Osteoporosis - At a Glance

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1 Published on: 29 Sep 2010 Osteoporosis - At a Glance What Is A Bone? Bone Connective tissue 206 bones Support Function of Bone Protection Assisting in movement Mineral balance Site of blood cell production

2 Cells of Bone Osteoblasts: Bone forming cells (Good cells) Osteocytes: Provide nutrition Osteoclasts: Bone eating cells (Bad cells) Osteoporosis - A Silent Killer Osteoporosis Bone become more porous which makes them weaker and more brittle Normal Bone

3 Osteoporotic Bone Osteoporosis - Your Bones Worst Enemy Normal bone Osteoporotic bone

4 Micro-fracture Leads to fracture Bone Formation & Bone Resorption

5 Normal Osteoporosis Decreasing Bone Mass with Age Male

6 Female Women after menopause lose bone mass much faster than men Burden of Disease- India Based on 2001 census: 163 million people>50 years Expected to raise to 230 million by % women & 15% men i.e. 25 million would be osteoporotic in India by 2015

7 1 in 2 Indian women above the age of 45 suffer from osteoporosis. Osteoporosis is also Called...Silent Killer Disease No symptoms until you get a fracture Spine fractures may cause Severe back pain Severely stooped (bent) posture Sometimes decrease in height

8 Getting Shorter May be Just the Beginning Bone becomes weak - multiple breaks in spine Gradual accumulation of these breaks - people get shorter Could lead to a curved back Dowager's Hump Spine Common Sites of Fracture

9 Hip Wrist Fracture Can Turn Your Life into one of Disability Broken wrists interfere with daily life Broken hips may cause permanent disability

10 Approx 1 1in 2 regain total independence 1 in 4 need long term hospitalization 1 in 4 people die within 1 year

11 Risk Factors Risk Factors- Non Modifiable Family History Past history of Fracture

12 Gender (Female> Male) Age Menopause Risk Factors- Modifiable Smoking Alcoholism Underweight Sedentary lifestyle Poor Eating Habits Diagnosis Of Osteoporosis Serum Calcium ( mg/dl) Bone Mineral Density (BMD) Heel / Wrist DEXA BMD of Heel (Screening Test)

13 DEXA (Gold Standard) Prevention & Treatment Prevention of Osteoporosis Making a few changes in your diet Calcium Vitamin D Exercise Medication

14 Deposit Calcium in the Bone Bank Like the money saved in your bank Account Calcium & Vit D Requirements Adults <50

15 1,000 mg of calcium IU of vitamin D 3 daily Adults >50 1,200 mg of calcium 800-1,000 IU of vitamin D 3 daily. Life Style Modifications Eat food Rich in Calcium Milk & Milk products Spinach Oranges Pulses & Sprouts Sardines, salmon Vitamin D Natural Sources Exposure to sunlight Food Sources Oily fish / Fish oils Butter Eggs (yolk) Cereals fortified with vitamin D Exercise Walking Running Jogging Skipping Aerobics Tennis Weight Training Basket Ball Today's Treatment Options

16 What will Happen if You Discontinue the Therapy? You won't be fit and strong How Long Do You Need Treatment?

17 Let the Doctor Decide Only your doctor can decide which drugs you need and for how long Where the risk of osteoporosis is high, the treatment is usually lifelong Conclusion If you suspect you are at a risk of osteoporosis it is wise to address it RIGHT NOW before a bone fractures

18 A combination of all these measures can help ensure that the bones preserve their stability until well into old age so that one can explore all of life's paths... Rating: Your rating: None Source URL:

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