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                      Top 50 Foods You Need for Bone Health

                      Published by Ginger Hultin, MS RDN CSO

                      Bone health is an under-appreciated aspect of beauty, longevity and living a vibrant life. Often, adults aren’t tested for bone density until they’re at an older age when the state of our bones should be top of mind early on. Bone loss including osteoporosis affects men and women and leads to fractures and other health problems. Foods that contain certain minerals including calcium, magnesium and vitamins D and K have proven critical for optimizing bone health long-term which is why these foods top the list of 50 foods critical for bone health. This is an important focus starting…now!

                      Bowl of Almonds

                      1.      Almonds

                      These easy snacking nuts contain several compounds that benefit bone health. Protein is an underlying key macronutrient for bone health, critical both at the bone foundation stage in childhood and also for protecting bone health as an older adult. Almonds also contain vitamin B6 which helps keep homocysteine levels in the blood under control. If levels rise, the collagen structure within bones can weaken, leading to osteoporosis.


                      Almond Milk and nuts in a wooden bowl

                      2.      Almond Milk

                      Milk alternatives have come a long way and fortification has a lot to do with that. If you make your own almond milk, pressing almonds in water and straining it, you won’t have a good source of calcium. If you buy a store-bought brand that’s been fortified, you’re getting a great source. The type of calcium that’s fortified in non-dairy milks is well absorbed in the body, greatly contributing to your daily needs.


                      Raw Anchovies

                      3.      Anchovies

                      These tiny fish contain something that’s really important for our bone health: bones! Anchovy bones are so small that they’re not harmful if eaten – in fact they’re so small that they’re impossible to remove from the fish. That’s ok because they’re full of calcium. Anchovies also contain protein, b-vitamins and omega-3’s. If you enjoy the taste, include them as a snack on crackers, toast, pizza or salad.


                      Fresh arugula

                      4.      Arugula

                      Both a cruciferous vegetable and a leafy green, arugula contains a special compound called erucin that has shown anti-inflammatory properties that support the body in addition to b-vitamins like folate. Most importantly, arugula is a source of both calcium and iron, important for bone strength.


                      grilled organic asparagus with lemon

                      5.      Asparagus

                      Not only are we in the middle of asparagus season right now, but this green veggie contains a very important bone-building vitamin: fat-soluble vitamin K. The absorption of this vitamin is increased with fat so grill up your asparagus with a drizzle of olive oil and a sprinkle of sea salt. The recommended intake for vitamin K each day is 90 mcg for women and 120 mcg for men.


                      Baked Potato

                      6.      Baked Potato

                      A simple baked potato actually has more benefits than you might think. Because potatoes grow in the ground, they’re rich in bone-building minerals like phosphorus, potassium and even a little calcium. Add some sour cream, cheese and/or chopped greens to your next potato to boost the bone-building nutrients even more.


                      Organic Raw Dry Black Beans

                      7.      Black Beans

                      All beans support the bones with their protein, magnesium and zinc content but black beans have a special antioxidant that helps to calm inflammation in the body and support its systems – possibly even bone health! Omega 3 fatty acids are thought to support the strength of your bones through decreasing levels of inflammation and so black beans with their dark pigment may also do the same via their antioxidant content.


                      Fresh raw broccoli

                      8.      Broccoli

                      Broccoli, broccolini, broccoli sprouts – all of the parts of this cruciferous family are good for the bones. Broccoli is packed with vitamin K which is a co-factor to creating a protein in the bones called ‘osteocalcin’. Studies on vitamin K intake found better bone mineral density in people who ate higher amounts. Eat your broccoli!


                      Brown rice in bowl

                      9.      Brown Rice

                      Rice might not automatically come to mind as a bone builder, but it actually has some interesting qualities for our structural system. Just ½ cup contains over 10% of our daily value of magnesium which is critical for our bones. Studies show that getting enough magnesium actually can prevent fractures.


                      Brussels Sprouts for HEART - FoodTrients

                      10.  Brussels Sprouts

                      Brussels sprouts have made a culinary comeback and just in time for supporting your bone health and beyond. An important source of vitamin K, Brussels deserve a place in your veggie rotation. Since this is a fat-soluble vitamin, make sure to serve them up with some olive oil or cheese to increase their natural flavor as well as their bone building potential.


                      Vegetable caviar from pumpkin and zucchini

                      11.  Canned Pumpkin

                      Think beyond the holidays for this bone supporting food. Canned pumpkin is versatile and can be used in baked goods, hot cereal and smoothies. It contains nutrients important to bone health including vitamin K, potassium and B-vitamins.


