Osteoporosis Prevention | Anticipation Broken Bones

Anticipation Broken Bones

The incidence of fractures in patients with osteoporosis bone loss should be anticipated alias . If the bone has been broken , decreased quality of life of patients and treatment is expensive .

This was conveyed by an orthopedic specialist from the Department of Orthopedics and Traumatology Medical Cipto Mangunkusumo Dohar AL Tobing in the talk show " Prevention Fracture in Osteoporosis " , Saturday ( 23/6 ) , in Jakarta . Also present as a speaker , member of the Scientific Section of the Indonesian Osteoporosis Association , Ismail .

He said many people did not realize until experiencing osteoporosis fractures . Therefore , early detection of osteoporosis and fall prevention to avoid fractures is important .

" There are tests that must be followed to determine the risk of osteoporosis . Examination of bone mineral density ( BMD ) is important to know the condition of the bones , " said Ismail .

Dohar added , the incidence of fractures in women is higher than men . One in three women osteoporosis aged over 50 years had a broken bone . This figure will rise to one in two women over 60 years old . Whereas in men , one of five men osteoporosis aged over 50 years had a broken bone . The incidence increases in men aged over 60 years became one of the three male osteoporosis .

The most frequent location is the back bone fractures ( 46 percent ) , pelvis ( 19 percent ) , and the bones of the wrist ( 15 percent ) .

In 2005 , the Health Technology Assessment report , in Indonesia in 2000 the incidence of fractures in patients with osteoporosis 227,850 cases with treatment costs of 2.7 billion U.S. dollars . By 2020 the incidence of fractures in osteoporosis increased to 426 300 cases with a total cost of treatment of 3.8 billion U.S. dollars .

According Dohar , the cost of treatment of bone fractures due to osteoporosis until thoroughly Rp 80 million to Rp 100 million .

Ismail said , prevention of osteoporosis can be done with regular exercise from a young age when an increasing optimal bone mass is still ongoing , until the age of 35 years . Sports that can be done is walking , running , and weight training .


Source: Kompas.com

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Juvenile osteoporosis

Osteoporosis is a disease that can cause a reduction in bone mass that puts you at risk for bone fracture. In most cases, osteoporosis is seen in adult women after menopause. However, in children and adolescents may develop juvenile osteoporosis. This often occurs in children between the ages of 8 to 14 years. But sometimes the disease progresses, and at an earlier age, during growth spurts.

Juvenile osteoporosis in children is difficult to detect. Pictures of bone density are the most accurate way to determine the premature loss of bone mass. But this type of survey can not hold as well as adults, that would make an accurate diagnosis of the child. Doctors usually diagnose juvenile osteoporosis, if there are signs of the fragility of the skeleton. This can occur when fractures occur without trauma, such as a significant drop, and an indicator of bone mineral density below -2.0.

Types of juvenile osteoporosis

There are two types of juvenile osteoporosis: secondary and unknown origin.

Secondary osteoporosis refers to osteoporosis, which developed as a result of another disease. This is the most common type of juvenile osteoporosis. Some illnesses may lead to the development of osteoporosis in children, including:

    Juvenile arthritis
    Diabetes
    Cystic Fibrosis
    Leukemia
    Brittle bones ("glass bones")
    Homocystinuria (genetic metabolic disease)
    Hyperthyroidism
    Hyperparathyroidism
    Cushing's syndrome
    Malabsorption syndromes
    Anorexia nervosa
    Kidney disease

Sometimes juvenile osteoporosis is a direct result of the disease. In rheumatoid arthritis, for example, children may have lower bone density than it should be, especially in arthritic joints. Certain medications can also lead to a youthful osteoporosis. This may include chemotherapy for cancer, anti seizure anticonvulsants or steroids for arthritis. If your child suffers from one of these diseases, talk to your doctor about carrying out a thorough examination of bone density.

Osteoporosis of unknown origin means that the cause of the disease is unknown. This type of juvenile osteoporosis is less common. As of 1997, in the medical literature, it was reported 150 cases. In boys, the disease occurs more frequently than girls. The disease most often develops just before the onset of puberty. Bone density in children increases during puberty. Although at the time of puberty, most of the density of bone mass may be resumed, in children with juvenile osteoporosis is usually a lower peak bone mass than adults.

