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Osteoporosis Awareness Month

Each May the National Osteoporosis Foundation (NOF) celebrates Osteoporosis Awareness and Prevention Month.  Osteoporosis, or porous bone, is a disease characterized by low bone mass and structural deterioration of bone tissue, leading to bone fragility and an increased susceptibility to fractures, especially of the hip, spine and wrist, although any bone can be affected.  In simpler terms, osteoporosis is a condition in which the bones become weak and can break from a minor fall or, in serious cases, from a simple action such as a sneeze.

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Prevention

  • About 85-90% of adult bone mass is acquired by age 18 in girls and 20 in boys. Building strong bones during childhood and adolescence can help to prevent osteoporosis later in life.

     

  • Together, the following five steps can optimize bone health and help prevent
    osteoporosis:
     

    • Get the daily recommended amounts of calcium and vitamin D

    • Engage in regular weight-bearing and muscle-strengthening exercise

    • Avoid smoking and excessive alcohol

    • Talk to your healthcare provider about bone health

    • Have a bone density test and take medication when appropriate

  • A study of disease management in a rural healthcare population demonstrated that a preventive program was able to reduce hip fractures and save money.

Osteoporosis Prevalence: Gender

  • Of the 10 million Americans estimated to have osteoporosis, eight million are women and two million are men.

  • Eighty percent of those affected by osteoporosis are women.

  • Twenty percent of those affected by osteoporosis are men.

Osteoporosis Prevalence: Race/Ethnicity

  • Significant risk has been reported in people of all ethnic backgrounds.

  • Twenty percent of non-Hispanic Caucasian and Asian women aged 50 and older are estimated to have osteoporosis, and 52 percent are estimated to have low bone mass.

  • Seven percent of non-Hispanic Caucasian and Asian men aged 50 and older are estimated to have osteoporosis, and 35 percent are estimated to have low bone mass.

  • Five percent of non-Hispanic black women over age 50 are estimated to have osteoporosis; an estimated additional 35 percent have low bone mass that puts them at risk of developing osteoporosis.

  • Four percent of non-Hispanic black men aged 50 and older are estimated to have osteoporosis, and 19 percent are estimated to have low bone mass.

  • Osteoporosis is under recognized and under-treated not only in Caucasian women, but in African-American women as well.

  • Ten percent of Hispanic women aged 50 and older are estimated to have osteoporosis, and 49 percent are estimated to have low bone mass.

  • Three percent of Hispanic men aged 50 and older are estimated to have osteoporosis, and 23 percent are estimated to have low bone mass.

  • When compared with other ethnic/racial groups, risk is increasing most rapidly among Hispanic women.

  • Experts predict that costs related to osteoporotic fractures among Hispanics will increase from an estimated $754 million in 2005 to $2 billion per year in 2025.

Symptoms
 

  • People cannot feel their bones getting weaker. They may not know that they have osteoporosis until they break a bone. A person with osteoporosis can fracture a bone from a minor fall, or in serious cases, from a simple action such as a sneeze or even spontaneously.

  • Vertebral (spinal) fractures may initially be felt or seen in the form of severe back pain, loss of height, or spinal deformities such as kyphosis or stooped posture. In many cases, a vertebral fracture can even occur with no pain.

  • Women can lose up to 20 percent of their bone mass in the five to seven years after menopause, making them more susceptible to osteoporosis.

Risk Factors

  • Certain people are more likely to develop osteoporosis than others. Factors that increase the likelihood of developing osteoporosis and broken bones are called "risk factors." Many of these risk factors include:
     

    • Being female

    • Older age

    • Family history of osteoporosis or broken bones

    • Being small and thin

    • Certain race/ethnicities such as Caucasian, Asian, or Hispanic/Latino although African Americans are also at risk

    • History of broken bones

    • Low sex hormones
       

      • Low estrogen levels in women, including menopause

      • Missing periods (amenorrhea)

      • Low levels of testosterone and estrogen in men

    • Diet
       

      • Low calcium intake

      • Low vitamin D intake

      • Excessive intake of protein, sodium and caffeine

    • Inactive lifestyle

    • Smoking

    • Alcohol abuse

    • Certain medications such as steroid medications, some anticonvulsants and others

    • Certain diseases and conditions such as anorexia nervosa, rheumatoid arthritis, gastrointestinal diseases and others

 

For more information, visit National Osteoporosis Foundation

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