like.
I thought that’s what old women did. I realize now that she was probably my age [60] when I knew her back then! My mother’s mother — who was really big — much bigger than me, was sturdy and bold. She lived into her 90s, but my mother told me that the last four years of her life she suffered a lot because she broke her back. Now — I know without knowing — that that was from osteoporosis. My grandmother broke her back sitting down on a park bench. She probably might not have lived any longer than she did, but she would have lived without so much pain. And so the quality of the last years of her life was very much compromised.
Wellness: Did your mother get tested because of her mother?
Sally Field: My mom got tested because of me. She didn’t know to go get tested. She’s in good shape, but she has osteoporosis. It makes me nuts to realize that women my age, my mother’s age don’t know to go in and get a bone density test. I want women to be armed with this information to make sure their healthcare provider is giving them the test. And, if you are at risk you have to decide on a treatment that’s right for your lifestyle. If you choose
[medication] once a day, once a week, or once a month, you have to stay with that treatment.
Wellness: You chose Boniva®
and after a year on this medication,
your bone loss has stopped?
Sally Field:
Yes. It stopped. But you have to decide with
your healthcare provider which one works for
your life. All medications are effective,
but they work in different ways. Mine, I only
need to take once a month. It’s easier
for me to remember and do it. It’s a
medication you have to think about. You have
to take it in the morning on an empty stomach.
You can’t eat for an hour and you can’t
lay down. I mark it on my calendar and I know
that’s the morning I can’t drink
my coffee (groan) until I am out the door.
Wellness: Will you continue
to take the medication?
Sally Field: Yes, for the
rest of my life.
Wellness: OK. The message
is clear. Women over 50 should have a bone
density test and if they are diagnosed with
osteoporosis, a treatment plan should be implemented.
Sally Field:
Yes. You have to stay aggressive about wanting
to be healthy. If you demand to know about
it, you can treat it very, very effectively.
And you can live the rest of your life with
bone health. Everything else may fall apart,
but your bones are going to be healthy.
To learn more go to the National Osteoporosis
Foundation website, nof.org
or bonehealth.com
Marie Wolf is the editor of Wellness magazine.
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