Osteoporosis: calcium, Vitamin D – which supplements and vitamins women should take and why<br />Violet Lagari, DO, MPH<br...
OSTEOPOROSIS: THE SILENT DISEASE<br />Normal PostureDowager’s Hump<br />
HEALTHY VERSUS OSTEOPOROTIC BONE<br />Note: arrow points to micro - fracture<br />
DXA-BONE DENSITY TESTING<br />
CALCIUM’S FUNCTION<br />Blood clotting (control bleeding)<br />Regulates heart beat<br />Muscle function<br />Nerve transm...
DAILY CALCIUM REQUIREMENTS<br />Age<br />1-3 years<br />4-8 years<br />9-18 years<br />19-50 years<br />over 50 years<br /...
VITAMIN D<br /><ul><li>Vitamin D is necessary for calcium to be absorbed
Multivitamin or calcium tablets may contain 400 IU daily (don’t exceed 800)
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Osteoporosis Prevention

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Violet Lagari of University of Miami Health System discussed osteoporosis prevention and women's health at the 2011 WellBeingWell Conference in Miami.

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  • “Osteoporosis” means “bones that are that are full of holes”Osteoporosis can develop without symptomsYou may not know you have the disease until a bone fractures
  • Bone is living tissue, which is constantly being broken down and rebuilt, a process called remodelingBone is renewed like skin, hair and nailsLoss of bone tissue makes bones fragile and more likely to fracture
  • DXA (Dual Energy X-ray Absorptiometry) is the “gold standard” Measures bone density in the hip, spine, and forearmPainless, non-invasive, requires no injectionsTakes 10 - 20 minutesWho needs testingIf you have major risk factors for osteoporosisIf you have a family history of osteoporosisIf you have a personal history of fractures after age 45If you are on prolonged use of steroidsIf you are postmenopausal, and not on estrogen replacement therapyConsult your healthcare provider
  • Calcium content may vary greatly between different brands of foodThe percentage of calcium in a food is based on 1000 milligrams. A food containing 20% calcium = 200 mgA food containing 10-19% of calcium is a good source; 20% of calcium or higher is a very good source
  • Osteoporosis Prevention

    1. 1. Osteoporosis: calcium, Vitamin D – which supplements and vitamins women should take and why<br />Violet Lagari, DO, MPH<br />Assistant Professor of Clinical Medicine<br />Division of Endocrinology, Diabetes, and Metabolism<br />University of Miami School of Medicine<br />
    2. 2. OSTEOPOROSIS: THE SILENT DISEASE<br />Normal PostureDowager’s Hump<br />
    3. 3. HEALTHY VERSUS OSTEOPOROTIC BONE<br />Note: arrow points to micro - fracture<br />
    4. 4. DXA-BONE DENSITY TESTING<br />
    5. 5. CALCIUM’S FUNCTION<br />Blood clotting (control bleeding)<br />Regulates heart beat<br />Muscle function<br />Nerve transmission<br />Bone formation<br />
    6. 6. DAILY CALCIUM REQUIREMENTS<br />Age<br />1-3 years<br />4-8 years<br />9-18 years<br />19-50 years<br />over 50 years<br />Milligrams (mg)<br /> 500<br /> 800<br /> 1,300<br /> 1,000<br /> 1,200- 1,500<br />National Academy of Science<br />
    7. 7. VITAMIN D<br /><ul><li>Vitamin D is necessary for calcium to be absorbed
    8. 8. Multivitamin or calcium tablets may contain 400 IU daily (don’t exceed 800)
    9. 9. Vitamin D is in milk (100 IU in 1 cup)</li></li></ul><li>SUMMARY<br />Calcium Rich Diet<br />Vitamin D<br />Prevent Falls<br />Weight-Bearing Exercise<br />

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