Whatever the reason, juvenile osteoporosis is a serious disease. 90% of your bone mass is formed at the age of 18 - 20 years. Loss of bone mass in the process of bone formation may expose the child at serious risk of complications in the future, such as fractures.

The symptoms of juvenile osteoporosis

Symptoms of the disease juvenile osteoporosis include:

    Back pain, hip, knee, ankle and foot
    Difficulty in walking
    Breaks legs, ankles or feet

Treatment for juvenile osteoporosis

The type of treatment your child depends on the cause of the disease. If the cause of the disease juvenile osteoporosis is a disease, the best way to treat osteoporosis is the treatment of this disease. If a cure for the disease is another factor of juvenile osteoporosis, a transition to another medication. If the other does not exist, it is possible to reduce the destruction of bones by taking a smaller, but also an effective dose of medication.

To date, there is no medicine or surgery in the case of juvenile osteoporosis disease of unknown origin. It is important to protect your child from the skeleton fractures. Perhaps he will have to use crutches or other support. And perhaps he should avoid contact sports, which exposed him to the risk of fractures.

None of the drugs that are taken for the treatment of adult osteoporosis, is encouraged not to accept children. To date, one study conducted on the drug Fosamax, which can help children with juvenile osteoporosis.

All children, including those with juvenile osteoporosis, it is necessary to maintain such a lifestyle that promotes a healthy skeleton. It includes a diet rich in calcium and vitamin D, protein, and safe exercise. Many experts also believe that children with juvenile osteoporosis should undergo bone density screening at least every year during adulthood.

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Osteoporosis Model More Vulnerable?

PEOPLE

Has a super slim body as the model was not always profitable. According to Ida Wisnubaroto, Chairman of the Citizens Union of Bones Healthy Indonesia (Perwatusi), models are generally most at risk of attack or brittle bone disease osteoporosis. "There are many factors that led to this model a potential profession experiencing bone loss," said Ida, in a campaign event "Osteoaccessories" in the Indonesia Fashion Week at the Jakarta Convention Center, some time ago.

Some of these factors are:

1. Low bone density
According to Ida, bone density levels of Indonesian society due to various factors including lack of nutrients in the body. "In addition, it compared with other countries, the bone density was lower in Indonesia, as well as smaller bone structure than other countries," he added. This is what causes the bone susceptible to osteoporosis. In the model, the relatively heavy work activity affects the small bones, and possibly lead to brittle bones and fractures.

2. Diet
Diet is wrong, but can lead to malnutrition, also cause a person susceptible to osteoporosis. The models generally are on a strict diet is not nutritionally balanced to maintain the slimness of her body. Osteoporosis is also caused by one factor of malnutrition in the body, namely the lack of calcium. This affects the formation of the lower bone mass. The low ability of the hormone the body to form bone density due to deficiency of calcium from the diet could accelerate the process of this bone loss.

3. The use of high heels
High heels were commonly used models can lead to foot became tense, or even injury is called osteoarthritis. This injury occurs in the ankle that produce pain. These injuries occur in the metatarsal head (the legs that support the entire weight of the body in one point), which if not promptly treated can lead to bone loss or osteoporosis.

4. Lifestyle
Everyday, after preparing for a demonstration, or after the completion of "duty" in the fashion show, the models often spend time clubbing or hang out in places hanging out. Such a lifestyle is often not controlled, and can damage the health. Because such places are generally filled with smokers. Exposure to cigarette smoke is damaging health, as well as bone.

Basically, bone loss can be experienced by everyone, but the models often do these things at the same time, so the risk is greater. If you are not a model, but has underlying factors such as the above, you are also at risk of bone loss.

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Osteoporosis Myths

Osteoporosis is an insidious, initially totally painless disease. Therefore, the first signs in advance of the disease are often not taken seriously enough. Furthermore, circulating the false idea that osteoporosis is not treatable.

Myth 1: Osteoporosis is a rare disease.

The opposite is true: In developed countries, osteoporosis has become an endemic disease. Almost eight million people in Germany alone that, but only a minority is treated. The number of osteoporotic hip fractures in Germany amounted to about 100,000 per year. Approximately 30% of all women suffer once in their lives caused by osteoporosis vertebral fracture.

Myth 2: I'm too young to me to worry about osteoporosis.

