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Osteoporosis

Definition

Osteoporosis is a disease marked by reducing bone mass, density, and quality. This makes bones weak and brittle. If left unchecked, it can lead to broken bones. Breaks of special concern are of the hip, spine, and wrist. But, they can happen anywhere.

Osteoporosis

osteoporosis bone
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Causes    TOP

The loss of bone faster than it is formed causes osteoporosis. Bone loss happens faster after age 30. There are many factors over a lifetime that can lead to osteoporosis.

Risk Factors    TOP

Osteoporosis is more common in:

  • Older adults
  • Women
  • White, Asian, or Hispanic people

It’s more likely to happen if full bone mass was not reached during your bone-building years.

Your chances are also higher for:

Symptoms    TOP

In most cases, people with osteoporosis don’t know they have it until a bone breaks. If symptoms appear, they may cause:

  • Severe back pain
  • Loss of height with stooped posture—kyphosis

Kyphosis

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Diagnosis    TOP

The doctor will ask about your symptoms and health history. You may also have:

Treatment    TOP

Care mainly involves lifestyle changes and medicines. The goal is to lower the chance of breaks and slow bone loss.

Lifestyle Changes

Nutrition

Lower your intake of alcohol. Eat a balanced diet rich in calcium and vitamin D. Calcium is in:

  • Dairy products
  • Green leafy vegetables
  • Canned fish with bones
  • Products with calcium added

Smoking

Don't smoke. If you smoke, talk with your doctor about ways you can successfully quit.

Exercise

Exercise improves bone health. It also increases muscle strength and balance. Weight-bearing and strength-training offer the best benefits for your bones. Balance training may help lower the chances of falls and breaks.

Dietary Supplements

People who do not eat enough calcium and vitamin D from foods may need supplements. Don’t take them without talking to your doctor first.

Safety Measures

Falls can raise the chance of breaks in someone with osteoporosis. Here are ways to lower your chances of falls:

  • Floors—Remove all loose wires, cords, and throw rugs. Reduce clutter. Make sure rugs are anchored and smooth. Don’t move furniture around.
  • Bathrooms—Put grab bars and non-skid tape in the tub or shower.
  • Lighting—Make sure halls, stairways, and entrances are well lit. Put a night light in your bathroom. Turn lights on if you get up in the middle of the night.
  • Kitchen—Put non-skid rubber mats near the sink and stove. Clean spills right away.
  • Stairs—Make sure treads, rails, and rugs are secure.
  • Other precautions—Wear sturdy, rubber-soled shoes. Ask your doctor whether any of your medicines might cause you to fall.

Medicines

Certain medicines can help prevent bone loss, increase bone density, and lower your risk of breaks. These may include:

  • Bisphosphonates to prevent the loss of bone
  • Parathyroid hormone therapy to stimulate bone growth
  • Selective estrogen receptor modulators to prevent bone loss, improve density, and lower the risk of breaks

Prevention    TOP

Building strong bones throughout your early years is the best defense. Getting enough calcium, vitamin D, and regular exercise can keep bones strong throughout life.

Other ways you can lower your chances:

  • Eat a balanced diet rich in calcium and vitamin D.
  • Perform weight-bearing exercises.
  • Live a healthy lifestyle—avoid smoking and drink alcohol only in moderation (2 drinks or less a day for men, 1 drink or less a day for women).
  • If you have gone through menopause and are at high risk for broken bones, medicines may be advised to prevent osteoporosis.

RESOURCES:

National Institute of Arthritis and Musculoskeletal and Skin Diseases
https://www.niams.nih.gov
National Osteoporosis Foundation
https://www.nof.org

CANADIAN RESOURCES:

Osteoporosis Canada
https://osteoporosis.ca
Women's College Hospital—Women's Health Matters
http://www.womenshealthmatters.ca

References:

Clinician's guide to prevention and treatment of osteoporosis. National Osteoporosis Foundation website. Available at: https://www.nof.org/prevention/. Updated 2013. Accessed June 22, 2018.
Diagnosis information. National Osteoporosis Foundation website. Available at: https://www.nof.org/patients/diagnosis-information. Accessed June 22, 2018.
Ho-Pham LT, Nguyen ND, Nguyen TV. Effect of vegetarian diets on bone mineral density: a Bayesian meta-analysis. Am J Clin Nutr. 2009;90(4):943-950.
Khosla L, Melton LJ. Clinical practice: osteopenia. N Engl J Med. 2007;356(22):2293-2300.
Osteoporosis. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T113815/Osteoporosis. Updated February 1, 2018. Accessed June 22, 2018.
Osteoporosis causes and risk factors. EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated May 9, 2018. Accessed June 22, 2018.
Osteoporosis tests. Ortho Info—American Academy of Orthopedic Surgeons website. Available at: https://orthoinfo.aaos.org/en/diseases--conditions/osteoporosis. Updated August 2009. Accessed June 22, 2018.
Sambrook P, Cooper C. Osteoporosis. Lancet. 2006;367(9527):2010-2018.
10/6/2006 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T113815/Osteoporosis: Cockayne S, Adamson J, Lanham-New S, et al. Vitamin K and the prevention of fractures: systematic review and meta-analysis of randomized controlled trials. Arch Intern Med. 2006;166(12):1256-1261.
1/30/2009 DynaMed Plus Systematic Literature Surveillance http://www.dynamed...: Loke YK, Singh S, Furberg CD. Long-term use of thiazolidinediones and fractures in type 2 diabetes: a meta-analysis. CMAJ. 2009;180(1):32-39.
12/29/2009 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T113815/Osteoporosis: Hippisley-Cox J, Coupland C. Predicting risk of osteoporotic fracture in men and women in England and Wales: prospective derivation and validation of QFractureScores. BMJ. 2009;339:b4229.
Last reviewed June 2018 by EBSCO Medical Review Board Marcie L. Sidman, MD
Last Updated: 6/22/2018

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