Power breakfast &
How to prevent osteoporosis/
Osteoarthritis
Dr Saurin Shah
M.S. Ortho. , FAOS (Germany)
Visiting Fellow UK, Belgium, Korea
Joint Replacement Surgeon
drsaurinshah.com
9978969517
About Breakfast….
Why breakfast is important?
Eating a nutritious breakfast
sets the tone for the day
promotes weight maintenance and
weight loss by maintaining blood
glucose levels and your metabolism
4
Breakfast like a king
,
lunch like a prince
dinner
like a pauper
What are important nutrients to
eat at breakfast
1. WHOLE GRAIN FOODS
2. PROTIEN
3. FIBER
4. CALCIUM
11
Breakfast On The Go
12
Indian breakfast
13
14
15
“Bone loss” from the Bones
16
Overview
Bone with
Osteoporosis
Normal
Bone
Osteoporosis
causes weak bones.
In this common
disease, bones lose
minerals like
calcium. They
become fragile and
break easily.
Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis:
What It Means to You at http://www.surgeongeneral.gov/library/bonehealth
Osteoporosis in female
• Estrogen, a hormone in women
that protects bones, decreases
sharply when women reach
menopause,
• This is why the chance of
developing osteoporosis
increases as women reach
menopause.
male vs female
19
“I’ve lost six inches in height and none of my clothes
fit me anymore.”
Typical comments from
people with osteoporosis
20
“If somebody had
told me sooner what
I know now about
osteoporosis, none
of this might be
happening to me!”
Comments
21
• After mid-30’s, you begin
to slowly lose bone mass.
• Women lose bone mass
faster after menopause.
• Men lose bone mass too.
Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis:
What It Means to You at http://www.surgeongeneral.gov/library/bonehealth
22
Risk factors
If you have any of
these “red flags,”
you could be at high
risk for weak bones.
Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis:
What It Means to You at http://www.surgeongeneral.gov/library/bonehealth
23
I’m older than 65
 I smoke
 I am underweight for my height
I started menopause before age 45
I'm not active
1
24
I take one of these medicines:
 Oral glucocorticoids (steroids)
 Cancer treatments (radiation, chemotherapy)
 Thyroid medicine
 Antiepileptic medications
 Immunosuppressive agents
2
25
The good news: Osteoporosis is
preventable for most people!
26
The Surgeon General
recommends five simple
steps to bone health and
osteoporosis prevention …
Simple Prevention Steps
27
Step 1
Get calcium reach diet
28
29
Step 2
Be physically
active everyday
Improve strength
and balance
Even simple activities such as
walking, stair climbing and
dancing can strengthen bones.
30
Step 3
Avoid smoking
and excessive
alcohol. 12 oz. 5 oz.
1.5 oz.
MyPyramid.gov recommends
no more than 1 drink per day
for women and 2 for men.
31
Step 4
Talk to your doctor
about bone health.
32
Step 5
Have a bone density test
and take medication
when appropriate.
Sourceofphoto:USDAARSPhotoUnitPhotobyPeggyGreb
Testing is a simple,
painless procedure.
33
Food and
supplement
labels
Assess calcium and
vitamin D intake
by using food and
supplement labels.
34
Calcium Requirements for 50+ Years
Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis:
What It Means to You at http://www.surgeongeneral.gov/library/bonehealth
Over 50 years 1,200 mg Goal
35
Percent Daily Value (DV) of
calcium in common foods
Approximate % DV for foods based in part on The 2004 Surgeon General’s Report on Bone Health and
Osteoporosis: What It Means to You at http://www.surgeongeneral.gov/library/bonehealth
36
% DV calcium: Milk group
• Yogurt
1 cup (250 oz.) = 30% DV
• Milk
1 cup = 30% DV
• Cheese
40 to 60 gm = 30% DV
• Milk pudding
1/2 cup = 15% DV
• Frozen yogurt, vanilla, soft serve
½ cup = 10% DV
• Ice cream, vanilla
½ cup = 8% DV
• Soy or rice milk, calcium-fortified
1 cup = varies—check label
Choose fat-free
or low fat
most often
37
Vitamin D from sunlight exposure
• Vitamin D is manufactured in your skin
following direct exposure to sun.
• 10–15 minutes exposure of hands, arms
and face 2–3 times/week may be
sufficient (depending on skin sensitivity).
• Clothing, sunscreen, window glass and
pollution reduce amount produced.
Source: National Osteoporosis Foundation Web site; retrieved July 2005 at http://www.nof.org
38
Calcium supplement
considerations
39
Calcium carbonate vs. citrate
Calcium carbonate
• Needs acid to
dissolve and for
absorption
• Less stomach acid
as we age
• Often taken at
meals when more
stomach acid
Calcium citrate
• Doesn’t require
stomach acid for
absorption
• May be taken
anytime—check with
your healthcare
provider
• May cost more
40
Vitamin D necessary for
calcium absorption
• Choose a supplement with vitamin
D unless obtaining vitamin D from
other sources.
• It’s not necessary to consume
calcium and vitamin D at the same
time to get the benefit of enhanced
calcium absorption.
Vitamin D is like a key
that unlocks the door
and lets calcium
into the body.
1 = 3
1 Kg reduction = 3 kg load decrease
Physiotherapy
Take home message
o Make a habit of daily breakfast
(king size)
o Take more carbohydrates, protein, less
fat
o Calcium rich food in breakfast
o Do exercise regularly
o Stay Healthy ….Stay Happy
49
THANK YOU
50
Dr Saurin Shah
M.S. Ortho. , FAOS (Germany)
Visiting Fellow UK, Belgium, Korea
Joint Replacement Surgeon
drsaurinshah.com
9978969517

Osteoporosis power breakfast

  • 1.