                      Fresh carrot juice in bottles on a grey wooden table

                      12.  Carrot Juice

                      Anytime you juice a veggie, the vitamins become a big more concentrated. That’s why regular carrots aren’t as potent of a source of vitamin K that their juice is. Just ¾ cup can get you over 30% of your daily vitamin K needs. For this important bone building vitamin, think beyond the green leafies and enjoy some delicious carrot juice.


                      Cashews - FoodTrients TS-470933588

                      13.  Cashews

                      Cashews are a wonderful source of protein to help build a strong foundation in the bones. These versatile nuts are also rich in calcium (10 mg per 1 ounce!), iron, potassium and phosphorus. These nutrients work together to build a strong yet flexible bone matrix including collagen for structural support.


                      Bunch of fresh green onions

                      14.  Chives

                      Humble chives contain some hidden bone-building nutrients including vitamin K like other greens you might eat in salad. Vitamin K is directly linked to better bone density. Chives are so flavorful that they can be chopped up and added to greens, casseroles, egg dishes, side-dishes, and soups. Get creative in adding in chives more often and think of them beyond the garnish.


                      various types of cheese

                      15.  Cheese

                      Soft cheese, hard cheese and blue cheese all make the list of bone builders for a variety of reasons. Though a little goes a long way (cheese is packed with saturated fat and is therefore dense in calories, too), cheese can be an important source of protein and calcium in addition to vitamin K2 which has been shown to improve the quality of healthy bones.


                      fish oil capsules in a spoon

                      16.  Cod Liver Oil

                      Not the cod liver oil of your childhood, this omega-3 fatty acid now comes in better flavors like lemon and is absolutely packed with vitamins A and D. Vitamin A is critical for bone-building osteoblasts which help lay down new bone in the body. Vitamin D helps with calcium absorption so this simple supplement/food can really support the body (and now in a more delicious way).


                      collard greens

                      17.  Collard Greens

                      Like some of the other greens in this list, collards also contain fat-soluble vitamin K. Chop them up and sauté them in some olive oil, herbs and spices to serve them as a gorgeous green side-dish that’s also good for bone health. Fat helps the body absorb vitamin K from food.


                      Figs and Sweet Honey on Wooden Background

                      18.  Dried Figs

                      Sweet figs are not only a delicious snack; they also contain some powerful bone-builders including calcium and vitamin K. When fruit is dried, it’s easily carried along on hiking and road trips or even for a snack at school or work. Dried figs are high in fiber to boost a healthy gut. Gut bacteria actually make some vitamin K for us in the large intestine so having a strong microbiome can be supported with natural, high fiber foods.


                      Soy beans in bowls

                      19.  Edamame

                      Soy foods are good for the bones for a variety of reasons. Tofu, listed further down, is processed in a way that includes calcium. Soy milk is actually fortified with calcium. Edamame is a little different. It contains vitamin K, iron, and up to 10% of an adult’s daily calcium needs in a cup. Edamame is a natural bone building snack – no fortification needed!


                      White eggs and a cutting board on a wooden table.

                      20.  Eggs

                      One of the few food sources of the important bone builder, vitamin D, is egg yolks. Among other nutrients, including protein, zinc, choline and vitamin A, the yolks of eggs support the health of our bones. Vitamin D is hard to find in natural foods because we make it when sunshine hits our skin. Good thing there are still some sources such as egg yolk because so many of us spend our time indoors now.


                      Grilled Halibut with Spinach, leeks and Rice

                      21.  Halibut

                      This cold-water fish is a wonderful source of protein in addition to anti-inflammatory omega-3 fatty acids, both important aspects of bone health. Getting enough protein is important when building bone mass as a child but it also helps preserve bone health during the aging process. Once you’ve had a fracture, having good protein status becomes even more important so weave in some fish for these nutrients in addition to all your plant-protein options.


                      Big Bowl of Fresh Lettuce

                      22.   Iceberg Lettuce

                      Don’t discredit simple Iceberg lettuce – it in fact does have nutrition to offer. All greens are good for you and even Iceberg brings vitamins and minerals to the table. You can’t cook it down to concentrate the nutrients like you can with other greens (kale, mustard greens, spinach and beyond) but it is versatile and adds a nice crunch in addition to the wonderful vitamin K content important for building bones.


