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Health Articles

Yes, You're Getting Shorter! Now What?

Brian Bartholomew - Friday, October 07, 2011

Height Loss May Signal Health Risks, Especially for Men; Some Exercises and Chiropractic Care Help

by Melinda Beck edited by Dr. Brian

You're not just getting older. You're probably getting shorter, too.

Why are you shrinking? Starting in their late 30s, it's not normal for men and women to lose about a half-inch in height every 10 years. 

Height loss is a [not] natural part of aging yet some people start shrinking slightly as early as 30. Losing too much height too rapidly, however, can signal a high risk for hip fractures, spinal fractures and even heart disease, particularly in men, several recent studies have found.

"If you are a female, between the ages of 45 and 65, and you notice you are shrinking, that's common but not normal," says Marian Hannan, an epidemiologist at Hebrew Senior Life, an affiliate of Harvard Medical School. "If you're a man, it may be a warning sign to speak to your health-care provider."

It's common, but not normal to shrink by a quarter to a third of an inch every decade after age 40. Think of a house settling on its foundation [That is rotting]. Disks—the gel-like pads between vertebrae—lose fluid over the years and flatten if the spine is not properly maintained with corrective chiropractic care. Muscles commonly lose mass and weaken, especially in the abdomen, which can exacerbate poor posture. Even the arches of the foot may flatten out slightly, reducing height by a few millimeters more.

The process accelerates with age, particularly after age 70. In one long-running study of individuals not under corrective chiropractic care more than 2,000 Baltimore residents, men lost an average of 1.2 inches between ages 30 and 70, and a total of 2 inches by age 80. Women lost an average of 2 inches between 30 and 70 and 3.1 inches total by age 80.

Smoking cigarettes, drinking alcohol or caffeine excessively, extreme dieting, high stress levels, eating too much acidic, sugary, carb dense foods, and taking steroids and other medications can exacerbate height loss b/c they cause your body to wear out or degenerate/rot rapidly. Sticking to a healthy diet with adequate calcium and vitamin D, getting weekly chiropractic adjustments, doing regular weight-bearing, traction, wobble and head weight exercises can help stave it off, although having strong genes also helps.

Photo Illustration by John Kuczala

When people shrink more or faster, one big concern is osteoporosis, in which bones become weak, brittle and vulnerable to breakage.  Another big concern is the fact that as your body spine degenerates all organs and tissues suffer greatly and you lose function!

Dr. Hannan's study, in the Journal of Bone and Mineral Research last week, found that men over age 70 who lose 2 or more inches in two years have a 54% higher risk of fracturing a hip in the next two years than men who lose less height. Elderly women who lose that much height that fast have a 21% higher risk of hip fracture, said the study, which examined data from over 3,000 adults from the Framingham Heart Study.

Height loss is also a marker for heart disease in men. A large study of British men, published in the Archives of Internal Medicine in 2006, found that men who lost 1.2 inches or more over 20 years were 46% more likely to have suffered from coronary heart disease, and 64% more likely to have died from any cause than men who lost less height.

Why is height loss in men more telling than in women? Because men typically have more muscle mass than women and lose bone more slowly, underlying health problems may be much more advanced by the time the height loss becomes apparent, says Sundeep Khosla, an endocrinologist at the Mayo Clinic in Rochester, Minn.

For both men and women, many of the common diseases of aging—including osteoporosis, heart disease and respiratory problems—go hand in hand. "If you have one of these risk factors, that may increase your risk of having others," says Dr. Khosla, who is president of the American Society for Bone and Mineral Research, a professional organization of osteoporosis specialists.

He and other experts say that keeping close tabs on patients' heights can be a simple and inexpensive way for doctors to stay alert to other health problems.  Another option would be to help them get better with corrective chiropractic care.

Height loss can alert doctors to osteoporosis that other tests miss, particularly those that measure bone density in the wrist or hip. In a study in the journal Bone in February, University of Pittsburgh researchers found that for each ½ inch that patients over 65 had lost from their tallest adult height, their chance of having a vertebral fracture increased by 20%. While some are extremely painful, vertebral fractures are often asymptomatic until the spine begins to collapse.

Not everyone loses height as they get older. Some 20% of people don't shrink noticeably thanks to a combination of genetics and following healthy habits throughout their lives, such as corrective chiropractic care, core exercises, traction, head weighting and wobble exercises, experts say.

Although about 70% of a person's [Initial] height is determined by genetics, children need good nutrition, with plenty of protein, vitamins and calcium, to reach their full adult potential. Prenatal care makes a difference too: If your mother smoked or was malnourished while she was pregnant, you're probably slightly shorter than you should be.

Experts say the best way to stave off height loss and osteoporosis in later years is to build strong bones in childhood and to maintain your spinal health throughout life. As well, eating a healthy diet and consuming sufficient calcium and vitamin D continue to be crucial for bone health in middle age and beyond.

Regular weight-bearing exercise, including running and walking, is important too. Israeli researchers who measured more than 2,000 men and women in 1965 and again in 1995 found that those who engaged in moderately vigorous aerobic activity, either throughout their lives or just after age 40, lost only about half as much height as those who stopped exercising in middle age or never exercised at all.

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