    Power breakfast & Howto prevent osteoporosis/ Osteoarthritis Dr Saurin Shah M.S. Ortho. , FAOS (Germany) Visiting Fellow UK, Belgium, Korea Joint Replacement Surgeon drsaurinshah.com 9978969517
  • 2.
  • 3.
    Why breakfast isimportant? Eating a nutritious breakfast sets the tone for the day promotes weight maintenance and weight loss by maintaining blood glucose levels and your metabolism
  • 4.
    4 Breakfast like aking , lunch like a prince dinner like a pauper
  • 5.
    What are importantnutrients to eat at breakfast 1. WHOLE GRAIN FOODS
  • 6.
  • 7.
  • 8.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
    16 Overview Bone with Osteoporosis Normal Bone Osteoporosis causes weakbones. In this common disease, bones lose minerals like calcium. They become fragile and break easily. Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis: What It Means to You at http://www.surgeongeneral.gov/library/bonehealth
  • 17.
    Osteoporosis in female •Estrogen, a hormone in women that protects bones, decreases sharply when women reach menopause, • This is why the chance of developing osteoporosis increases as women reach menopause.
  • 18.
  • 19.
    19 “I’ve lost sixinches in height and none of my clothes fit me anymore.” Typical comments from people with osteoporosis
  • 20.
    20 “If somebody had toldme sooner what I know now about osteoporosis, none of this might be happening to me!” Comments
  • 21.
    21 • After mid-30’s,you begin to slowly lose bone mass. • Women lose bone mass faster after menopause. • Men lose bone mass too. Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis: What It Means to You at http://www.surgeongeneral.gov/library/bonehealth
  • 22.
    22 Risk factors If youhave any of these “red flags,” you could be at high risk for weak bones. Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis: What It Means to You at http://www.surgeongeneral.gov/library/bonehealth
  • 23.
    23 I’m older than65  I smoke  I am underweight for my height I started menopause before age 45 I'm not active 1
  • 24.
    24 I take oneof these medicines:  Oral glucocorticoids (steroids)  Cancer treatments (radiation, chemotherapy)  Thyroid medicine  Antiepileptic medications  Immunosuppressive agents 2
  • 25.
    25 The good news:Osteoporosis is preventable for most people!
  • 26.
    26 The Surgeon General recommendsfive simple steps to bone health and osteoporosis prevention … Simple Prevention Steps
  • 27.
  • 28.
  • 29.
    29 Step 2 Be physically activeeveryday Improve strength and balance Even simple activities such as walking, stair climbing and dancing can strengthen bones.
  • 30.
    30 Step 3 Avoid smoking andexcessive alcohol. 12 oz. 5 oz. 1.5 oz. MyPyramid.gov recommends no more than 1 drink per day for women and 2 for men.
  • 31.
    31 Step 4 Talk toyour doctor about bone health.
  • 32.
    32 Step 5 Have abone density test and take medication when appropriate. Sourceofphoto:USDAARSPhotoUnitPhotobyPeggyGreb Testing is a simple, painless procedure.
  • 33.
    33 Food and supplement labels Assess calciumand vitamin D intake by using food and supplement labels.
  • 34.
    34 Calcium Requirements for50+ Years Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis: What It Means to You at http://www.surgeongeneral.gov/library/bonehealth Over 50 years 1,200 mg Goal
  • 35.
    35 Percent Daily Value(DV) of calcium in common foods Approximate % DV for foods based in part on The 2004 Surgeon General’s Report on Bone Health and Osteoporosis: What It Means to You at http://www.surgeongeneral.gov/library/bonehealth
  • 36.
    36 % DV calcium:Milk group • Yogurt 1 cup (250 oz.) = 30% DV • Milk 1 cup = 30% DV • Cheese 40 to 60 gm = 30% DV • Milk pudding 1/2 cup = 15% DV • Frozen yogurt, vanilla, soft serve ½ cup = 10% DV • Ice cream, vanilla ½ cup = 8% DV • Soy or rice milk, calcium-fortified 1 cup = varies—check label Choose fat-free or low fat most often
  • 37.
    37 Vitamin D fromsunlight exposure • Vitamin D is manufactured in your skin following direct exposure to sun. • 10–15 minutes exposure of hands, arms and face 2–3 times/week may be sufficient (depending on skin sensitivity). • Clothing, sunscreen, window glass and pollution reduce amount produced. Source: National Osteoporosis Foundation Web site; retrieved July 2005 at http://www.nof.org
  • 38.
  • 39.
    39 Calcium carbonate vs.citrate Calcium carbonate • Needs acid to dissolve and for absorption • Less stomach acid as we age • Often taken at meals when more stomach acid Calcium citrate • Doesn’t require stomach acid for absorption • May be taken anytime—check with your healthcare provider • May cost more
  • 40.
    40 Vitamin D necessaryfor calcium absorption • Choose a supplement with vitamin D unless obtaining vitamin D from other sources. • It’s not necessary to consume calcium and vitamin D at the same time to get the benefit of enhanced calcium absorption. Vitamin D is like a key that unlocks the door and lets calcium into the body.
  • 45.
    1 = 3 1Kg reduction = 3 kg load decrease
  • 48.
  • 49.
    Take home message oMake a habit of daily breakfast (king size) o Take more carbohydrates, protein, less fat o Calcium rich food in breakfast o Do exercise regularly o Stay Healthy ….Stay Happy 49
  • 50.
    THANK YOU 50 Dr SaurinShah M.S. Ortho. , FAOS (Germany) Visiting Fellow UK, Belgium, Korea Joint Replacement Surgeon drsaurinshah.com 9978969517