Osteoporosis

Osteoporosis – Silent Killer

“Silent Killer” – Osteoporosis

‘Osteoporosis’ means porous and brittle bones, a disease that weakens bones where an individual is more prone for unexpected fractures. The most common symptoms are pain.

About 200 million people are most likely to have osteoporosis throughout the world. The disease occurs in both the sexes: Male & Female. It is more commonly found in women as compared to men. At the age of 50 or more, one in two women and one in four men will have an osteoporosis-related fracture in their lifetimes. Another 30% have low bone density that puts them at risk of developing osteoporosis. This condition is called osteopenia.

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Causes

There is no exact cause of why this disease develops. When osteoporosis occurs, the holes in the bone grow larger and more, which weakens the bone from inside. Bones also store calcium and other minerals from the food we eat. When the body needs calcium, it breaks down and rebuilds bone and supplies the body with needed calcium while keeping the bones strong. After menopause, the speed of bone breakdown occurs even faster.

Symptoms

There are no known symptoms and that is why it is also called as a “Silent Disease”. Therefore, we need to focus on the following points:

  • Loss of height.
  • Change in body posture.
  • Shortness of breath.
  • Bone fractures.
  • Pain in lower back.
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Another factor is bone structure and body weight. People who are underweight have a greater risk of developing osteoporosis because they have less bone to lose as compared to the people who are overweight or larger frames.

bone structure and body weight
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Some medical conditions and medicines may increase your risk. If one has or had any of the following medical conditions: –

  • History of bariatric (weight loss) surgery.
  • Organ transplant.
  • Hormone treatment for breast or prostate cancer.
  • Celiac disease.
  • Some medications may cause damage to bone and lead to osteoporosis like steroids, treatments for Breast cancer and medications for treatment of seizures.
Risk factor
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How is osteoporosis treated?

Treatment may include regular Physical Activity, Vitamin and Mineral supplements and medications. Strength training, resistance and balancing body exercises are the most important.

How can you prevent osteoporosis?

Diet and lifestyle are two risk factors you can control to prevent osteoporosis.

Diet: To maintain strong & healthy bones, one should take calcium rich diet throughout life. One cup of low – fat milk contains 300 milligrams of calcium. Besides milk & milk products, other rich sources of calcium are salmon with bones, sardines, kale, broccoli, calcium-fortified juices and breads, dried figs and calcium supplements.

Vitamin D is also important because it enables the body to absorb calcium. Vitamin D can also be obtained from sunlight exposure a few times a week at the time of sunrise or by drinking fortified milk.

Osteoporosis Diet
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Lifestyle: Maintaining a healthy lifestyle can reduce the degree of bone loss. Start with regular physical activity regime. Exercises such as walking, jogging, aerobics and strength training are best for making bones stronger. Weight-bearing, resistance, and balance exercises are just a few of the activities you can do to build and maintain strong, healthy bones that are less prone to osteoporosis-related fractures. The earlier you begin a regular exercise program, the better.

Frequently Asked Questions

 

What Causes Osteoporosis?

There are many factors that contribute to and exacerbate the onset of osteoporosis. They include:

  • Diet
  • Activity level
  • Low sex hormones (estrogen in women; testosterone in men)
  • Medical conditions (including intestinal problems and kidney disease)
  • Medications (such as glucocorticoids)
  • Smoking and heavy alcohol consumption

What should I not do with Osteoporosis?

If you have osteoporosis, avoid activities that involve twisting your spine or bending forward from the waist, such as conventional sit-ups, toe touches, or swinging a golf club. Those are the best ways to keep your bones strong and healthy. Learn more about keeping your bones strong to prevent falls.

You may want to visit a Physical Therapist & a Dietitian to help you recover from an osteoporosis-related fracture. They will take into account your health and fitness level, in addition to your personal risk for fractures, to help cater the rehabilitation program specifically for you. You can join the program of FoodNwellness Osteoporosis. This program will give you a personalized plan that includes the key to it the right and the healthier options of food.

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Vitamin D Deficiency: Is the sun shining enough on you

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An increasing emphasis on the hazardous effects of the sun or more specifically, the UV rays of the sun in the last couple of decades has shifted our attention from the beneficial effects of the sun: the ‘Sun Vitamin’ or Vitamin D. Deficiency in Vitamin D has been a persistent problem since a very long time, a situation that strongly contradicts all the medical advances the world has seen, with over a billion people worldwide suffering from this condition.

Vitamin D, also described as “the Sun Vitamin” is a steroid with hormone like activity. It regulates the functions of over 200 genes and is essential for growth and development. It helps ensure that the body absorbs and retains calcium and phosphorus, both critical for building bone. Laboratory studies show that vitamin D can reduce cancer cell growth and plays a critical role in controlling infections.

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Why so many people are at risk of Vitamin D deficiency

Exposure to sunshine each day helps the human body to manufacture the required amount of vitamin D. To prevent deficiency, one should spend 15 to 20 minutes daily in the sunshine with 40% of the skin surface exposed. However, due to fear of developing skin cancer and to avoid other damaging effects of the sun on the skin, most people avoid sun exposure. High concentration of melanin in the skin also slows the production of vitamin D; similarly aging greatly reduces skin production of vitamin D. Use of sunblock, common window glass in homes or cars and clothing, all effectively block UVB radiation – even in the summer. People who work indoors, wear extensive clothing, regularly use sunblock, are dark skinned, obese, aged or consciously avoid the sun, are at risk of vitamin D deficiency.

