Everything You Need to Know About Protein
and Bone Health

General Nutrition / Nutrition / April 28, 2017

Protein and bone health is a hotly debated topic. For instance, a common question is…

Is too much protein bad for bones?

You know that protein is important for every part of the body including your bones.

But the message we often get is that we eat too much of it. Few topics are as widely debated in health and nutrition circles as the “dangers of too much protein.”

So let’s discuss the hard facts about your bones and their relation to protein.


Protein and Bone-Building Basics

“Protein” originates from the Greek word for “first.” And it’s the first thing we typically design our meals around.

You have probably heard that proteins are the body’s “building blocks.” They build the foundation of every living thing. Under a microscope, they are long chains of amino acids linked together into complex Lego-toy shapes.

There are 20 amino acids that have been identified as being needed for metabolism and human growth. Twelve (and eleven in children) of these are classified as nonessential, meaning they can be produced by your own body and don’t need to be consumed through diet.

The remaining amino acids, on the other hand, cannot be produced by your body and are classified as essential. Essential meaning you have to get them through your diet!

These Lego pieces build bone, muscle, hair, blood, tissue, immune system antibodies, and enzymes vital for life. Without them, it would compromise the ability of your tissues to grow, be maintained abe be repaired.  

Furthermore, protein makes up roughly one-third of your bone’s “mass” ( the amount it contains) and half of its “volume” (amount of space it takes up).

The bone’s protein is continuously being remodeled – repeatedly broken down and built back up. Therefore, building supplies are needed daily to maintain bone. This is because, unfortunately, the protein that is broken down isn’t reabsorbed and then reused!

You know that many factors influence your bone health. Calcium is one of them. But calcium and protein closely interact.  

So you need to get enough of both calcium and protein to fully realize the benefits of each nutrient on bone.

Protein benefits bone in other ways, too:

  1. It provides the structural framework for bone.
  2. It raises insulin-like growth factor (IGF-1) levels — a hormone that is important to boost bone density, muscle growth, and healing.
  3. It increases the amount of calcium absorbed in the intestines, and therefore, the amount used by the body.
  4. It is vital for muscle growth.

Why is #4 included in the list?

Remember that bone health is not just a skeletal issue. It is a musculoskeletal issue. Loss of bone is closely related to loss of muscle that occurs with age. One of the most important differences between “old” and “young” is strength.

You can be lean and frail or heavy and frail, but you can’t be strong and frail!calcium and protein

Calcium and Protein Work Together

It’s been said that protein intake increases urinary calcium loss, but whether negative calcium balance results will depend on dietary calcium intake.

In order for each nutrient to fully benefit bone, BOTH calcium and protein intake must be sufficient. Please don’t miss this.

The best thing you can do for your bones is take adequate calcium and protein.

Research shows that when you get adequate calcium in your diet, having higher protein intake benefits bones. And the effect of protein on bone mass may actually depend on calcium intake.

In several studies, high protein in the diet did make the body lose more calcium in urine.

But an actual reduction in calcium in bones depended on how much calcium the person consumed. Researchers found bone mass density had a favorable impact in those people who had a high protein intake and supplemented with calcium and vitamin D supplements.

One study, in particular, was conducted with 342 healthy men and women, over the ages of 65. Over the 3-year trial, half of the participants supplemented with calcium and vitamin D and half with a placebo pill. Associations between protein intake and changes in bone mass density were examined every 6 months by a DXA scan.

At the end of the trial, the researchers identified a positive association between dietary protein intake and change in bone mass density in those with the highest intake of protein, who supplemented with calcium and vitamin D.

Essentially, if a high-protein diet has a negative effect on your bones, it is only because of low calcium intake.

Now, this study and those like it identify that bone mineral density may be improved by increasing protein intake in many older men and women as long as they meet current recommended intakes of calcium and vitamin D. However, these improvements are in comparison to the placebo group, who are still losing bone density. If you’re looking to outright increase your bone density you need to supplement with a proven, bone-building supplement in addition to adequate protein intake.


Does Protein Leach Calcium From Your Bones?

Is it true that eating too much animal protein takes calcium from bones?

It is true that an increase in dietary protein results in greater urinary calcium. But, it has been unclear what the source has been for this urinary calcium.

The traditional hypothesis has been this…

A high intake of protein, particularly from animal sources, generates a high fixed metabolic acid load. This is due to animal proteins containing higher amounts of sulfur-containing amino acids.

If your kidneys and lungs were unable to handle this increased acid load from your diet, a buffer would be necessary through osteoclast-activated bone resorption (bone breakdown).

