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  • Osteoporosis

    1. 1. Osteoporosis Created by: Tricia Fleming, University of Kansas Dietetic Intern Tammy Beason, MS, RD, Nutrition Education Specialist, Family Nutrition Education Program December 2001
    2. 2. Osteoporosis <ul><li>A major public threat for more than 28 million Americans. 80 % are women. </li></ul><ul><li>One in 2 women and One in 8 men over 50 will have an osteoporosis related fracture. </li></ul><ul><li>The estimated cost for osteoporotic and associated fractures is 38 million a day! </li></ul>
    3. 3. What is it? <ul><li>A disease in which bones become fragile and more likely to break. </li></ul><ul><li>Breaks usually occur in the hip, spine and wrist. </li></ul>
    4. 4. What is it? <ul><li>Hip and spine fractures are a major concern. </li></ul><ul><li>Hip fractures almost always require surgery and hospitalization. </li></ul><ul><li>Spine fractures have serious consequences such as loss of height, severe back pain, and deformity. </li></ul>
    5. 5. What causes osteoporosis? <ul><li>Scientist have not yet learned all the reasons this occurs. </li></ul><ul><li>When you are young your body makes new bone faster than it breaks down old bones. </li></ul><ul><li>As you get older, this process slows down and you start losing bone density. </li></ul><ul><li>The risk for osteoporosis depends on how much bone mass you attained between ages 25 and 35 and how fast you lose it. </li></ul>
    6. 6. Risk Factors <ul><li>Certain people are more likely to develop this disease than others. </li></ul><ul><li>Female </li></ul><ul><li>Thin and/or small frame </li></ul><ul><li>Advanced age </li></ul><ul><li>Family history of osteoporosis </li></ul><ul><li>Post menopause </li></ul>
    7. 7. Risk Factors <ul><li>Anorexia nervosa or bulimia </li></ul><ul><li>Diet low in calcium </li></ul><ul><li>Use of certain medications </li></ul><ul><li>Low testosterone levels in men </li></ul><ul><li>An inactive lifestyle </li></ul><ul><li>Cigarette smoking </li></ul><ul><li>Excessive use of alcohol </li></ul><ul><li>Being Asian or Caucasian </li></ul>
    8. 8. Are your bones healthy? Normal bone Osteoporosis                                                  
    9. 9. Bone Health <ul><li>Bones are living tissue, they provide structural support, protect vital organs and store calcium. </li></ul><ul><li>Until age 30, we store and build bone effectively. </li></ul><ul><li>As part of the aging process, bones begin to break down faster than they are formed. </li></ul><ul><li>Accelerates after menopause. Estrogen is the hormone that protects against bone loss. </li></ul>
    10. 10. Detection <ul><li>Bone Density Tests: </li></ul><ul><li>Can detect osteoporosis before a fracture occurs. </li></ul><ul><li>Predicts your chances of fracturing in the future. </li></ul><ul><li>Determines your rate of bone loss and monitors the effects of treatment. </li></ul>
    11. 11. Bone Mass Density <ul><li>The National Osteoporosis Foundation </li></ul><ul><li>Recommends you have a BDT if: </li></ul><ul><li>You use medications that cause osteoporosis </li></ul><ul><li>You have type I diabetes, liver disease, kidney disease or a family history </li></ul><ul><li>You experience early menopause </li></ul><ul><li>You’re postmenopausal over 50 and have at least one risk factor. </li></ul><ul><li>You’re postmenopausal over 65 and never had a test. </li></ul>
    12. 12. Prevention <ul><li>Building strong bones in childhood and adolescence is the best defense. </li></ul><ul><li>A balanced diet rich in calcium and Vitamin D </li></ul><ul><li>Weight bearing exercise </li></ul><ul><li>A healthy lifestyle with no smoking or excessive alcohol intake. </li></ul><ul><li>Bone density testing and medication when appropriate. </li></ul>
    13. 13. Calcium <ul><li>Is needed for heart muscles, and nerves to function properly. </li></ul><ul><li>Inadequate amounts contribute to osteoporosis. </li></ul><ul><li>Appropriate calcium intake falls between 1000 and 1300 mg a day. </li></ul>
    14. 14. Calcium <ul><li>Increase calcium: </li></ul><ul><li>Consume calcium rich foods such as, low-fat milk, cheese, broccoli, and others. </li></ul><ul><li>Calcium supplement, if dietary calcium consumption is inadequate </li></ul>
    15. 15. How to get enough Calcium every day! <ul><li>Follow the Food Guide Pyramid </li></ul><ul><li>for Dietary Calcium Sources </li></ul><ul><li>Dairy- low fat yogurt, skim milk, cheese, chocolate pudding, ice milk, ice cream or frozen yogurt. </li></ul><ul><li>Protein- tofu, sardines, salmon </li></ul><ul><li>Vegetables- turnip greens, Bok Choy, Broccoli, collard greens </li></ul><ul><li>Other foods: vegetable lasagna, cheese enchilada, cheese pizza, calcium fortified orange juice. </li></ul>
    16. 16. Vitamin D <ul><li>Is needed for your body to absorb calcium. </li></ul><ul><li>Comes from 2 sources : the sun and </li></ul><ul><li>Fortified dairy products, egg yolks, saltwater fish, and liver. </li></ul><ul><li>Need 400-800 IU a day. </li></ul>
    17. 17. Exercise <ul><li>Exercising regularly in childhood and adolescence can ensure that you will reach peak bone density. </li></ul><ul><li>Need to participate in weight bearing exercise. For example, walking, dancing, jogging, stair climbing, racquet sports and hiking. </li></ul>
    18. 18. Medications <ul><li>There is no cure, but several medications have been approved. </li></ul><ul><li>Each stops or slows bone loss, increases bone density, and reduces fracture risk. </li></ul><ul><li>Estrogen Replacement, </li></ul><ul><li>Alendronate,raloxitene and risedronate are prescribed to prevent and treat the disease. </li></ul>
    19. 19. Bone-Building Checklist <ul><li>Maintain a calcium rich diet. </li></ul><ul><li>Get plenty of vitamin D </li></ul><ul><li>Engage in weight-bearing exercise </li></ul><ul><li>Don’t smoke and limit alcohol intake </li></ul><ul><li>Consider Hormone Replacement or other medications if you are at risk. </li></ul>
    20. 20. What’s next? <ul><li>We need to educate young women and teenagers about the risk of osteoporosis. </li></ul><ul><li>Great resource: www.nof.org </li></ul>