Osteoporosis Risks and Treatments
No Matter What Your Age-You Are at Risk for Osteoporosis
By Meredith Rassam, PT, MSPT
|
Osteoporosis affects about 25 million U.S. citizens and causes
approximately 1.5 million fractures a year. Women are more likely
to be affected by osteoporosis. Nearly two in every 5 females and
one in eight males will sustain an osteoporotic fracture in their
lifetime.
|
|
What is osteoporosis?
Osteoporosis is a bone disease characterized by a low bone mass and
deterioration of bone tissue which leads to an increased risk of
bone fractures.
|
|
Ways to prevent osteoporosis
Once a person has been diagnosed with osteoporosis, it is
impossible to restore osteoporotic bone to normal. Therefore, it is
essential to take precautions to prevent it at an early age. The
following measures are important to follow during adolescence,
since this is when the greatest skeletal growth occurs. However,
these should be continued throughout your lifetime.
- Adequate calcium intake (see chart below for daily intake
amount)
- Adequate vitamin D intake
- Exercise
|
|
Optimal Calcium Requirements
|
|
Group
|
Optimal Daily Intake (in mg of calcium)
|
|
Infants
|
|
|
Birth - 6 months
|
400
|
|
6 months - 1 year
|
600
|
|
Children
|
|
1 - 5 years
|
800
|
|
6 - 10 years
|
800 - 1200
|
|
Adolescents/Young Adults
|
|
|
11 - 24 years
|
1200 - 1500
|
|
Men
|
|
|
25 - 65 years
|
1000
|
|
Over 65 year
|
1500
|
|
Women
|
|
|
25 - 50 years
|
1000
|
|
Over 50 years (postmenopausal)
|
|
|
On estrogens
|
1000
|
|
Not on estrogens
|
1500
|
|
Over 65 years
|
1500
|
|
Pregnant and nursing
|
1200 - 1500
|
|
|
Osteoporosis and Menopause
A woman loses approximately 10-15% of her skeletal mass in the 5 to
7 years following the deprivation of estrogen at menopause. After
that, age-related bone loss is about 1% a year. There are ways to
combat this or at least slow the process. The prevention tips above
will help, but your physician can prescribe estrogen replacement
therapy and other medications to help prevent bone loss.
|
|
Treatment for Osteoporosis
The best treatment is of course prevention, but once diagnosed,
there are effective treatment techniques. They range from simple
behavior modifications to extensive drug therapy. Some of these
include:
- Behavior modifications - in terms of alcohol and tobacco
consumption
- Nutritional instruction - optimizing calcium and vitamin D
intake
- Exercise - prescribed by physical therapist or physician
- Postural Recommendations
- Estrogen Replacement Therapy or medication for women going
through menopause - again consult with your physician
In terms of getting into an exercise program for osteoporosis, a
physical therapist is your best resource. They are well-educated on
how osteoporosis affects the body and what type of exercise will be
appropriate and effective for treating and/or preventing the
disease. If you have osteoporosis or would like to begin an
exercise program to reduce the risk of developing it, talk to your
physician or physical therapist right away. Many physical therapy
practices have specific Osteoporosis Programs, but all therapists
at an orthopedic facility are trained to provide treatment for
osteoporosis.
Remember- if you haven't already, talk to your physician about
your risk for developing osteoporosis and what you can do now to
reduce that risk.
|