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Osteoporosis Awareness and Prevention
Lunch n Learn Series
May 2007
OSTEOPOROSIS
• Osteo= bone
• Porosis = porous
• Disease characterized by low bone mass and structural deterioration of bone tissue, leading to bone fragility and an increased susceptibility to fractures especially of the ? and ? and ?
• Osteoporosis is a major public health threat for an estimated 44 million Americans, or 55% of the people over 50
• In the U.S., 10 million people already have the disease
• 34 million more have low bone mass, placing them at increased risk for osteoporosis
Question
• Of the 10 million people who have osteoporosis how many
• ????Are women
• ????Are men
FRACTURES
• One in two women and one in four men over the age of 50 will have an osteoporosis-related fracture in their remaining lifetime.
• Osteoporosis is responsible for 1.5 million fractures annually.
SO WHAT!?!
• Osteoporotic fractures lower a patient’s quality of life.
• The estimated national direct expenditures (hospitals and nursing homes) for osteoporotic hip fractures was $18 billion in 2002 and the cost is rising.
SYMPTOMS
Osteoporosis is a silent disease
A sudden strain, bump or fall causes a fracture
Severe back pain, loss of height and kyphosis (Dowagers Hump)
RISK FACTORS(factors that increase the likelihood of developing
osteoporosis and fractures)
• Personal history of fracture after age 50
• History of fracture in a first degree relative
• Being female
• Being thin and/or having a small frame
• A family history of osteoporosis
• Estrogen deficiency
RISK FACTORS• Abnormal or absence of menstrual periods• Anorexia nervosa• Low lifetime calcium intake• Vitamin D deficiency• Use of certain medications• An inactive lifestyle• Current cigarette smoking• Excessive use of alcohol• Being White or Asian (although African
Americans and Hispanic Americans are at risk as well)
DETECTION
• Specialized tests called bone mineral density (BMD) tests can measure bone density in various parts of the body
• During the month of May, we are offering free DEXA scans!! Please call 280-BONE before May 31st to set up an appointment
Osteoporosis Research Center
TREATMENT
• Alendronate = Fosamax
• Alendronate Plus = Fosamax with Vit D
• Ibandronate = Boniva
• Risedronate= Actonel
• Parathyroid Hormone= Forteo
PREVENTION
Senile osteoporosis is a pediatric disease
Charles E. Dent, 1972
• Until the age of 30 you can build and store bone efficiently
• Then, as part of the natural aging process, your bones begin to break down faster than new bone can be formed
• By about the age of 20, the average woman has acquired 98% of her skeletal mass
• Building strong bones during childhood and adolescence can be the best defense against developing osteoporosis later
• Think of your bones as a saving account
4 STEPS TO BONE HEALTH
Step 1: A diet rich in calcium
HOW MUCH CALCIUM ARE
YOU GETTING?
NUTRITION LABELS
• 30% Calcium= ? milligrams
• 20% Calcium= ? milligrams
• 100% Calcium= ? milligrams
Step 2: A diet rich in Vitamin D
How Much Sunlight Exposure is Needed?
Exposure to hands, face, arms, or back to suberythemal doses 1-2 times/wk in spring, summer, and fall.
One minimal suberythemal dose is that dose that causes minimal redness.
Sunscreen should be applied after initial suberythemal dose.
Step 3: Weight bearing and resistance training exercises
Step 4: A healthy lifestyle
No smokingModerate alcohol consumption
THE ENDThank you!
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