Wrong! Prevention begins at a young age, because even at this time, the foundation for future disease can be determined. Especially with young people play an adequate calcium intake, adequate supply of the body with vitamin D and regular exercise is an important role to build an optimum bone mass. Also, a healthy lifestyle is useful: For successful prevention of osteoporosis, it is recommended not to smoke, consume less alcohol and avoid phosphate-rich foods (such as cola drinks, sweets, fast food), since they prevent the absorption of calcium in the bones.

Myth 3: Osteoporosis is a women's disease.

Wrong! Also, the "stronger sex" may suffer from osteoporosis. About 20% of osteoporosis patients in Germany are men. Although omitted in men, estrogen deficiency in menopause as an important risk factor that are otherwise in the risk factors - physical inactivity and poor diets included, barely. Often appears in men of testosterone decrease in old age or long-term use of cortisone for the disease outbreak to be responsible, but also a high alcohol and nicotine consumption may play a role.

Myth 4: If osteoporosis is detected, you can do nothing against the disease.

But! To bone and spinal fractures, excruciating pain and permanent disability must not happen. If the bone loss observed in the early stages, it can be stopped frequently by drug treatment. Even at an advanced stage bone fractures can often be prevented by drugs and the quality of life improved significantly. In addition, it is never too late to counter with an individual exercise program and healthy diet rich in calcium for osteoporosis.

Myth 5: Osteoporosis is not so serious that they should worry about.

Osteoporosis is a serious disease because it causes a progressive weakening of the bones. This goes so far that even a slight shock may or innocuous case to cause painful fractures, especially in the hip or the spine, but also at other skeletal sites.
One in four patients with femoral neck fracture die within the first twelve months after the fracture. Half is now walking dependent on foreign aid and a further quarter of the patients is nursing care.

Myth 6: I'm healthy, so I'm not at risk.

Unfortunately we have no indication of how strong your bones are. Unbeknownst to lose the body's natural bone density, although it is believed to live healthy. Especially when there are family preloads, you should be talking to his doctor about a possible osteoporosis and make a bone density test. This method allows the inference of osteoporotic fracture susceptibility of the bone. However, take the public health insurance costs for a bone density measurement is not often, but still there is no fracture.




I Suggest you read "The Myth of Osteoporosis"

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Smoking and Osteoporosis

There are many health problems that are caused by smoking. Centers for Disease Control and Prevention reported that the disease associated with smoking in the United States spend more than $ 75 billion each year. Smoking causes heart disease, lung cancer and stomach cancer, chronic lung disease. In addition, some studies have identified smoking as a risk factor for osteoporosis and susceptibility to fracture.

Osteoporosis

In osteoporosis the bones are weakened and more susceptible to fractures. Fractures from osteoporosis can result in significant pain, disability and sometimes death. Osteoporosis is a major health threat for an estimated 44 million Americans, 68% of whom are women. In addition to smoking, there are several risk factors for osteoporosis:

•     thin or small size
•     the presence of disease or cases of fracture after 50 years of family history
•     or postmenopausal onset of premature menopause
•     abnormal absence of menstrual periods
•     using certain medications, including corticosteroids, long-term
•     calcium deficiency
•     lack of physical activity
•     alcohol abuse.

Osteoporosis can be prevented. Osteoporosis is a silent disease: it can progress for many years without symptoms, until such time until fracture occurs. He was named the children's illness, the consequences of which manifest themselves in old age, as the maintenance of bone health in young people helps prevent osteoporosis and fractures later. But never too late to learn new habits and to protect bone health.

Smoking and Osteoporosis

Tobacco was first designated as a risk factor for osteoporosis more than 20 years ago. Recent studies have shown a direct link between smoking and reduced bone density. It is difficult to analyze the impact of smoking on bone health, because it is difficult to determine whether the reduced bone density is due to smoking or other risk factors inherent in smokers. For example, in many cases, smokers have lower body weight than non-smokers tend to consume more alcohol, less physically active and have nutritional deficiencies. Women who smoke are also at menopause earlier than it happens in non-smokers. These factors are also subjected to many smokers at increased risk of osteoporosis, along with tobacco.

In addition, many studies concerning the effects of smoking suggest that smoking increases the risk of fractures. Not all studies support these findings, but the evidence is increasing. For example:

1.     The longer you smoke, and the more cigarettes you consume, the greater the risk that you'll be prone to fractures in the elderly.
2.     Fractures in smokers grow together longer than non-smokers, and they have a more complications in the process of accretion.
3.     Significant bone loss in elderly men and women who smoke.
4.     At least one study suggests that passive smoking in youth may increase the risk of low bone mass.
5.     Women who smoke often produce less estrogen (hormone), and they tend to attack premature menopause, unlike smoking, which can lead to increased bone loss.
6.     Quitting smoking reduces the risk of bone loss and fractures. However, the process of reducing the risk for people who quit smoking can take several years.

