Friday, April 20, 2012

OSTEOPOROSIS- An Introduction

Osteoporosis is a silent disease that can progress with little or no symptom until bone density loss is severe.The effects of the disease can remain hidden until a fracture occurs from a minor injury or fall.
It is commonly seen in elderly and more so is women.

TYPES
Primary Osteoporosis: It is seen with ageing and after menopause more commonly seen in women.
Secondary Osteoporosis: It is seen in people taking medications such as corticosteroids, anti-seizures medication , barbiturates, and in certain conditions such as chronic endocrine disease ,kidney diseases etc.



IDENTIFICATION                                                                                        


Bone thinning from osteoporosis may lead to curved spine known as Dowangers hump.When bones in spine compress or fracture the spine becomes curved which can lead to significant loss of height.
Potential: Collapse from fractured vertebrae may potentially compress heart, lungs and intestines.
Significance: Negative impact on life fear of falling, limited mobility and adaptive lifestyle changes can lead to decrease socialization and isolation.



EXPERT INSIGHT
Testing for osteoporosis is important for all women older than 55 years and who have risk for bone density loss.Women who have experienced fracture at young age from minor injury should be tested.
Adult men and women should undergo bone density testing for complaints of unexplained backache that may be a symptom of fractured vertebra.

Men and Osteoporosis
Osteoporosis doesnot just affect older women but also men. Men who are likely to have osteoporosis are more than 75 years of age with low BMI and have lost 5% of bodyweight from last 4 years.Currently smoking and are physically inactive.

   COMMON SIGNS
  1.  Loss of height
  2. Kyphosis /dowangers hump
  3. Back pain
  4. Spontaneous fracture


DIAGNOSIS
Risk Factors: increased age, family history, having small thin frame, being inactive, smoking, diet less in calcium, medications etc.

X-ray shows compression fracture and decreased bone mineral density.

T-SCORE
+1and -1 Normal
-1 and -2.5 Osteopenia
less than -2.5 Osteoporosis

Common fractures in osteoporosis: Vertebrae,hip and wrist.

HOW TO PREVENT OR IMPROVE
DIET
1) Calcium: The average person's daily requirement: 200mg to 1200mg
Sources: dairy products, broccolli, cauliflower, legumes, nuts, seeds, tofu, soybean, apricot, fig.

2) Vitamin D
Sources: Egg yolk,expose to sun,butter,liver,fish oil-salmon sardine,mackerel

3)Phytoestrogens or flavonoids
These are the molecules in plants which mimic some hormones manufactured in gonads.Whole grain, beans, seeds and their oil, leafy vegetables, garlic onion,soya.

Food to limit: very high protein and salt intake.
Beverage < 3 cups of coffee,decrease colas



 Exercises to be performed to prevent Osteoporosis:
 http://fitnessphysios.blogspot.in/2012/04/exercise-and-osteoporosis.html.


2 comments:

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