Skip to content

How can vegans increase bone density?

4 min read

While some studies have shown that vegans may have lower bone mineral density compared to omnivores, this does not necessarily increase fracture risk if key nutrients are adequate. A thoughtful approach is key to understanding how can vegans increase bone density through a well-planned diet and lifestyle.

Quick Summary

Vegans can effectively increase bone density by strategically incorporating nutrient-dense whole foods and fortified products to meet calcium, vitamin D, and protein needs, complementing their diet with regular weight-bearing exercises.

Key Points

  • Prioritize Key Nutrients: Focus on getting enough calcium, vitamin D, protein, and vitamin B12 from fortified foods and diverse plant sources to support bone health.

  • Choose Bioavailable Calcium: Opt for calcium-rich foods like calcium-set tofu, collard greens, and fortified milks, as their calcium is absorbed more effectively than that from high-oxalate foods like spinach.

  • Supplement for Assurance: All vegans must supplement with Vitamin B12, and many will need a reliable Vitamin D source, especially in winter or with limited sun exposure.

  • Incorporate Weight-Bearing Exercise: Regular weight-bearing activities, such as weightlifting and jogging, are crucial for stimulating bone growth and can help counteract lower bone mineral density sometimes seen in vegans.

  • Mind Lifestyle Factors: Limit alcohol, caffeine, and smoking, and maintain a healthy weight to protect against bone loss and support overall skeletal strength.

In This Article

The Core Nutrients for Vegan Bone Health

Maintaining strong, healthy bones is crucial for aging gracefully, and a vegan diet can support this with the right approach. Bone health hinges on a combination of essential nutrients, and for vegans, these must be sourced exclusively from plants and fortified foods. A balanced intake of key vitamins and minerals, rather than just calcium alone, is vital for proper bone mineralization and maintenance.

Calcium: Your Plant-Based Sources

Calcium is the primary mineral for building strong bones, and vegans have numerous excellent sources available outside of dairy. However, it's important to be aware of bioavailability—some plant foods contain compounds like oxalates and phytates that can inhibit calcium absorption. To maximize your intake, prioritize foods where calcium is well-absorbed.

  • Calcium-set tofu: An excellent source, as the calcium sulfate used to set it is highly absorbable.
  • Fortified plant milks and juices: Look for products labeled as fortified with calcium. Shaking the carton before pouring is important, as the mineral can settle at the bottom.
  • Low-oxalate leafy greens: Kale, collard greens, and bok choy have high absorption rates compared to high-oxalate spinach.
  • Other sources: Tahini, almonds, figs, and beans are also good contributors to daily calcium intake.

Vitamin D: The Calcium Absorption Driver

Often called the "sunshine vitamin," vitamin D is essential for the body to absorb calcium. Natural food sources are scarce on any diet, and for vegans, supplementation or fortified foods are usually necessary. Exposure to sunlight is also a key factor, but depends on many variables like latitude, season, and skin tone.

  • Supplements: Vegan forms of vitamin D, such as D2 (ergocalciferol) and D3 derived from lichen, are widely available. Many experts recommend supplementation, especially during winter months.
  • Fortified foods: Many fortified plant milks, cereals, and orange juices contain added vitamin D.
  • UV-treated mushrooms: Certain mushrooms, when exposed to ultraviolet light, can produce vitamin D2.

Protein: More Than Just Muscle

Contrary to older beliefs that high protein harms bone health, modern research suggests adequate protein is essential for maintaining a strong bone matrix. Vegans should aim for a generous intake of diverse plant protein sources, which can also provide a protective effect against fractures.

  • Legumes: Beans, lentils, and peas are packed with protein.
  • Soy products: Tofu, tempeh, and edamame are complete protein sources.
  • Nuts and seeds: Almonds, walnuts, and chia seeds contribute both protein and important minerals.
  • Whole grains: Quinoa and other whole grains provide protein and fiber.

Other Vital Minerals and Vitamins

Beyond the headline nutrients, several others play a critical supportive role in bone health:

  • Magnesium: Essential for bone structure and calcium transport, magnesium intake is often higher in diets rich in fruits and vegetables. Good sources include legumes, nuts, and whole grains.
  • Potassium: High intake, often from fruits and vegetables, helps reduce the dietary acid load, which can prevent calcium loss from the bones.
  • Vitamin K: Found in leafy green vegetables, this vitamin is associated with a lower fracture risk.
  • Vitamin B12: A nutrient almost exclusively found in animal products, low vitamin B12 is linked to poor bone health and higher fracture risk. Regular supplementation is non-negotiable for all vegans.