This major public health problem affects individuals across all life stages, especially pregnant women, neonates, infants, children and the elderly. Vitamin D3 deficiency can result in obesity, diabetes, hypertension, depression, fibromyalgia, chronic fatigue syndrome, osteoporosis and neuro – degenerative diseases including Alzheimer’s disease. Being “D-deficient” may even contribute to the development of cancers, especially breast, prostate, and colon cancers, as well as infectious diseases, such as tuberculosis and even the seasonal flu. Indeed, in industrialized countries, doctors are even seeing the resurgence of rickets, the bone-weakening disease that had been largely eradicated through vitamin D fortification. 

Current research indicates vitamin D deficiency plays a role in causing seventeen varieties of different cancers as well as heart disease, stroke, autoimmune diseases, birth defects, and periodontal disease.

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How to ensure proper intake of Vitamin D

Vitamin D is both a nutrient we eat and a hormone our bodies make. Its status depends on the production of vitamin D 3 in the skin under the influence of ultraviolet radiation from sun and vitamin D intake through diet or vitamin D supplements. Usually 50 to 90% of vitamin D is produced by sunshine exposure of skin and the remainder comes from the diet. Natural diet, most human consume, contain little vitamin D. Traditionally the human vitamin D system begins in the skin, not in the mouth.

However, important sources of vitamin D are egg yolk, fatty fish such as salmon and tuna, fortified dairy products and beef liver.

Long term strategies to address this deficiency problem should include public education, national health policies for screening and prevention through food fortification, and treatment with vitamin D supplementation.

With respect to preserving many aspects of our health, it is like poet and writer Walt Whitman had once said, “Keep your face always toward the sunshine – and shadows will fall behind you.”

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Nutrients (vitamins & minerals) deficiency

Human body requires many different vitamins and minerals that are crucial for both development and preventing disease. These vitamins are not produced naturally in the body, so you have to get them from your diet. Due to increase in stress levels, lifestyle related illnesses are on rise which also results in vitamin and mineral deficiencies. Among all, vitamin B12 and D3 deficiency is becoming more prevalent.

Vitamin D

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Vitamin D, also known as “sunshine vitamin”, is a fat soluble compound which acts like hormone. The two major forms are vitamin D2 and vitamin D3. Vitamin D3 is produced by the exposure to sunlight, specifically ultraviolet B radiation. Vitamin D3 plays a wide role in overall health however, worldwide, an estimated 1 billion people have inadequate levels of vitamin D in their blood, and deficiencies can be found in all ethnicities and age groups. A simple course of Vitamin D3 could help you live longer. Vitamin D3 is critical for bone health. It helps in regulating the formation of bone and absorption of calcium and phosphorus. Symptoms of a vitamin D deficiency can be vague — fatigue and muscle aches or weakness. If it goes on long term, a vitamin D deficiency can lead to softening of the bones.

Calcium

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Calcium is important for maintaining strong bones and controlling muscle and nerve function. Signs of severely low calcium include fatigue, muscle cramps, abnormal heart rhythms, and a poor appetite, Patton says. Make sure you’re getting enough with at least three servings of milk or yogurt a day, she says. Other good sources of calcium are cheese, calcium-fortified orange juice, and dark, leafy greens.

Potassium

Potassium helps the kidneys, heart, and other organs work properly. You could become low in potassium in the short term because of diarrhea or vomiting, excessive sweating, or antibiotics, or because of chronic conditions such as eating disorders and kidney disease. Symptoms of a deficiency include weight loss, muscle weakness, constipation, and in severe cases, an abnormal heart rhythm.

Iron

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Iron is a trace element. It is very important because it helps your body to make hemoglobin. Hemoglobin is composed of heme + globin, where globin is protein, & hence it is necessary to have sufficient proteins in diet. Low protein diet may also cause Anaemia. Iron helps your body make red blood cells. Iron carries oxygen and removing carbon dioxide from muscles, helping them function properly. The body needs iron in order to make proper use of the B vitamins.

Vitamin B12

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Vitamin B12 is a member of the vitamin B complex. It can be stored in small amounts in liver, kidney & other body tissues. Vitamin B12 aids the production of DNA and helps make neurotransmitters in the brain. All the vegetarian sources are devoid of B12. With an increasing number of vegans and people who’ve had weight loss surgery, vitamin B12 deficiency is becoming more common.Symptoms of severe B12 deficiency include numbness in the legs, hands, or feet; problems with walking and balance; anemia; fatigue; weakness; a swollen, inflamed tongue; memory loss; paranoia; and hallucinations.

Folate

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Folate, or folic acid, is a particularly important vitamin for women of childbearing age, which is why prenatal vitamins contain such a hefty dose. A folate deficiency can cause a decrease in the total number of cells and large red blood cells as well as neural tube defects in an unborn child.

Magnesium

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Magnesium helps support bone health and assists in energy production. Although deficiency is fairly uncommon in otherwise healthy people, it can affect those who take certain medications, have certain health conditions, or consume too much alcohol, according to the National Institutes of Health’s Office of Dietary Supplements.

Magnesium deficiency can cause loss of appetite, nausea and vomiting, fatigue, and weakness. In more severe cases, it can lead to numbness, muscle cramps, seizures, abnormal heart rhythms, personality changes, or low potassium or calcium levels.

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