                      Fresh Green Kale on wooden background

                      23.  Kale

                      Superfood kale shows up on many of our ‘top 50’ lists because it is so rich in a variety of vitamins, minerals and antioxidants. It helps bone health, too! Cook it up or blend it to concentrate the health benefits; this leafy green is packed with bone supporting vitamin K1. There’s no wrong answer with kale. Just choose the variety you enjoy the most – curly, baby or dinosaur.


                      Red bean on wooden table

                      24.  Kidney Beans

                      All beans offer critical bone building nutrients. One benefit of kidney and other beans is their protein content. Plant-proteins absolutely count towards your daily needs and there’s evidence that protein plays an important role in creating and maintaining bone mass. Kidney beans are also rich in magnesium and zinc which are other minerals that help with bone formation.


                      kiwi

                      25.  Kiwi

                      When thinking about bone builders, kiwifruit might not immediately come to mind but it does contain some nutrients that are very beneficial. Kiwis are rich in potassium which helps support bone density. They also contain magnesium and phosphorus, which are key for happy bones. Bone density is all about minerals because that’s what our bones are made of for strength and durability.


                      Legumes

                      26.  Lentils

                      Known for their amazing fiber content, there’s more to lentils than complex carbohydrates and plant-based protein. These versatile pulses actually contain many bone-supporting nutrients including magnesium, potassium and zinc. Lentils are so versatile, you can use them in soups, stews, and salads but they can also be used in desserts like cookies, cakes and even brownies.


                      bowl of white beans

                      27.  Lima Beans

                      When’s the last time you had one of these less-popular beans? Lima beans are actually fantastic when prepared correctly plus they’re high in fiber, magnesium, protein and zinc to support bone health. Try purchasing lima beans frozen then thawing (not boiling) and topping with a fresh herb dressing or adding to a soup at the end of its cooking time to maintain their firm texture.


                      Mariana sauce simmering in pan

                      28.  Marinara Sauce

                      If you’ve got a choice of pasta sauce next time you’re out, choose marinara to give your bone health a boost. Red tomato sauce offers 20% of your daily magnesium needs. Magnesium preserves bone structure by stimulating the hormone calcitonin, a bone structure regulator. Get creative with your spaghetti sauce and use it in a variety of soups, stews, casseroles, on pizza and a variety of whole grain pasta.


                      Fresh milk in the glass on the table

                      29.  Milk

                      Plant-based milks count towards your nutrition, too, but there’s something about dairy milk that’s particularly supportive of bone health. Not only is it high in protein (higher than many plant-based milks including any nut/seed milk, coconut milk or rice milk) but it’s also a great source of calcium and vitamin D. If you do drink dairy milk, you could be doing your bones a favor. If not, you’ll need to look elsewhere for these nutrients.


                      Fresh raw royal champignon

                      30.  Mushrooms

                      Some mushrooms you find in the grocery store have a special label indicating they’ve been grown with sunlight or sunlamp exposure which actually makes them a good source of vitamin D. Look for cremini, white, maitake, and portabella mushrooms that are labeled as such. All of these can actually exceed the recommended daily allowance, making then a rich source. Add mushrooms to scrambles, soups, and salads to easily access this supportive compound.


                      Laos: Mustard Greens with Yellow Flowers Wicker Basket

                      31.  Mustard Greens

                      Bitter, flavorful mustard greens contain some important bone-building nutrients. Mustard greens are among the best source of vitamin K1 which works together with other vitamins and minerals to build strong bones. Find the taste a big strong? Mix it in with other, softer flavored greens like spinach or butter lettuce.


                      fremented soy beans "NATTO"

                      32.  Natto

                      Not commonly consumed in the U.S., this fermented soybean product is a wonderful bone-builder traditional to Japanese cuisine. Uniquely, natto is a source of vitamin K2 which has special bone-supporting properties. Many other foods contain sources of “K1”. Natto has a pungent smell and a strong taste so start slowly and work up to enjoying it.  Try it in miso soup or as a condiment to a sushi dish.


                      fresh glass of orange juice on rustic table top

                      33.  Orange Juice

                      OJ on its own isn’t a true bone builder but the benefit comes from fortified varieties. In fact, an 8-ounce glass of fortified oj can contain up to 30% of your daily needs. This type of calcium is well-absorbed in the body and the amount is similar to what you’d get in a glass of dairy milk. Fortified foods can really help you meet your needs when incorporated into a balanced diet. Read the labels to make sure that your OJ is helping meet your calcium needs.


