Transcript Osteoporosis prevention
4/27/2020 Dr.maninder Ahuja Chairperson Geriatric gynaecology committe FOGSI Chairperson public awareness committee (IMS) Dr.MANINDERAHUJA
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Woman is the axle around whom the family, society nay! The whole universe is revolving .So her health is of utmost importance at all stages of life more so in Menopause 4/27/2020 Dr.MANINDERAHUJA
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Women have to spend more years in menopause as life expectancy is increasing from 26 yrs in Roman era to 65 yrs in India 80 yrs average world wide.
Average age of menopause is 46-52 yrs so they have to spend 1/3 of their life in menopause More women are there in menopause and more problems are being recognised No family ,social or state support system ,so they have to remain active.
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what is osteoporois?
Osteoporosis causes weak bones. In this common disease, bones lose strength . They become fragile and break easily. Fracture even on fall from standing height or silent vertebral fractures Normal Bone Bone with Osteoporosis 4/27/2020 Dr.MANINDERAHUJA
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4/27/2020 Often called the “silent disease” Bone loss occurs without symptoms First sign may be a fracture due to weakened bones A sudden strain ,bendingor bump can break a bone Dr.MANINDERAHUJA
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The number of osteoporotic hip fractures has quadrupled in the past decade
1 out of 3 females in India suffers from osteoporosis, largest affected.
26 million with the numbers projected to increase to 36 million by 2013.(Osteoporosis Society of India (2003) By 2050 1 out of 2 hip fractures would occur in Asia A woman’s risk of developing an osteoporosis-related hip fracture is equal to her combined risk of developing breast uterine and ovarian cancer.
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1 million Osteoporotic Fracture 1,200,000
NO OF FRACTURES IS MORE >
Breast Cancer 1,84,000 Strokes 228,000
> 5.5
X
> 4.4 x
Heart Attack 513,000
> 2.0 x
OSTEOPOROSIS IN WOMEN : CONCERN
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Osteoporosis robs you of your independence,
friends shopping parlour You can’t do anything worship “What will you do if you can’t drive?” doctor 4/27/2020 Dr.MANINDERAHUJA
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HAD SOME BODY TOLD ME EARLIER!
“If somebody had told me sooner what I know now about osteoporosis, none of this might be happening to me!” 4/27/2020 Dr.MANINDERAHUJA
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Medicines ?cost?
“Medications are expensive. But I can’t afford to let my condition get worse and this medicine will help stop or slow down the bone loss.” Dr.MANINDERAHUJA
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4/27/2020 Osteoporosis Is preventable Dr.MANINDERAHUJA
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Osteoporosis is for elderly women Fact is it can strike at any age You’re never too young or old to improve bone health! So start at any age.
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By DXA SCAN WHO CLASSIFICATION NORMAL A T-score within 1 SD (+1 or -1) of the young adult OSTEOPENIA A T-score of 1 to 2.5 SD below the young adult mean (-1 to - 2.5 SD) OSTEOPOROSIS A T-score of 2.5 SD or more below the young adult mean (> 2.5 SD) It takes about 10 years for change of 1 SD
For each standard deviation decrease in femoral neck BMD,there is an approximate 2.5-fold increased risk of hip fracture.
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4/27/2020 spine HIP Dr.MANINDERAHUJA
wrist 14
Hip fractures account for 300,000 hospitalizations annually.
Costs involved is very heavy in lacs for individual and in billions for the State RISK OF DYING WIHTIN FIVE YEARS IS DOUBLED You may not be able to walk again!!
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SILENT FRACTURES OF BACK BONES!
Most of time undiagnosed 500,000 spinal fractures,compression or wedge fractures, Losing height .>2cms Back pain Kyphosis In extreme cases chest compression Abdominal space reduced and problems of eating and digestion 4/27/2020 Dr.MANINDERAHUJA
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4/27/2020 Dowager’s hump.
Marked thoracic kyphosis due to multiple osteoporotic fractures in elderly woman.
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200,000 broken wrists Limited movement Quality of life impaired
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4/27/2020 Calcium is deposited and withdrawn from bones daily.
Bones build to about age 30.
We need to build up a healthy bone account while young and continue to make deposits with age.
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4/27/2020 After mid-30’s, you begin to slowly lose bone mass at increased rate of 4-5% /yr Women lose bone mass faster after menopause, Bones can weaken early in life without a healthy diet and the right kinds of physical activity.
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If you have any of these “red flags,” you could be at high risk for weak bones. Talk to your doctor.
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1 Older than 65 Broken a bone after age 50 Close relative has osteoporosis or .
has broken a bone Health is “fair” or “poor” Smoke Underweight for your height /BMI<19 4/27/2020 Dr.MANINDERAHUJA
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You started menopause before age 40 2 You never got enough calcium You take more than two drinks of alcohol .
several times a week You have poor vision, even with glasses ,poor hearing you sometimes fall you are not active 4/27/2020 Dr.MANINDERAHUJA
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You have one of these medical conditions: Rheumatoid arthritis Hyperthyroidism Chronic lung disease Cancer Inflammatory bowel disease Chronic liver or kidney disease Hyperparathyroidism Vitamin D deficiency Cushing's disease Multiple sclerosis 4/27/2020 Dr.MANINDERAHUJA
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You take one of these medicines: Oral glucocorticoids (steroids) Cancer treatments (radiation, chemotherapy) Thyroid medicine Antiepileptic medications Gonadal hormone suppression Immunosuppressive agents 4 4/27/2020 Dr.MANINDERAHUJA
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4/27/2020 Start building healthy bones while young.
Healthy diet and lifestyle are important for BOTH men and women.
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Latest reports say “in utero origin of osteoporosis also,genetic factor Chan GM et al. Growth and bone mineralization in children born prematurely. J Perinatol 2008 Sep; 28:619
AGE IS NO BAR 4/27/2020 Dr.MANINDERAHUJA
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Get your daily recommended amounts of calcium and vitamin D.
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Engage in regular weight bearing /resistance exercise. 4/27/2020 Even simple activities such as walking, stair climbing and dancing can strengthen bones . Dr.MANINDERAHUJA
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Avoid smoking and excessive alcohol.
4/27/2020 12 oz.
beer wine 5 oz.
1.5 oz.
no more than 1 drink per day for women and 2 for men.
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Talk to your doctor about bone health.
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Have a bone density test and take medication when appropriate.
4/27/2020 Testing is a simple, painless procedure.
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No loose rugs Good lighting at night Supports in the bath rooms Don’t lock bath rooms Proper glasses for eye sight Balance exercises No sedatives Proper hearing aids Vit. D also helps in fall preventio 4/27/2020 Dr.MANINDERAHUJA
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