The Time is Now: The Importance of Bone Health for Women in their Twenties 

Bone health is a crucial aspect of overall well-being, and establishing good bone habits in your twenties is the best way to lay the strongest foundation for a healthy skeletal system throughout your life. During this period, females typically reach peak bone mass, making it a critical time to focus on practices that promote optimal bone density and strength. In this article, we’ll explore the importance of bone health in your twenties and provide practical tips to ensure you’re taking advantage of this time in your life. 

Women in their twenties are able to enjoy the pinnacle of their youth and vitality. However, amidst the chaos of busy lives and burgeoning careers, it’s easy to overlook a fundamental aspect of well-being – bone health. Often unknown by most young adults, maintaining strong and healthy bones during this pivotal decade is crucial for preventing future health issues. 

The twenties mark a critical period for bone development as women reach their peak bone mass. Peak bone mass is the highest amount of bone tissue an individual can attain, and it is typically achieved by the late twenties. Building strong bones during this phase provides a foundation for maintaining optimal bone health throughout life. Failure to attain sufficient peak bone mass can increase the risk of osteoporosis and fractures in later years. 1

The twenties are characterized by significant hormonal fluctuations, especially during puberty and early adulthood. Estrogen, a key hormone in bone health, plays a crucial role in regulating bone density. Adequate levels of estrogen are essential for the absorption of calcium and other minerals necessary for bone strength.2 Women in their twenties must prioritize proper nutrition and engage in activities such as weight-bearing exercises to support hormonal balance and promote bone health. 


Osteoporosis, a condition characterized by weak and brittle bones, is a significant concern for women as they age, particularly after menopause (losing estrogen tremendously impacts bone health). Establishing healthy bone density in the twenties acts as a powerful preventative measure against osteoporosis later in life. Adequate calcium intake, Vitamin D absorption, and regular weight-bearing exercises are key components in maintaining bone density and reducing the risk of osteoporosis.3

The twenties often bring about lifestyle changes, including dietary habits and physical activity levels. Adopting a bone-friendly lifestyle during this decade can have long-lasting effects. Consuming a balanced diet rich in calcium, Vitamin D, and other essential nutrients is vital for bone health. Additionally, engaging in weight-bearing exercises, such as jogging, dancing, or weight training, helps build and strengthen bones. Popular classes such as yoga, pilates and core strength training have risen in popularity recently, and are all great for increasing fitness while building bone strength. 

Women in their twenties and beyond are surrounded by unhealthy habits such as excessive alcohol consumption, smoking/vaping, or extreme dieting. These behaviors can have detrimental effects on bone health. Excessive alcohol interferes with calcium absorption, smoking/vaping reduces estrogen levels and blocks the ability to build bone, and extreme dieting may lead to nutrient deficiences necessary for bone strengthening.3 Minimizing or eliminating these habits is essential for preserving bone health. If you are going to partake in a glass of wine or another adult beverage, remember to enjoy these spirits in moderation to protect your health. 

Maintaining strong bones in the twenties is not only crucial for overall health but also for reproductive well-being. A healthy skeletal system provides optimal support during pregnancy and helps prevent complications such as gestational diabetes and preeclampsia. Furthermore, it aids in the postpartum recovery process.4 

Investing in bone health during the twenties is an investment in a healthier and more vibrant future. By prioritizing nutrition, exercise, and positive lifestyle choices, women can lay the groundwork for strong bones that will serve them well throughout their lives. These lifestyle choices will not only protect your bones, but will also positively impact your mental and physical well-being. Acknowledging the importance of bone health in the twenties empowers women to take proactive steps in caring for their bodies, ensuring a foundation of strength and resilience for the years to come. 


1) Lewis RD, Modlesky CM. Nutrition, Physical Activity, and Bone Health in Women 

2) Seifert-Klauss V, Prior JC. Progesterone and Bone: Actions Promoting Bone Health in Women. Journal of Osteoporosis 

3) Weaver C. Nutrition and bone health. Oral Diseases. 

4) Clarke BL, Khosla S. Female reproductive system and bone. Archives of Biochemistry and Biophysics.