Your bones would provide this buffer and be the reservoir from which calcium would be released from the bone. This hypothesis is supported by both animal and cellular studies.

However, is this acid production from a high-protein diet enough to adversely impact bone?

Research suspects the answer is ‘not likely’.

Especially in healthy individuals, the lungs work to regulate the pH by immediately releasing carbon dioxide (which is a metabolic by-product). The kidneys also excrete excess hydrogen ions, primarily as ammonium ions and secondarily as phosphonates.

In other words, “These tightly regulated homeostatic mechanisms defend normal blood pH at 7.40 within a narrow pH range 7.38–7.42.”

Let’s get specific…

A 2004 study of elderly men and women found that those given higher dose protein supplements did not lose any more calcium. But the high protein group had significantly higher levels of IGF-I, a bone growth factor, and lower urinary N-telopeptide, a marker that signals bones are being broken down.

Several studies show a link between protein and increased bone density and decreased fractures.

For example, a Hawaiian study of premenopausal women found that high protein increased bone mineral density.

However, this study also showed that problems occurred when too little protein was eaten.

This resulted in less calcium being absorbed from food. And worse, parathyroid hormone increased, which caused calcium to be released from bones. Also, as they aged, there was a decline in IGF-1 (insulin-like growth factor hormone), which as mentioned earlier, is needed for dense bones and muscle growth.

Therefore, maybe the conversation should be about how too little protein increases risks.

This is especially prevalent in the elderly and in constant dieters who often don’t eat enough protein.

Another recent study followed postmenopausal men and women aged 50 and over for up to 32 years and found no evidence that a higher protein intake increases the risk of hip fracture.

This analysis followed 74,443 women in the Nurses’ Health Study between and 35,439 men from the Professionals Follow-up Study. Total protein intake and animal proteins were not significantly associated with hip fractures in women. And both plant and dairy protein were associated with significantly lower risks of hip fractures when results for both men and women were combined.

The protein debate doesn’t stop at how much protein should be eaten. It also rages on about what type of protein is best to eat.

vegetarian protein

Animal Protein Vs. Vegetarian Protein

The quality of a protein source depends on the amount and types of amino acids it contains. And the foods, or food combinations, that you eat in a day need to contain all of the essential amino acids the body uses.

Neither plant nor animal protein is better for bones; they’re just different. And they offer a different set of nutrients — so you should get both.

Research doesn’t support the popular theory that animal protein-based diets may increase the amount of calcium lost in urine.

In the Framingham Osteoporosis Study of over 600 people averaging 75 years old, for example, a higher intake of animal protein was not associated with a decrease in bone mineral density. Other studies came to the same conclusion.

In addition, several studies don’t support the idea that vegetable-based proteins are better for bone health than animals ones. Leading scientific journals The American Journal of Clinical Nutrition and The Journal of Nutrition both discuss this theory

On the contrary, some studies have found that meat is associated with higher amounts of the hormone IGF-1, which in turn might increase bone mineralization and reduce fractures. Also, meat contains significant amounts of the mineral phosphorus. And phosphorus seems to reduce the effect that protein has on calcium excretion.

However, everyone is different and so are your needs. Which leads us to….


How Much Protein Do You Need?

You’ll find that most official health organizations or websites recommend a modest protein intake.

The recommended daily allowance of protein intake is 0.8 grams per kilogram of body weight per day. According to the Mayo Clinic, this RDA was set in 2002.

That looks like:

  • 56 grams per day for men
  • 46 grams per day for women

But more accurate and individualized calculations are based on age, height, body weight and activity level.

So how do you calculate how much you actually need?

protein calculator

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Research also suggests that adults 65 years and older need higher levels, too. Between 1 and 1.2 grams of protein per kilogram per day. Those with sarcopenia may need more at 1.2 to 1.5 grams of protein per kilogram per day.

Several studies also point to a positive effect of high protein intake on bone mineral density or content – as the current RDA for protein may be too low to prevent fractures.

For protein requirements in greater detail, read the following on general principles for estimating protein requirements. You can also use this easy online protein calculator.


Top Food Sources of Protein

What classifies foods to be the best source of protein?

You can take into consideration the amount of protein per gram, how it’s been raised (grass fed vs. grain fed, organic vs. conventional) and then whether or not it’s a complete or incomplete protein.

Complete vs. Incomplete Proteins

Protein is available in a variety of dietary sources. The options are endless!

That includes both animal and plant origins. Typically, all dietary animal protein sources are considered complete proteins. Complete meaning it contains all of the essential amino acids we talked about at the beginning of this post.

