Transcript Osteoporosis - Creighton University School of Medicine

Osteoporosis Awareness and
Prevention
Lunch n Learn Series
May 2007
OSTEOPOROSIS
• Osteo= bone
• Porosis = porous
• Disease characterized by low bone mass
and structural deterioration of bone tissue,
leading to bone fragility and an increased
susceptibility to fractures especially of the
? and ? and ?
• Osteoporosis is a major public health
threat for an estimated 44 million
Americans, or 55% of the people over 50
• In the U.S., 10 million people already have
the disease
• 34 million more have low bone mass,
placing them at increased risk for
osteoporosis
Question
• Of the 10 million people who have
osteoporosis how many
• ????Are women
• ????Are men
FRACTURES
• One in two women and one in four men
over the age of 50 will have an
osteoporosis-related fracture in their
remaining lifetime.
• Osteoporosis is responsible for 1.5 million
fractures annually.
SO WHAT!?!
• Osteoporotic fractures lower a patient’s
quality of life.
• The estimated national direct expenditures
(hospitals and nursing homes) for
osteoporotic hip fractures was $18 billion
in 2002 and the cost is rising.
SYMPTOMS
Osteoporosis is a silent disease
A sudden strain, bump or fall causes a
fracture
Severe back pain, loss of height and
kyphosis (Dowagers Hump)
RISK FACTORS
(factors that increase the likelihood of developing
osteoporosis and fractures)
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Personal history of fracture after age 50
History of fracture in a first degree relative
Being female
Being thin and/or having a small frame
A family history of osteoporosis
Estrogen deficiency
RISK FACTORS
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Abnormal or absence of menstrual periods
Anorexia nervosa
Low lifetime calcium intake
Vitamin D deficiency
Use of certain medications
An inactive lifestyle
Current cigarette smoking
Excessive use of alcohol
Being White or Asian (although African
Americans and Hispanic Americans are at risk
as well)
DETECTION
• Specialized tests called bone mineral
density (BMD) tests can measure bone
density in various parts of the body
• During the month of May, we are offering
free DEXA scans!! Please call 280-BONE
before May 31st to set up an appointment
Osteoporosis Research Center
TREATMENT
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Alendronate = Fosamax
Alendronate Plus = Fosamax with Vit D
Ibandronate = Boniva
Risedronate= Actonel
Parathyroid Hormone= Forteo
PREVENTION
Senile osteoporosis is a pediatric
disease
Charles E. Dent, 1972
• Until the age of 30 you can build and store
bone efficiently
• Then, as part of the natural aging process,
your bones begin to break down faster
than new bone can be formed
• By about the age of 20, the average
woman has acquired 98% of her skeletal
mass
• Building strong bones during childhood
and adolescence can be the best defense
against developing osteoporosis later
• Think of your bones as a saving account
4 STEPS TO BONE HEALTH
Step 1: A diet rich in calcium
HOW MUCH CALCIUM ARE
YOU GETTING?
NUTRITION LABELS
• 30% Calcium= ? milligrams
• 20% Calcium= ? milligrams
• 100% Calcium= ? milligrams
Step 2: A diet rich in Vitamin D
How Much Sunlight Exposure is Needed?
Exposure to hands, face, arms, or back to
suberythemal doses 1-2 times/wk in spring,
summer, and fall.
One minimal suberythemal dose is that dose
that causes minimal redness.
Sunscreen should be applied after initial
suberythemal dose.
Step 3: Weight bearing and resistance
training exercises
Step 4: A healthy lifestyle
No smoking
Moderate alcohol consumption
THE END
Thank you!