Strategies for managing osteoporosis

Quit smoking: The best thing a smoker can do to protect their bones, it is to quit smoking. Quitting smoking, even in adulthood, can help reduce bone loss, which is associated with smoking. There are many resources available to aid in smoking cessation, some of them are listed below.

Eat a balanced diet, foods fortified with calcium and vitamin D: Sources of calcium include dairy products low in fat, dark green, leafy vegetables, and foods and drinks that are fortified with calcium. Also, supplements can provide the necessary amount of calcium per day. Institute of Medicine recommends a daily calcium consumed at a rate of 1000 mg for men and women, and increase the dose to 1200 mg after the age of 50 years. Vitamin D plays an important role in calcium absorption and bone health. Vitamin D can be obtained in its natural form as a result of exposure to sunlight, as well as foods and food additives. Sources of vitamin D include egg yolks, saltwater fish and liver. Some people can take supplements containing vitamin D, to get the recommended dose of 400 - 800 IU (international units) daily.

Work out for strong bones: Like muscles, bones consist of living tissue that responds to physical activity, becoming stronger. Weight loads, when you overcome the force of gravity, the best way to train the bone tissue. Some examples include: walking, climbing stairs, dancing and lifting weights. Regular exercise such as walking, can help prevent bone loss and provide many other benefits to enhance your overall health.

Avoid excessive use of alcohol: Chronic alcoholism may be associated with increased susceptibility to fractures of the hip, spine and wrist. Alcohol in large doses acts on the calcium balance in the body. It also affects the hormones that protect the bones, and vitamins that are needed for calcium absorption. Excessive alcohol consumption can also lead to falls associated with the occurrence of fractures.

Talk to your doctor to conduct a survey of bone mineral density: A survey of bone mineral density indicates the density of bones in different parts of the body. These tests can detect the presence of osteoporosis before a fracture occurs, and can show your chances of fractures in the future. If you smoke, or smoke before, ask your doctor whether you should undergo bone density screening.

Should you take medicines: from osteoporosis, there is no cure. However, there are some medications that can prevent and cure disease in women after menopause and in men. Your doctor can help you decide whether you fit these medicines.

Resources to aid in smoking cessation

Smokefree.gov: Smokefree.gov, created by the National Cancer Institute, is designed to aid in smoking cessation. Different people need different resources as they try to quit smoking. The information and professional help that is available on this website can help you support your immediate and long-term needs at the start of smoking, the smoking process, and smoking cessation. Go to: www.smokefree.gov.

Path to Freedom: Be a winner in the fight against smoking: Designed for African Americans, this guide was developed by the U.S. Centers for Disease Control and Prevention, in conjunction with the major segments of the African American community, including churches, service organizations and educational institutions. The development and processing of this guide were caused concern at the national level, a high level of smoking among African Americans, and the lack of suitable materials. The guide presents many aspects that are relevant to African Americans, such as targeted advertising campaigns and historical, cultural and socio-economic impact. This resource offers proven strategies for those who want to quit smoking, information on how this can help friends and family, as well as ideas of how society and its leaders can assist in establishing the value of a life without tobacco. Go to: www.cdc.gov / tobacco / quit / pathways.htm or call the following number: 1-800-232-1311 and request a free copy.

A breath of fresh air: Independence from smoking: Developed by the National Women's Health Information Center, this online program of support and education focused on smoking cessation in women. Information is also provided in Spanish. Go to: www.4woman.gov/QuitSmoking.

Forget about smoking: Written specifically for Latino families, "Forget about smoking" is part of bilingual brochures that explain the steps to be followed by people who want to reduce the risk of heart attacks or strokes. The information is presented in a friendly style that helps the reader to dispel the most common myths. Go to: www.nhlbi.nih.gov / health / public / heart / other / sp_smok.htm or please call: 301-592-8573 or 240-629-3255 (text telephone).

For the latest information and any questions about medications you are taking, please contact the Office of the Food and Drug Administration United States by number 1-888-INFO-FDA (1-888-463-6332, toll free) or visit their Web site: www.fda.gov.

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