Filed Under FROM THE DOCTOR'S PERSPECTIVE, BONE HEALTH, JOINT HEALTH
Maintain Your Bones, Joints, and Muscles
The human musculoskeletal system is a marvel of engineering. Our bones, joints, and muscles allow us to perform activities as graceful as dancing and as strenuous as running a marathon.
Unfortunately, time takes its toll. The most evident example of this is osteoarthritis, or degenerative joint disease, which affects 80 percent of Americans over age 50. Years of walking, bending, lifting, and other everyday activities damage the cartilage that cushions the joints, and the body's ability to make new cartilage cannot keep up with the demand.
Bone undergoes a similar process of degradation. Although bone may appear inert, in reality it is living, dynamic tissue that is constantly being broken down and rebuilt. As we get older, bone breakdown begins to outpace rebuilding, and bone density declines. This can result in osteoporosis, a condition that dramatically increases the risk of debilitating fractures.
The muscles also undergo an age-related decline in strength and mass called sarcopenia (literally, "poverty of flesh"). The average 30-year-old can expect to lose a quarter of his or her muscle mass by age 70 and another quarter by age 90. Though this loss of muscle is not a disease, it is the backdrop against which disease is played out, because your muscles are more than the means of body movement. They are also the storehouses of proteins used to make antibodies and white blood cells that support healing.
Exercise: Just What the Doctor Ordered
No therapy is as powerful at counteracting the effects of age on the bones, joints, and muscles as physical exercise. As little as 30 minutes of aerobic activity most days of the week does wonders to preserve muscle strength, balance, and function. Weight-bearing activities like fast walking or jogging also help arrest bone loss. And because aerobic exercise increases circulation to joint tissues and promotes weight loss, it helps reduce stress on the joints, eases pain, and even slows the progression of arthritis.
But to actually reverse bone loss and build muscle, you'll have to complement your aerobic exercise with strength training, or resistance exercise. Using fixed weights or barbells to work your muscles against a force that is stronger than they are used to encountering is an ideal way to build muscle strength and endurance.
Strength training reaps benefits quickly. Start tomorrow and you can expect to increase your strength by 30 to 100 percent over the next few months. Regular strength training can make an active 60-year-old as strong as a sedentary 30-year-old. It will also improve your balance, reduce the risk of falling, and decrease the likelihood of injury.

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