Unlock the Secret to Stronger Bones: Can You Really Measure Your Bone Density at Home?

Unlock the Secret to Stronger Bones: Can You Really Measure Your Bone Density at Home?

So, you’ve been crushing those bone-strengthening workouts and nailing your Mediterranean meals, yet the one mystery that still bugs you is: just how strong are your bones, really? I mean, we easily track our muscle gains and weight shifts—heck, your jeans practically tell you the story—but when it comes to bone density, it’s a whole different ball game. Can we peek inside our own skeletons from the comfort of our living room? Spoiler alert: not quite. But before you start stressing about your ticking bone clock (yes, your bone density does dip after 30!), let’s unravel what the experts have to say about measuring bone health—and why, for most of us, you might not need to rush to the scanner just yet. Ready to get the lowdown on your bonafide strength? LEARN MORE.

Estimated read time3 min read

While there’s plenty of information out there on what exercises and diets are best for improving or maintaining bone health, it can be nerve wracking to put all that work in and still not know what your bone density actually is.

Especially when you hear some of the stats about bone health (like, that it steadily decreases once you hit 30), you might feel like time is of the essence and want to get a read on your bone density as soon as possible—maybe even right now, at home.

For muscle strength or weight loss, it’s fairly easy to get a good sense of your starting point based on how heavy you can lift or how well your jeans fit. But when it comes to bone health, it turns out, it’s not so easy to know where you’re starting from. Here’s what doctors want you to know about measuring bone density.

Meet the experts:Carl Herndon, MD, is an orthopedic surgeon at New York-Presbyterian/Columbia University Irving Medical Center. Natasha Desai, MD, is a clinical assistant professor in the department of orthopedic surgery at NYU Grossman School of Medicine.

How can you measure bone density?

Between Fitbits, Oura Rings, and other fitness trackers, there are so many ways to track a wide range of health concerns right from home. Heart rate variability, blood oxygen levels, and more are all able to be measured and analyzed from an app on your phone—no doctor’s appointment required. Unfortunately, there are some things you just can’t measure while sitting on your couch. That’s the case with bone density.

“Bone density is measured using a specific imaging test called a DEXA (dual-energy X-ray absorptiometry) scan,” says Carl Herndon, MD, an orthopedic surgeon at New York-Presbyterian/Columbia University Irving Medical Center. It’s essentially the only test currently used to accurately measure bone health across the body. While it may be annoying to have to schedule an appointment at an imaging center, the good news is that DEXA scans are extremely accurate.

So, how exactly does a DEXA scan work? “It’s an X-ray that measures the bounce back of how much mineral (mainly calcium) is in your bones,” Natasha Desai, MD, a clinical assistant professor in the department of orthopedic surgery at NYU Grossman School of Medicine, explains. “Denser, stronger bones will block more of those X-rays and appear more opaque in the reading, and weaker bones will block less.” Not exactly something that you can pull off in your living room!

So no, you can’t measure bone density at home—but you likely don’t need to.

Most doctors don’t necessarily recommend getting regular DEXA scans until your mid 60s, and even then they suggest getting scanned only every two to three years.

Of course, there are other factors that can move that timeline up a bit. Previous bone fractures, unusual presentation of repetitive stress fractures, or extremely low body weight might signal to your doc that you’re a candidate for more earlier scanning, says Dr. Desai. Heavy drinking, smoking, and taking steroids (including ones prescribed by a doctor for a medical condition) are also high-risk factors that may be cause for concern.

Another important consideration: menopause. “Generally, bone density loss starts extremely slowly and then accelerates around the time of menopause,” Dr. Herndon says. “Then, in the early post-menopause phase of life, it continues to decrease but at a slower rate.” If that increased loss rate brought on by menopause starts earlier, it may put you at greater risk for fractures or osteoporosis complications.

How to Get a DEXA Scan

Even if you don’t fall into any of those higher risk categories, you still get a DEXA scan if you’re really curious about your stats or want to be proactive about your bone health. There are plenty of private specialized facilities, like Fitnescity Health or DexaFit, where you can schedule a test and pay out of pocket for your results—but again, you don’t need to, per docs. Tests can cost anywhere from $100 to $500, depending on location.

For most folks, focusing on maintaining a healthy diet and incorporating resistance exercise (like lifting weights and plyometrics), should be enough to assuage any bone health anxiety and set future you up for success. So, if you need another reason to start lifting weights, this is it!

Lettermark

Abby Hepworth is a freelancer writer who covers all things running, wellness, and fashion. Her work has appeared on Runner’s WorldPureWow, and Coveteur. She is an RRCA-certified run coach and is currently working toward USATF certification as well. If she’s not out for a run in Central Park, you can likely find her hiking and backpacking along the Sierra Nevada range out west.

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