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Osteoporosis and Salt

Heavy exercisers need to take in extra salt to replace what they lose through sweat. Some people are concerned that this may cause osteoporosis.

As a general rule, taking extra salt causes the body to retain extra fluid, which expands blood volume and increases blood flow to the kidneys to increase loss of calcium in the urine. This lowers blood calcium levels, so calcium has to be taken from bones for replacement. Sodium salt also causes the kidney tubules to lose more calcium. However, potassium blocks the exchange of sodium for calcium in the kidneys and prevents calcium loss. Eating calcium also prevents blood calcium levels from dropping so there is no need for the bones to release extra calcium into the bloodstream (Journal of the American College of Nutrition, June 2006).

Competitive athletes must eat large amounts of foods to take in enough calories to fuel their muscles during exercise. A high salt intake in athletes does not cause osteoporosis because they eat so much food that contains calcium and potassium that the amount of salt they take does not cause blood calcium levels to drop, so calcium does not leach out of bones.

All fruits, vegetables, whole grains, beans and other seeds are full of potassium. Most varied diets contain adequate calcium, but if you decide to take a calcium supplement, be sure you are also getting plenty of vitamin D. Because calcium blocks the conversion of inactive vitamin D to active vitamin D, extra calcium increases your needs for vitamin D.

Checked 9/29/08

May 10th, 2013
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About the Author: Gabe Mirkin, MD

Sports medicine doctor, fitness guru and long-time radio host Gabe Mirkin, M.D., brings you news and tips for your healthful lifestyle. A practicing physician for more than 50 years and a radio talk show host for 25 years, Dr. Mirkin is a graduate of Harvard University and Baylor University College of Medicine. He is board-certified in four specialties: Sports Medicine, Allergy and Immunology, Pediatrics and Pediatric Immunology. The Dr. Mirkin Show, his call-in show on fitness and health, was syndicated in more than 120 cities. Read More
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