SUPPORT YOUR BONES! THEY SUPPORT YOU! Part 1

8/7/2019 SUPPORT YOUR BONES! THEY SUPPORT YOU! Part 1

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Dr.maninder Ahuja

Chairperson

Geriatric gynaecology committe

FOGSIChairperson public awareness

committee (IMS)

02/15/11 Dr.MANINDERAHUJA 1


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Woman is the axlearound whom thefamily, society nay!

The whole universeis revolving .So herhealth is of utmostimportance at allstages of life more

so in Menopause



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Women have to spend more years inmenopause as life expectancy is increasing from26 yrs in Roman era to 65 yrs in India 80 yrsaverage world wide.

Average age of menopause is 46-52 yrs so theyhave to spend 1/3 of their life in menopause

More women are there in menopause and moreproblems are being recognised

No family ,social or state support system ,sothey have to remain active.



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what is osteoporois?what is osteoporois?

Bone with

Osteoporosis

Normal

Bone

Osteoporosis causes

weak bones. In this

common disease, bones

lose strength . Theybecome fragile and break

easily. Fracture even on

fall from standing height

or silent vertebral

fractures


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Often called thesilent disease

Bone loss occurs

withoutsymptoms

First sign may be afracture due to

weakened bones A sudden strain,bendingor bumpcan break a bone



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The number of osteoporotic hip fractures has quadrupled inthe past decade

1 out of 3 females in India suffers from osteoporosis,largest affected.

26 million with the numbers projected to increase to 36million by 2013.(Osteoporosis Society of India (2003)

By 2050 1 out of 2 hip fractures would occur in Asia

A womans risk of developing an osteoporosis-related hip

fracture is equal to her combined risk of developing breastuterine and ovarian cancer.



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Osteoporotic

Fracture1,200,000

HeartAttack

513,000

Strokes

228,000

Breast

Cancer

1,84,000

1million

> 2.0 x

> 4.4 x

> 5.5 X

OSTEOPOROSIS IN WOMEN : CONCERN02/15/11 Dr.MANINDERAHUJA 7

NO OF FRACTURES IS MORE >


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If somebodyhad told mesooner what I

know now aboutosteoporosis,none of thismight be

happening tome!


HAD SOME BODY TOLDME EARLIER!


10/3502/15/11 Dr.MANINDERAHUJA 10

Medications areexpensive. But Icant afford to letmy condition get

worse and thismedicine will helpstop or slow downthe bone loss.

Medicines ?cost?


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Osteoporosis

Is

preventable



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Osteoporosis is for elderly women Fact is it can strike at any age

Youre never too young or old to improve bonehealth! So start at any age.



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By DXA SCAN

WHO CLASSIFICATION

NORMAL A T-score within 1SD (+1 or -1) of the young adult

OSTEOPENIA A T-scoreof 1 to 2.5 SD below the youngadult mean (-1 to - 2.5 SD)

OSTEOPOROSIS A T-scoreof 2.5 SD or more below theyoung adult mean (> - 2.5SD)

It takes about 10 years forchange of 1 SD


For each standard deviation decrease in

femoral neck BMD,there is an

approximate 2.5-fold increased risk of hip

fracture.


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wrist

spine

HIP


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Hip fractures account for 300,000

hospitalizations annually.

Costs involved is very heavy in lacs

for individual and in billions for the

State

RISK OF DYING WIHTIN FIVE YEARS

IS DOUBLEDYou may not be able to

walk again!!


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Most of time undiagnosed 500,000spinal fractures,compression or

wedge fractures, Losing height .>2cms Back pain Kyphosis In extreme cases chest

compression Abdominal space reduced and

problems of eating and digestion

SILENT FRACTURES OF BACK BONES!


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Dowagers hump. Marked thoracic

kyphosis due to

multiple osteoporoticfractures in elderly

woman.



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200,000 broken wrists

Limited movement

Quality of life impaired


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Calcium is deposited andwithdrawn from bones daily.

Bones build to about age 30.

We need to build up ahealthy bone account whileyoung and continue tomake deposits with age.



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After mid-30s, youbegin to slowlylose bone mass atincreased rate of 4-5% /yr

Women lose bonemass faster aftermenopause,

Bones can weakenearly in life without

a healthy diet andthe right kinds ofphysical activity.



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If you have any ofthese red flags,

you could be athigh risk for weakbones. Talk to yourdoctor.



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Older than 65

Broken a bone after age 50

Close relative has osteoporosis or.has broken a bone

Health is fair or poor

Smoke

Underweight for your height /BMI


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You started menopause before age 40

You never got enough calcium

You take more than two drinks ofalcohol .several times a week

You have poor vision, even with glasses,poor hearing

you sometimes fall

you are not active


2


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You have one of these medicalconditions:Rheumatoid arthritis

Hyperthyroidism

Chronic lung disease

Cancer Inflammatory bowel disease

Chronic liver or kidney disease

Hyperparathyroidism

Vitamin D deficiency Cushing's disease

Multiple sclerosis


3


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You take one of these medicines: Oral glucocorticoids (steroids)

Cancer treatments (radiation,

chemotherapy) Thyroid medicine

Antiepileptic medications

Gonadal hormone suppression

Immunosuppressive agents


4


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Start buildinghealthy boneswhile young.

Healthy diet andlifestyle areimportant for

BOTH men andwomen.



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Latest reports say in utero origin of osteoporosis

also,genetic factor

Chan GM et al. Growth and bone mineralization in

children born prematurely. J Perinatol2008 Sep;

28:619


AGE IS NO BAR


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Get your dailyrecommended

amounts ofcalcium andvitamin D.



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Engage in

regular weight-bearing/resistanceexercise.


Even simple activities such as

walking, stair climbing and

dancing can strengthen bones.

bee


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Avoid smokingand excessive

alcohol.


12 oz.

5 oz.

1.5 oz.

no more than 1 drink per day

for women and 2 for men.

beer

wine

whiske

y


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Talk to your doctorabout bone health.



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Have a bone

density test andtake medicationwhenappropriate.


Sourceofpho

to:

USDA

AR

S

PhotoUnitPhoto

byPe

ggyGreb

Testing is a simple,

painless procedure.


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No loose rugs Good lighting at night

Supports in the bath rooms

Dont lock bath rooms Proper glasses for eye sight

Balance exercises

No sedatives Proper hearing aids

Vit. D also helps in fall preventio



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SUPPORT YOUR BONES! THEY SUPPORT YOU! Part 1

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