Proteins from vegetable sources are typically incomplete and lack one or two of the essential amino acids, however, there are a few that are complete. So if you are someone (vegetarian or vegan) who chooses plant proteins, it’s important to get a variety of fruits, vegetables, grains and legumes to ensure you get all of the essential amino acids needed.


*Indicates vegetable, plant-based sources

**Incomplete does not mean they’re inferior. You can create complimentary proteins to provide the right balance of essential amino acids.

Print your own “10 Great Protein Sources” as a PDF here.  

You can also check out our Vegetarian’s Guide to Protein and Collagen for a more in-depth look into protein for vegetarians.

protein sources for bone health
Before you start packing in more meat protein, remember that beef, fish, and chicken aren’t made of solid protein.

They’re also water, saturated fat, carbs, and micronutrients.

Therefore, an 8-ounce steak isn’t 8 ounces of protein! And plant sources also contain water, plant fiber, polyunsaturated fats, carbs, and micronutrients.

For example:

  • 3 ounces of steak (85 grams) = 21 grams protein
  • 3.5 ounce chicken breast (100 grams) = 30 grams protein
  • 1 large egg (57 grams) = 6 grams protein
  • 3.5-ounce fish fillet (100 grams) = 22 grams of protein
  • 1-ounce hard cheese (28 grams) = 10 grams protein
  • 1/2 cup tofu (170 grams) = 20 grams protein
  • 1/4 cup pumpkin seeds (85 grams) = 19 grams protein

It is interesting to note that poultry can provide more protein per ounce than beef depending on the cut and type, so consider the quality of the meat before buying.

Fish is a healthy choice to provide high protein and essential omega 3 fatty acids, but remember to choose wild whenever possible. 

A 6 ounce can of tuna, for example, offers 40 grams protein.

If you eat dairy foods, cottage cheese (1/2 cup = 12-15 grams protein) and plain yogurt (1 cup = 8-12 grams protein) are also good choices.

Vegan options are not only good for bones; they offer benefits that some types of animal protein lack. Choose them if you are:

  1. Considering a healthier lifestyle that reduces saturated fat and increases essential fats.
  2. Seeking easily-digested nutrition as an athlete on-the-go, or due to gastrointestinal issues.
  3. Looking for a nutritious, lower-calorie form of protein to aid weight loss.

Non-animal sources include protein powder supplements. These are often made from brown rice, peas, hemp and chia seeds.

They contain from 15-26 grams protein per 30 gram/1 ounce serving.

Pulses (legumes) like black, pinto or lima beans are high in certain proteins (1/2 cup = 7-10 grams protein). But they don’t contain adequate amounts of all essential amino acids so they need to be paired with grains or other proteins.

Raw almonds (1/4 cup = 8 grams protein) or raw sunflower seeds (1/4 cup = 6 grams protein) make great snacks. This is because their protein is combined with lots of good fats that boost energy and keep you satiated until your next meal.

Top grains?

Buckwheat is one of the higher-protein grains.

Like quinoa, it’s considered a complete protein, meaning it packs all 9 essential amino acids that your body needs. (Buckwheat and quinoa are technically seeds, not grains.)

We can compare buckwheat at 12.6g protein per 100 grams to sprouted wheat at 7.5g protein, and quinoa at 5-14 grams of protein (depending on variety). Spelt, Kamut, teff, and amaranth are also very high in protein.


The 12 Benefits of Higher Protein Intake

There is a reason why protein gets the starring role in most of our meals. Here are some of the top protein benefits.

12 Health Benefits of Protein

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  • Keeps You Feeling Fuller (Satiated) Longer: Eating protein reduces your appetite (calories in) while also boosting your metabolic rate (calories out).
  • Increases Muscle Mass and Strength: If you’ve ever thought about increasing muscle mass, you’ve thought about upping your protein intake. Studies show that a higher protein intake helps build muscle and strength. For how much protein you need, depending on your age and physical level, check out our “How Much Protein Do You Need?” section.
  • Boosts Metabolism and Increases Fat Burning: A study published in The American Journal of Clinical Nutrition found that women who increased protein intake to 30% (from 15%) of their total calories, ended up eating 441 fewer calories per day. The result? They lost an average of 11 pound in just 12 weeks!
  • Helps You Recover Faster From Exercise or Injury: Studies have consistently demonstrated the benefits of protein supplementation post-exercise for recovery. Protein has been found to reduce muscle soreness and damage, plus improves muscle function following exercise.

How does protein do this?

During exercise, your muscle fibers are damaged and a series of actions must happen to repair them. Using dietary amino acids, the cells of your muscle can grow together and create new muscle fibers. Or, in the case of weight lifting or muscle building the cells can attached to damaged muscle fibers, which increases the muscle protein and can build the size of the fiber. The result is a renewed muscle protein and brand-new muscle cells. However, you need high-quality protein from your diet to give your muscles the amino acids required for this process.