                      Close-up of pile of organic okra on wood

                      34.  Okra

                      When prepared correctly, okra can be an incredible addition to any dish. Commonly found in Indian cuisine and in the American South, this green veggie can be used in a variety of recipes. Best of all, it is a good source of vitamin K which has been linked to denser, stronger bones when people consume it throughout their lifetime in addition to adequate intake of calcium and vitamin D.


                      Oysters with ice and lemon

                      35.  Oysters

                      Several seafood options show up on this list, but oysters have a particularly special property: their zinc content. Studies show that zinc is a critical mineral for bone health and oysters are among the richest sources of this important mineral. Zinc plays a role in bone tissue renewal and mineralization, so it helps keep them strong and healthy.


                      Glass bowl with peanut butter on wooden background

                      36.  Peanut Butter

                      Even a little peanut butter – about 2 tablespoons – makes a big dent in your daily magnesium needs, providing up to 49mg or 12%. Magnesium works together with other bone building minerals to help prevent fractures. Oil roasted peanuts are also an option; ¼ cup of peanuts provides 16% of your daily value of magnesium. Whichever way you enjoy peanuts – whole or ground – they’re important to the health of your bones.


                      cooked white kidney beans in a bowl horizontal top view

                      37.  Pinto Beans

                      Beans of all kinds are helpful for a variety of systems in the body due to their antioxidant status, high levels of fiber and vitamins and minerals. Pinto beans are a plant-based source of zinc – many other sources come from beef and seafood. They also provide b-vitamins to keep homocysteine levels in check (at high rates this amino acid is bad for the bones). Finally, they’re good sources of plant-based protein AND magnesium for bone health.


                      Pine Nuts

                      38.  Pine Nuts

                      Think pesto and beyond for pine nuts because they’re great for your bones. Include them on salads or in other recipes because, aside from b-vitamins and protein for bone health, pine nuts contain key minerals you need for strong, supple bones that don’t lose their ability to age well. Importantly, pine nuts contain minerals like magnesium, zinc, potassium and phosphorus which all work together for a healthy bone matrix.


                      Plantain

                      39.  Plantains

                      Think beyond the banana and include plantains in the diet not only for their delicious flavor and texture but for your bones as well. The National Osteoporosis Foundation suggests both bananas and plantains for potassium, a nutrient that helps keep calcium stores in the body and in the bones where it belongs. Experiment by boiling, grilling or oven-roasting plantains.


                      Seared Trout

                      40.  Rainbow Trout

                      Like many other fish listed here, trout is a cold-water fish high in omega-3’s which have been linked to healthy bones. Trout is also a great source of protein in addition to magnesium, B12, phosphorus and zinc – all of which have been linked to strong bones. Trout is now being sustainably farmed in many areas producing a new, healthy type of farmed fish called ‘aquaponics”.


                      Delicious portion of fresh salmon fillet with aromatic herbs,

                      41.  Salmon

                      This fatty fish is a delicious option when it comes to bone building potential. Particularly salmon with bones (think a canned variety with soft bones included), there’s a reason that the American Heart Association recommends two servings of salmon per week. Protein, omega-3’s to calm inflammation and support calcium balance, B12 and magnesium top the benefits to your bones.


                      Fresh sardines

                      42.  Sardines

                      These tiny fish are sometimes forgotten in the dinner line-up, but they deserve a place in your bone-building foods repertoire. Sardines are actually fatty fish as well, packed with omega-3’s. Similar to halibut, trout and salmon, they’re great sources of protein and like most seafood, contains magnesium for strong bones. When you eat small fish like sardines, you eat the bones and that’s a wonderful source of calcium.


                      Grilled king prawns on pan on dark table

                      43.  Shrimp

                      Shellfish aren’t good sources of omega-3’s like fatty fish but they contain some other important minerals for your bones. Shrimp are a rich source of protein and zinc for strong bones. In fact, a serving of shrimp meets nearly 10% of your daily requirements for zinc which supports both the immune system and helps the body absorb calcium, aiding in bone healing and repair.


                      soymilk

                      44.  Soy Milk

                      When you think bone building, soy should be one of the first things that comes to mind. Studies show that the calcium in soymilk (45% of your daily needs in a serving!) is very well absorbed in the body. Some soy milk actually contains more calcium than regular dairy milk. Though tofu is high in calcium due to the way it’s processed, soy milk is fortified with calcium, so it is a good source.


                      Fresh spinach on rustic wooden background

                      45.  Spinach

                      “Eat your greens” has new meaning when thinking of bone health. Spinach is packed full of so many nutrients, but it is a great source of vitamin K1 for building healthy bones. Cooked spinach is more concentrated so having it this way really maximizes the vitamin level. Enjoy cooked spinach in egg dishes or served as a side or condiment in addition to any meal.


