Postmenopausal osteoporosis

2,450 views
2,077 views

Published on

Published in: Health & Medicine
2 Comments
5 Likes
Statistics
Notes
No Downloads
Views
Total views
2,450
On SlideShare
0
From Embeds
0
Number of Embeds
6
Actions
Shares
0
Downloads
0
Comments
2
Likes
5
Embeds 0
No embeds

No notes for slide

Postmenopausal osteoporosis

  1. 1. Role of nutrition in prevention Prof. Muhammad Aslam Department of ObGyn LGH, Lahore
  2. 2.  Osteoporosis causes more than 8.9 million fractures annually worldwide Lifetime risk for fracture ~ 30%-40% Osteoporosis causes elderly people to become bedridden with serious complications Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 2
  3. 3.  20% of people >60 who fracture a hip, die within six months to one year 50% become dependent on family Only 30% regain their Independence Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 3
  4. 4.  Metabolic bone disease characterized by low bone mass and micro- architectural deterioration of bone tissue, leading to enhanced bone fragility and a consequent increase in fracture risk Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 4
  5. 5. Normal bone Osteoporotic bone Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 5
  6. 6. Normal bone Osteoporotic bone Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 6
  7. 7. Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 7
  8. 8. Dual energy X-ray absorptiometry (DEXA-Scan) Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 8
  9. 9. T Score Diagnosis +1 to -1 Normal Bones -1 to -2.5 Osteopenia-2.5 or lower Osteoporosis Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 9
  10. 10.  Attainment of peak bone mass ~ during growth and early adulthood Maintaining bone mass ~ in adulthood Loss of bone mass ~ with advancing age Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 10
  11. 11.  Genetic Endocrine Mechanical Nutritional Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 11
  12. 12.  Ca is the most abundant mineral in the body 99% of Ca is located within the bones and teeth It supports structural integrity & regulates metabolic function Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 12
  13. 13.  Vit D is critical for Ca absorption ~ increases Ca absorption by 30-80% Vitamin D stimulates bone matrix formation and bone maturation It also enhances osteoclastic activity Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 13
  14. 14.  About 15-20 minutes of sunlight a day Vit D is found in fish oils and species of fish e.g. salmon, tuna, sardines Many milk products, margarines and breakfast cereals are fortified with vitamin D Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 14
  15. 15.  Recently published studies suggest a key role for vitamin K nutrition for optimisation of bone health Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 15
  16. 16.  The prevention of osteoporosis is essential for the maintenance of health, quality of life, and independence in elderly population Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 16
  17. 17.  Diet rich in Calcium & Vit. D Ca & Vit. D taken as a supplement 1000 mg Ca/day (premenopausal) & 1200mg Ca/day (menopausal) Vit. D 800 IU/day (menopausal) & 600 IU/day (premenopausal) Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 17
  18. 18.  Yogurt Milk Cheese Cereal Whole grains Leafy green vegetables Sardines & Salmon Molasses Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 18
  19. 19.  Strength-Training has a profound effect of strengthening bones Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 19
  20. 20. Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 20
  21. 21. Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 21
  22. 22. Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 22
  23. 23.  Alendronate (Fosamax®) Risedronate (Actonel®) Raloxifene (Evista®) HRT Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 23
  24. 24.  Good evidence to support the effects of nutrition on the skeleton Ca and vit D are key nutrients for bone health ~ effective strategies for fracture prevention in the elderly Evidence has emerged for a role of vit K in bone health. Further data are urgently required Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 24
  25. 25. Postmenopausal Osteoporosis Prof. Aslam LGH Lahore 25

×