It is true that prednisolone and other steroids have been associated with lower bone mineral density and osteoporosis. However this association is only strong when it is used chronically, and not with short term use intermittently.
Having said that, if you can avoid prednisolone then you're doing well for two reasons. The first is that the best way to avoid prednisolone if you have asthma is to keep your asthma under control (this is because prednisolone is often only resorted to when your asthma is poorly controlled), which in itself is very important. Secondly, avoiding prednisolone means taking less medications, which is always good where possible.
Do the following to keep your asthma under control:
- identify and avoid any asthma triggers (see below)
- see your doctor regularly for a written asthma action plan (with regular revisions), and use it
- make sure you know how to take your medicines properly (this can be complicated with asthma puffers)
- keep a healthy weight and BMI
Some common asthma irritants, and allergens include:
- dust mites, pests and insects,
- pets, particularly ones that shed fur or feathers
- mould (e.g. mildew in the bathroom)
- smoke (e.g. cigarette or bbq smoke)
- aerosols (e.g. perfume, air fresheners)
- air pollution
- pesticides, insecticides, weed killers
Some important triggers for asthma include
- viral infections like colds, coughs etc.
- cold air (e.g. winter air)