Exercise: The Mechanical Stimulus for Strong Bones

Nutrition is only one part of the equation; physical activity is the other. Weight-bearing and resistance exercises put stress on the bones, stimulating them to become denser and stronger over time. In a study published in the Journal of Clinical Endocrinology & Metabolism, resistance training was shown to offset diminished bone structure in vegans, potentially having a stronger effect than in omnivores.

  • Weight-bearing exercises: Activities where your body works against gravity. These include jogging, brisk walking, hiking, dancing, and low-level jumping.
  • Resistance training: Using weights, resistance bands, or your own body weight to strengthen muscles and bones. Think lifting weights, push-ups, squats, and lunges.
  • Balance and flexibility: Exercises like yoga and Pilates improve balance and reduce fall risk, which is especially important for older adults.

Bioavailability of Vegan Calcium Sources: A Comparison

Not all plant-based calcium is absorbed equally. This table compares the bioavailability of calcium in different vegan food sources, with cow's milk used as a reference for comparison.

Food Source Approximate Calcium per Serving (mg) Bioavailability Relative Amount for Equal Absorbed Calcium
Cow's Milk (1 cup) ~300 High (~32%) 1 cup
Kale (1 cup, cooked) ~90 High (~59%) ~0.5 cups
Bok Choy (1 cup, cooked) ~150 High (~54%) ~0.6 cups
Spinach (1 cup, cooked) ~250 Low (~5%) ~15 cups
Calcium-set Tofu (0.5 cup) ~200 High (~31%) ~0.8 cups
Fortified Soy Milk (1 cup) ~300 High (~31%) 1 cup

This comparison highlights the importance of choosing low-oxalate greens and fortified products for a significant, well-absorbed calcium contribution.

Lifestyle Factors and Their Impact

Beyond diet and exercise, other habits influence bone strength. Limiting factors that negatively impact bone health is an important preventive step.

  • Minimize alcohol and caffeine: Excessive intake of both has been linked to lower bone density.
  • Avoid smoking: Tobacco use is a well-established risk factor for osteoporosis.
  • Maintain a healthy weight: Being underweight, particularly for women, is associated with a higher risk of bone loss.

Conclusion

Achieving and maintaining optimal bone health on a vegan diet is entirely achievable with informed planning. By focusing on a diverse, nutrient-rich diet that prioritizes bioavailable calcium from sources like fortified plant milks and low-oxalate greens, ensuring sufficient vitamin D and B12 through supplements or fortified foods, and incorporating regular weight-bearing exercise, vegans can build and preserve strong bones throughout their lives. Consulting with a healthcare professional or a registered dietitian is always recommended for personalized guidance to ensure all nutritional needs are met.

For more in-depth information on bone health, you can visit the Bone Health & Osteoporosis Foundation.

Frequently Asked Questions

Vegans have the same calcium requirements as omnivores, needing 1000-1200 mg per day depending on age. While vegans don't need more, they must ensure they get enough from plant-based sources like fortified foods and low-oxalate greens to match the intake from dairy.

No, calcium from spinach is not well-absorbed. Spinach contains high levels of oxalates, which bind to calcium and significantly inhibit its absorption. For bone health, it's better to rely on low-oxalate greens like kale and bok choy.

Since vitamin D is not abundant in most plant foods, vegans should rely on fortified foods (plant milks, cereals), UV-treated mushrooms, and, most reliably, supplements. Vegan-friendly D2 and lichen-derived D3 supplements are available.

Studies show that vegans with low calcium intakes may have a higher fracture risk. However, with adequate calcium intake from varied and fortified sources, and regular exercise, the fracture risk is similar to that of non-vegans.

Both weight-bearing aerobic exercise (like jogging and hiking) and resistance training (like lifting weights and using bands) are crucial. Resistance training is particularly effective for promoting bone growth.

Low vitamin B12 levels are linked to reduced bone mineral density and increased fracture risk, especially in older adults. Supplementing with B12 is critical for all vegans to support proper bone formation and maintain a healthy skeleton.

Yes, fortified foods are a key strategy for ensuring adequate nutrient intake, particularly for calcium and vitamin D on a vegan diet. Their effectiveness has been shown in studies to improve nutrient levels and bone health.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6
  7. 7
  8. 8

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.