All for Life
Q1—How do you define osteoporosis ?
A- Osteoporosis is defined as a reduction of bone mass or density or the presence of fragility fracture . Loss of bone tissue causes deterioration in the architecture of the skeleton . The combination leading to markedly increased risk of fracture .
Osteoporosis is defined operationally as a bone density that fall 2.5 standard deviation below the mean for young healthy adult of same race and gender.
Q2—Osteoporosis affect people as from which age?
A- Osteoporosis can affect any age and both men and women but more frequent with increasing age as bone tissue is progressively lost.
Q3.Are Men or Women vulnerable to osteoporosis ?
A— Women over the age of 50years are most likely develop osteoporosis . The condition is 4 times as likely in women than men .this is because – a .women’s lighter and thinner bone ,longer life span,(b) Estrogen , a hormone in women that protect bones , decrease sharply when women reach menopause, which can cause bone loss, this is why the chance of developing osteoporosis increase as women reach menopause
Q4—What are the factors causing osteoporosis ?
A-There are several factors responsible for causing osteoporosis –
*Gender – women get osteoporosis more than men .
*Age- the older you are , the greater the risk of osteoporosis
*Body size-small and thin women are at great risk
*Ethnicity – White and Asian are at risk . Black and Hispanic women have low risk.
*Family history –osteoporosis tends to run in families.
Oher risk factors-
*sex factor – low estrogen level in women and low testosterone in men increase risk of osteoporosis
*Anorexia Nervosa – This eating disorder can lead to osteoporosis.
*calcium and vit d intake
*Medications –some medicine increases risk of osteoporosis
*activity level –lack of exercise or long term bed rest increases the risk
* smoking , drinking alcohol and some chronic illness
Q5- what are the consequences of osteoporosis ?
A—Fracture due to osteoporosis have a serious impact on a personal health , happiness and quality of life . They can result in chronic pain , long term disability and death .
Q6- How does osteoporosis affects one’s life ?
A—if left untreated osteoporosis can have o profound impact on day to day life
–fracture of the bones usually occurs with little trauma – which cause pain deformities , stooped posture , loss of height
-fracture of hip and spine increase rate of death
Psychological aspect – can develop depression , fear .
Q7—What are the treatment ?
A-Although you cannot completely reverse osteoporosis .there are way to manage it . some of those methods are things you can do every day through diet and exercise .
Several treatment options are available , so a regimen is tailored to each patient . Generally treatment is indicated for all women with osteoporosis and all patients who have had fragility fracture.
There are a growing number of medication available for the treatment of osteoporosis . the main purposes of treatment is to increase bone mass which will help reduce the risk of fracture and help avoid and additional decrease in bone density . medicines used for osteoporosis treatment are calcium , vit d , Bisphosphonates ,selective estrogen receptor modulators, calcitonin , PTH analog,, etc .Talk to Doctor to determine whether medication for osteoporosis is right for you if so which medicine is most appropriate. Doctor will assess risk profile and other medical conditions as well as preference and life style.
Q8 How do old people live with osteoporosis ?
A-some simple measure , appropriate and balance diet and proper treatment can improve quality of life and can prevent osteoporosis related complications .
For prevention and treatment of osteoporosis the diet should be adequate in protein , total calories , calcium and vid D . Pharmacological corticosteroid does should be reduced or discontinued if possible. High impact physical activity e.g jogging significantly increases bone density in men and women.person can not exercise vigorously should be encouraged to engage in other exercise regularly, there by increasing strength and reducing the risk of falling. weight training is useful to increase muscle strength as well as bone density.
Measure should be taken to avoid fall at home eg adequate lighting, handrail at stair, handhold in bathroom etc. should remain active and to avoid alcohol and smoking