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World Osteoporosis Day-Physical Inactivity can Lead to Osteoporosis - Dr. Ashutosh Sharma, PT

WHAT IS #OSTEOPOROSIS?







Osteoporosis, which literally means #porous bone, is a disease in which the density and quality of bone are reduced. As bones become more porous and fragile, the risk of fracture is greatly increased. The loss of bone occurs silently and progressively. Often there are no symptoms until the first fracture occurs.

WHO'S AT RISK?
Because bone loss is gradual and painless, there are usually no symptoms to indicate a person is developing osteoporosis. This is why osteoporosis is often referred to as the silent disease. Often the first symptom of osteoporosis is a fracture. Most commonly, osteoporotic fractures occur at the spine, the wrist or the hip, although osteoporotic fractures can occur in other bones as well..

Fixed risks
Although fixed risk factors cannot be changed, people need to be aware of them so that they can take steps to reduce bone mineral loss. Fixed risk factors include:
• Age
• Female gender
• Family history of osteoporosis
• Previous fracture
• Ethnicity
• Menopause/hysterectomy
• Long term glucocorticoid therapy
• Rheumatoid arthritis
• Primary/secondary hypogonadism in men

Modifiable risks
Most modifiable risk factors directly impact bone biology and result in a decrease in bone mineral density (BMD), but some of them also increase the risk of fracture independently of their effect on bone itself. These include:
• Alcohol
• Smoking
• Low body mass index
• Poor nutrition
• Vitamin D deficiency
• Eating disorders
• Insufficient exercise
• Low dietary calcium intake
• Frequent falls
PREVENTING OSTEOPOROSIS

Children and adolescents should:
• Ensure a nutritious diet with adequate calcium intake
• Avoid protein malnutrition and under-nutrition
• Maintain an adequate supply of vitamin D
• Participate in regular physical activity
• Avoid the effects of second-hand smoking

It’s estimated a 10% increase of peak bone mass in children reduces the risk of an osteoporotic fracture during adult life by 50%.

Adults should:
• Ensure a nutritious diet and adequate calcium intake
• Avoid under-nutrition, particularly the effects of severe weight-loss diets and eating disorders
• Maintain an adequate supply of vitamin D
• Participate in regular weight-bearing activity
• Avoid smoking and second-hand smoking
• Avoid heavy drinking

OSTEOPOROSIS IN MEN

Osteoporosis is often thought of as a women’s disease, as it is particularly common after menopause. The reality is osteoporosis also affects men. Although fragility fractures are less common in men, when they occur, these fractures can be associated with higher rates of disability and death than in women.

Overall, 1 in 5 men over the age of 50 will have an osteoporosis related fracture. This is greater than the likelihood of developing prostate cancer

Risk factors for osteoporosis:
The following risk factors are associated with osteoporosis in men:
• Prolonged exposure to certain medications, such as steroids used to treat asthma or arthritis, anticonvulsants, certain cancer treatments and aluminium containing antacids
• Chronic diseases that affect the kidneys, lungs, stomach, intestines and hormone levels
• Undiagnosed low levels of the sex hormone testosterone
• Lifestyle habits such as:
◦ Smoking
◦ Excessive alcohol consumption
◦ Poor diet
◦ Lack of physical exercise

DIAGNOSING OSTEOPOROSIS

What is a BMD test?
Traditional X-rays can’t measure bone density, but they can identify spine fractures. Bone mineral density (BMD) has to be measured by more specialised techniques. A number of different types of BMD tests are available, but the most commonly used is DXA (dual-energy X-ray absorptiometry)

DXA is a low radiation X-ray capable of detecting quite small percentages of bone loss. It is used to measure spine and hip bone density, and can also measure bone density of the whole skeleton. There are a number of different types of test options:

• DXA (peripheral DXA) measures bone mass at the forearm, finger and heel
• SXA (single-energy X-ray absorptiometry) measures the heel or wrist
• DPA (dual photon absorptiometry) measures the spine, hip or total body
• SPA (single photon absorptiometry) measures the wrist
• QCT (Quantitative Computed Tomography) measures the spine or hip
• PQCT (peripheral QCT) measures the forearm
• QUS (Quantitative Ultrasound) uses sound waves to measure the heel or finger

A DXA scan, which is used to measure spine and hip bone density, is the most common technique for assessing the risk of osteoporosis.

What do my test results mean?
The World Health Organization has defined a number of threshold values (measurements) for osteoporosis. The reference measurement is derived from bone density measurements in a population of healthy young adults (called a T-score). Osteoporosis is diagnosed when a person’s BMD is equal to or more than 2.5 standard deviations below this reference measurement.

Osteopenia is diagnosed when the measurement is between 1 and 2.5 standard deviations below the young adult reference measurement.

Status >> Hip BMD
Normal >> T-score of -1 or above
Osteopenia >> T-score lower than -1 and greater than -2.5
Osteoporosis >> T-score of -2.5 or lower
Severe osteoporosis >> T-score of -2.5 or lower, and presence of at least one fragility fracture



Love your Bones.

Osteoporosis is a bone disease which causes the bones to become weak and brittle. The signs and symptoms include: Back pain, Loss of height over time, stooped posture.

Physical Exercises make you Stronger. A Physiotherapist can Help you  to Relive from Back pain, Posture etc.

Lack of physical activity and a sedentary lifestyle has reduced the average age of osteoporosis.Being sedentary also poses additional risks because it affects the body’s regulation.

Are you suffering from Osteoporosis or any other bone related problems ?


Call Now-8971523209,9460108099


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