Osteoporosis…Bone Basics What is Osteoporosis? A disease in which the bones become porous through a loss of minerals, especially calcium, which results in loss of bone mass. This makes the bones weak, fragile and more susceptible and prone to breaking. What are the risk factors? Being female (women are 4x more likely than men to have osteoporosis- women have less bone mass to start with and lose it at a much faster rate) Advanced age Small bone structure Ethnicity (Caucasian and Asian females highest, African –American men and women have lowest risk) Family history Personal history of fracture after age 50 History of anorexia nervosa Current low bone mass Estrogen deficiency as a result of menopause or resulting from surgical removal of ovaries History of abnormal absence of menstrual periods Low lifetime calcium intake Vitamin D deficiency Use of certain medications Low testosterone levels in men Inactive lifestyle and immobility cigarette smoking Excessive use of alcohol What are the consequences of osteoporosis? 1. Fractures are the most common consequence 2. Area most prone to osteoporosis related fractures are hips, spine, wrists and ribs. 3. “Silent Fractures” can also occur- they are fractures a person may have without knowing or filling pain 4. There are not any symptoms for low bone density and osteoporosis is usually detected too late 5. Estimated that 10 million Americans have osteoporosis and that 34 million more adults have low bone mass, placing them at higher risk for this disease. 6. Important to remember that EVERYONE loses bone density with age regardless of gender or ethnicity. Prevention Get daily recommended amounts of calcium and Vitamin D: Calcium = 1,000 mg for 19-50 yrs of age 1, 200 mg for 50+ yrs of age Vitamin D = 5mg for 19-50 yrs. 10 mg for 51-70 yrs 15 mg for 71+ yrs of age Food sources of Calcium = milk, cheese, yogurt, other low-fat dairy products, soy milk, fortified cereals and juices, legumes such as pinto and navy beans, corn tortillas Food sources for Vitamin D= fortified low-fat dairy products Engaging in regular weight-bearing exercise: walking, jogging, stair climbing, hiking, tennis, racquetball are examples for the lower body. Light hand weights can be used to strengthen upper body. Avoid smoking or excessive alcohol use Have a bone density test Taking prevention or treatment medication when appropriate after speaking with health care provider Talking to your healthcare provider about bone health Bone testing 1. Bone Mineral Density (BMD) test measures bone mass, and most often done for the spine, wrist or hips. 2. This test is painless and non-invasive. A type of x-ray, ultrasound, or CT scan can be used to look at bone density. 3. Who should get tested- all women 65+, younger postmenopausal women who have one or more risk factors, postmenopausal women who have had a recent fracture Treating Osteoporosis Unfortunately osteoporosis is incurable, but steps can be taken to slow and minimize progression as well as reduce the amount of fractures associated with the disease. 1. Nutrition: healthy eating will always contribute to ones overall heath, so it is important to get the appropriate daily intake of calcium and vitamin d 2. Exercise: plays an important role in prevention as well as management of osteoporosis. It improves bone strength and enhances muscle coordination and balance- to prevent falls. Also promotes flexibility. 3. Medication: your doctor can prescribe medication that will help treat osteoporosis 4. Preventing falls: be sure that you have taken appropriate safety measures to prevent the possibility of falling and fracturing a bone- use cane/ walker, as needed, avoid slippery walkways, wear shoes with rubber soles for better traction, make sure shoelaces are tied and tucked away, optimize vision by wearing eyeglasses, contacts, and having regular exams, use handrails on walkways and stairs, use sturdy/wide-based step stools if you must, secure throw rugs with rubberized mats underneath, keep cords and clutter out of walkways in the home, use rubber mat in shower or tub, consider side effects of medication that can affect balance, mobility or mental awareness- talk to your Dr. about these side effects. *This information is only to be used as a general summary to the public for educational purposes only, and nothing in this information should be substituted for medical advice, diagnosis, or treatment. New Mexico State University is an equal opportunity/affirmative action employer and educator. NMSU and the U.S. Department of Agriculture Cooperating.