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OsteoporosisDaniel K. Park, MD
Osteoporosis Weakening of the bones
Osteoporosis Bone mass decreases after 35 yrs old 10 million Americans have it 34 million are at risk
Osteoporosis Women more at risk because bone loss
occurs more rapidly after menopause 50% of women >50 yrs old will have
fracture 25% of men >50 yrs old will have fracture
2005 2 million fractures $19 billion in costs
Common fractures Hip fracture Spine fracture Wrist fracture
Hip fracture Older women who have hip fracture
have 2-3 fold increase in death in one year
1 month after surgery 10.5% 6 months 21.5% 1 year 27.3%
Spine fractures People at risk
6.6% in 1 year 16.9% at 3 years If already had fracture, 20%
23% are symptomatic fractures
Spine fractures
Wrist fracture
Wrist fracture
Risk Factors Genetics Lack of exercise
Weight bearing exercise strengthen bones Too little Calcium and Vitamin D Smoking Excessive alcohol Low body weight Race
White and Asians
Osteoporosis-signs You can have osteoporosis now or be at
risk without realizing it If fracture, you HAVE osteoporosis Becoming shorter or more curve in your
back
Diagnosis Bone mineral density test
DEXA test
Treatment Make sure you take adequate Calcium
and Vitamin D Bisphosphonates
Fosamax, Boniva, etc Physical therapy to improve strength,
balance, posture Stay active!!
Calcium
Sources of Calcium
Vitamin D Few food sources of vitamin D
Fish best Salmon Tuna
Milk, Eggs Impossible to get sufficient vitamin D from
diet alone Best supplement is vitamin D3
CHOLECALCIFEROL 1-70 yrs old--600 IU/day >70 yrs old-- 800 IU
Vitamin D
Exercises
Exercises