As per US statistics, one out of every two women and one in eight men over 50 will have an osteoporosis-related fracture in their lifetime. Estimated national direct expenditure for osteoporosis and related fractures is $14 billion each year. As per International Osteoporosis Foundation, Indians show the highest prevalence of osteoporosis. Indian men seem to have equal if not more susceptibility to osteoporosis and Indians get osteoporosis at a younger age than their western counterparts.
Osteoporosis is a reduction in bone density.It results when rate of bone breakdown exceeds rate of bone formation. Amongst the risk factors for osteoporosis are those which we cannot change(female gender, advanced age, small body size,Caucasian and Asian ethnicity and family history) and those which we can change(inactive lifestyle or extended bed rest,premature menopause,a diet low in calcium medications, such as steroids or some anticonvulsants, smoking and excessive use of alcohol).
Osteoporosis increase the risk of fractures, especially those of the back, wrist and hip. It can also lead to hunched back, loss of height and back pain. Osteoporosis is diagnosed through a DEXA scan.Early diagnosis is important in order to have best results of treatment.
The treatment of osteoporosis includes pharmacological treatment.The former includes Hormonal therapy, SERMs, Bisphosphonates, Calcitonin or Teriparatide and Calcium as well as vitamin D supplementation.Non-pharmacological management,a healthy lifestyle with adequate exercises and removal of predisposing factors.Dietary management includes a balanced diet with adequate amount of calcium.Exercises build and maintain strong bones,result in better balance and muscles strength and thus reduce the risk of falls and fractures.
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