  • Helps Maintain Strong Bones: Dietary protein works synergistically with calcium to improve bone metabolism. Many epidemiological studies have found a positive relationship between protein intake and bone density. It positive impacts several mechanisms: calcium absorption, the secretion of insulin-like growth factor-1 and enhances lean body mass.
  • Promotes Healthy Brain Function: Protein directly affects your brain performance because it provides the amino acids that make up your neurotransmitters. These are the brain cells that transmit signals to different parts of the body so you can carry out tasks. Furthermore, when we don’t get enough protein, your brain can’t produce enough serotonin, which is your ‘feel good’ hormone.
  • Reduces Sugar Cravings: Eating protein has been shown to reduce cravings and late night snacking. A study published in the Nutrition Journal had participants either skip breakfast, eat a normal breakfast (15% of calories from protein) or a high-protein breakfast (40% of calories from protein) for 7 days in a row. On the seventh day, dopamine levels and food cravings were looked at. Those who ate breakfast had a decline in sweet cravings, while the breakfast-skippers saw an increase in cravings. However, those who followed the high-protein breakfasts saw an increase in dopamine. What does dopamine have to do with it? It’s the chemical in your brain that regulates food as motivation or a reward. So these high-protein breakfast eaters associated their breakfast as a reward, which resulted in fewer cravings during the day.
  • Enhances Skin, Hair, and Nails: Collagen makes up 30 percent of the total body of protein and is well known for its skin benefits. A sign of protein deficiency is delayed nail growth.
  • Helps Control and Balance Blood Sugar: If you’re worried about blood sugar levels with higher protein intakes, don’t be. Protein has minimal effect on blood glucose levels with adequate insulin. The reason why protein doesn’t increase blood glucose levels is unclear, but some possibilities may be a slow conversion of protein to glucose or less protein being converted to glucose and released as previously suggested.
  • May Lower Risks of Cardiovascular Disease· Epidemiological studies show that an increased intake of protein has been associated with lower blood pressure and may reduce the risk of cardiovascular disease.
  • Reduces Muscle Wasting as We Age: Sarcopenia refers to strength and skeletal muscle loss associated with aging. Increased protein intake above the RDA of, 0.8 grams of protein per kilogram of body weight, is suggested to reduce muscle mass with age. If you’re 65 years or older and suffer from sarcopenia you may need more like 1.2 to 1.5 grams of protein per kilogram per day. In addition, omega 3s play a role in muscle mass, too. Discover how omega 3s also protect us from developing sarcopenia.

The Takeaway?

Don’t shy away from protein.

Protein is a crucial component of every cell in your body! You not only need it to repair and build tissues, but it’s an important building block for cartilage, blood, skin, and bones.

No matter your diet or lifestyle there are plenty of protein options for you.  But also remember to think about what you don’t want from protein.

Pesticides, herbicides, chemical fertilizer, hormones, antibiotics, nitrates/nitrites, preservatives, and pollutants/carcinogens will not benefit you or your bones. So make sure you choose high quality, organic, grass-fed and wild sources whenever possible.

Have any recipes or tips to add more protein to your diet? Share them with us in the comments below!

Comments
Govind Sharma
Govind Sharma

I like to read more. Thank you very much!

Penny BooB
Penny BooB

STOP THE EMAILS PLEASE…………………….I know longer wat your emails

Monica
Monica

Hi Penny,

Sorry to see you go! But no problem at all, we will take you off our newsletter list.
– Monica

Sherry Thompson
Sherry Thompson

Always informative and interesting reading. Thank you for sharing your research.
Sherry B

Monica
Monica

Thanks for taking the time to comment, Sherry. Glad you’re enjoying the content 🙂

– Monica

Sheryl Mottus
Sheryl Mottus

Excellent post. Very comprehensive and helpful information.

Monica
Monica

Thanks, Sheryl. Wonderful to hear and truly appreciate the feedback!
– Monica

Charlotte Thornton
Charlotte Thornton

This has been a HUGE help to me, to understand the role protein plays in bone health. I’m learning so much from these weekly newsletters, I cant thank you enough. I look forward to them, then pass them to my children so they can support me in my journey to overcoming osteoporosis, and others who are in need of the information. Thank you Thank you

Monica
Monica

Hi Charlotte,
So glad this post was valuable for you! Including the weekly newsletters.

If there are any topics you are interested in, please let us know! We may already have it or can write something new as well 🙂
– Monica

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