                      Raw Organic Swordfish Steak Filets

                      46.  Swordfish

                      Though you need to use a bit of caution with swordfish because of its potential for high mercury content, it contains nutrients that are great for the bones. Swordfish is another source of omega-3 fatty acids and also is a source of vitamin D. In fact, just one 3-ounce serving contains nearly your entire daily value! Enjoy swordfish on occasion if mercury isn’t an issue for your health.


                      TS-478286446-Tofu

                      47. Tofu

                      Tofu is a high calcium food – no dairy required. It is made into blocks in what is referred to as “calcium set” that is used as a coagulant when making the tofu. Manufacturers use calcium sulfate which is added to soymilk, helping turn it into a solid form that you can slice up and use in a variety of ways in your kitchen. This type of processing creates a very calcium-rich product that’s wonderful for creating strong bones.


                      Canned tuna fish in bowl

                      48.  Tuna

                      Sometimes as salmon takes the stage, tuna is forgotten about as a fellow omega-3 powerhouse. Tuna is also high in zinc, magnesium and a great source of protein. It’s also a convenient seafood, often coming in canned or bag varieties for on-the-go snacking. Tuna has a special property, similar to swordfish and a couple other types of fish: a high level of vitamin D content which is critical to bone health.


                      harvested fresh organic small turnip vegetable

                      49.  Turnip Greens

                      If you’re looking to get more creative with your greens, consider adding in some turnip tops for a delicious flavor in addition to a great source of calcium. These greens have a more bitter flavor, similar to mustard greens, so it may be best to mix them in with other, softer and milder greens while you’re experimenting. To maximize the calcium content, try them cooked or sautéed so you get a delicious serving of calcium-rich greens.


                      Greek yogurt in a glass jars

                      50.  Yogurt

                      Dairy foods are just a great source of calcium and yogurt is no exception. Use caution with any type that contains added sugar as having high blood sugar levels can actually work against bone health. Aside from calcium, yogurt is a great source of protein which is important for bones. It’s also a fermented food which supports your gut microbiome, a part of the body that actually makes its own vitamin K – another bone building nutrient!


                      Resources

                      International Osteoporosis Foundation. Good for Your Bones Foods.  https://www.nof.org/patients/treatment/nutrition/. Accessed 7/30/19.

                      International Osteoporosis Foundation. https://www.iofbonehealth.org/nutrition. Accessed 7/23/19.

                      Maggio M, Artoni A, Lauretani F, Borghi L, Nouvenne A, Valenti G, Ceda GP. The impact of omega-3 fatty acids on osteoporosis. Current pharmaceutical design. 2009 Dec 1;15(36):4157-64.

                      Messina V. Nutritional and health benefits of dried beans. The American journal of clinical nutrition. 2014;100(Supplement 1):437S-42S.

                      NIH Osteoporosis Resources. https://www.bones.nih.gov/health-info/bone/bone-health/bone-health-life-health-information-basics-you-and-your-family. Accessed 7/23/19.

                      NIH. B6. https://ods.od.nih.gov/factsheets/VitaminB6-HealthProfessional/. Accessed 7/23/19.

                      NIH. Magnesium. https://ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/. Accessed 7/23/19.

                      NIH. Vitamin D. https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/. Accessed 7/23/19.

                      NIH. Vitamin K. https://ods.od.nih.gov/factsheets/vitaminK-HealthProfessional/. Accessed 7/23/19.

                      The Mushroom Council. Vitamin D. https://www.mushroomcouncil.com/vitamin-d/. Accessed 7/30/19.

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                      Ginger Hultin, MS RDN CSO
                      Ginger Hultin, MS RDN CSO
                      Ginger Hultin, MS, RD, CSO, LDN, is a health writer and owner of Champagne Nutrition specializing in integrative health and whole food-based nutrition. She serves as Immediate Past President for the Chicago Academy of Nutrition and Dietetics, Chair-Elect of the Vegetarian Nutrition Dietetic Practice Group and is a Media Representative for the Illinois Academy. Read Ginger's blog, Champagne Nutrition, and follow her on Facebook, Twitter, Instagram and Pinterest. Ginger Hultin MS RD CSO LDN gingerhultin@hotmail.com | @GingerHultinRD Chair-Elect, Vegetarian Nutrition Dietetic Practice Group ChampagneNutrition.com

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