osteoporosis let’s work together to get bone healthy!
TRANSCRIPT
The Osteoporosis Problem:
Source: National Osteoporosis Foundation Web site; retrieved October 2006 at http://www.nof.org
• Major health threat for an estimated 44 million people 50 years and older including– Hip– Vertebral (spine)– Wrist and other
• 10 million estimated with osteoporosis• 34 million estimated with low bone mass
(osteopenia)• 1 in 2 women and 1 in 4 men over 50 will have
an osteoporosis-related fracture
OSTEOPOROSIS RESULTS IN:
• Hip Fractures most devastating– One in five elderly people die within a year
of the fracture– One in four become disabled – One in five must move to a nursing home
within a year– Many become isolated and depressed
Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis; retrieved October 2006 at http://www.surgeongeneral.gov/library/bonehealth
• Men– 80,000 hip fractures/
year
• Women of all ethnic backgrounds– One in twenty African-
American women – One in ten Mexican-
American women
• People of all ages– Increasing number of
women in 20s-30s
Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis; retrieved October 2006 at http://www.surgeongeneral.gov/library/bonehealth
Osteoporosis Affects Women & Men of All
Ethnicities
What is Osteoporosis? Osteoporosis?
Bone withOsteoporosis
NormalBone
Osteoporosis causes weak bones. Bones lose minerals like calcium. They become fragile and break easily.
Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis; retrieved October 2006 at http://www.surgeongeneral.gov/library/bonehealth
Why is Bone Health Important?
Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis;retrieved October 2006 at http://www.surgeongeneral.gov/library/bonehealth
Bones are living active tissue• Calcium is needed for our
bones daily.
• Bones build to about age 30.
• We need to build up ourbones while young
Risk Factors
• Being Female • Advanced age • Thin, small-boned • Caucasian or Asian ethnicity• Family history of osteoporosis• Inactive lifestyle or extended bed rest
Risk Factors
• Abnormal menstrual history• Late menarche• Menstrual interruptions/irregularities• Early menopause (< age 45)
• Estrogen deficiency: menopause
• History of eating disorder/strict dieting
• Low testosterone levels (men)
• Low lifetime calcium intake
Risk Factors
• Certain medical conditions– Bone fracture after age 40– Rheumatoid arthritis– Thyroid disorder– Parathyroid disorder– Poorly controlled Type 1 diabetes– Lactose intolerance– Digestion disorders
Risk factors
• Medication use– Long-term corticosteroid use– High doses thyroid hormone– Anti-seizure or epilepsy medications– Certain diuretics– Excessive aluminum-containing antacids– Gonadotrophin-releasing hormone agonist
5 Steps to Better Bone Health
National Osteoporosis Foundation recommends…
5 simple steps to prevent osteoporosis.
Calcium
AgeCalcium
needed/day (mg)
0 to 6 months 210
7 to 12 months 270
1 to 3 years 500
4 to 8 years 800
9 to 18 years 1,300
19 to 50 years 1,000
Over 50 years 1,200Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis;retrieved October 2006 at http://www.surgeongeneral.gov/library/bonehealth
Vitamin D
Main dietary sources of vitamin D are:• Fortified milk • Some fortified cereals• Cold saltwater fish
(salmon, halibut, tuna, oysters & shrimp)• Some calcium and vitamin/mineral
supplements
Vitamin D is created when you skin is exposed to sunlight
Get a Bone Mineral Density (BMD) Test . . .
• All women age 65 and older
• Younger postmenopausal women with one or more risk factors
• Postmenopausal women with fractures to confirm the diagnosis of osteoporosis & disease severity
Prevention and TreatmentYou are never too old or too young
to improve your bone health
• Adults– At least 30 minutes of moderate physical activity a
day– Strength and balance training– Protect from falls– Eye exam to check for visual impairments– Bone density test with a fracture after age 50, and
for everyone with risk factors– Bone density test for all women over age 65– Extra calcium and vitamin D over age 50– Medication, if indicated, to prevent
bone loss or build new bone
Prevention and TreatmentYou are never too old or too young
to improve your bone health
• Children & Teens– Teens are at greater risk for poor bone
health because of rapidly growing bones and poor diet
– At least one hour of physical activity a day
– Increase calcium during teens
• Babies– Bone health begins before birth
Prevention is the KEY…
It is important to• Build healthy bones
while you are young• Continue a healthy
diet and lifestyle throughout your lifetime
Sources of Information
• Bone Health and Osteoporosis: A Report of the Surgeon General, U.S. Department of Health and Human Services, 2004. http://www.surgeongeneral.gov/library/bone health/content.html
• National Osteoporosis Foundation
http://www.nof.org
Websites For More Osteoporosis Information:
• http://www.surgeongeneral.gov/library/bone health/content.html
• http://chfs.ky.gov/dph/ach/osteo
• http://www.osteofound.org/
• http://www.niams.nih.gov/bone/
• http://www.strongwomen.com/