Bone with Osteoporosis Normal Bone Osteoporosis causes weak

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• Dr.maninder Ahuja
• Chairperson
• Geriatric gynaecology committe FOGSI
• Chairperson public awareness committee (IMS)

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• Woman is the axle around whom the family, society
  nay! The whole universe is revolving .So her
  health is of utmost importance at all stages of
  life more so in Menopause

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• Women have to spend more years in menopause as
  life expectancy is increasing from 26 yrs in
  Roman era to 65 yrs in India 80 yrs average
  world wide.
• Average age of menopause is 46-52 yrs so they
  have to spend 1/3 of their life in menopause
• More women are there in menopause and more
  problems are being recognised
• No family ,social or state support system ,so
  they have to remain active.

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what is osteoporois?
Osteoporosis causes weak bones. In this common
disease, bones lose strength . They become
fragile and break easily. Fracture even on fall
from standing height or silent vertebral fractures
Normal Bone
Bone with Osteoporosis
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• Often called the silent disease
• Bone loss occurs without
• symptoms
• First sign may be a fracture due to weakened
  bones
• A sudden strain ,bendingor bump can break a bone

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• The number of osteoporotic hip fractures has
  quadrupled in the past decade
• 1 out of 3 females in India suffers from
  osteoporosis, largest affected.
• 26 million with the numbers projected to increase
  to 36 million by 2013.(Osteoporosis Society of
  India (2003)
• By 2050 1 out of 2 hip fractures would occur in
  Asia
• A womans risk of developing an
  osteoporosis-related hip fracture is equal to her
  combined risk of developing breast  uterine and
  ovarian cancer.

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Osteoporotic Fracture 1,200,000
NO OF FRACTURES IS MORE gt
1 million
Breast Cancer 1,84,000
gt 5.5 X
Strokes 228,000
gt 4.4 x
Heart Attack 513,000
gt 2.0 x
OSTEOPOROSIS IN WOMEN CONCERN
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Osteoporosis robs you of your independence,
friends
parlour
shopping
You cant do anything
worship
doctor

• What will you do if you cant drive?

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HAD SOME BODY TOLD ME EARLIER!

• If somebody had told me sooner what I know now
  about osteoporosis, none of this might be
  happening to me!

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Medicines ?cost?

• Medications are expensive. But I cant afford
  to let my condition get worse and this medicine
  will help stop or slow down the bone loss.
  
  

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• Osteoporosis
• Is
• preventable

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• Osteoporosis is for elderly women
• Fact is it can strike at any age
• Youre never too young or old to improve bone
  health! So start at any age.

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• By DXA SCAN
• WHO CLASSIFICATION
• NORMAL A T-score within 1 SD (1 or -1) of the
  young adult
• OSTEOPENIA A T-score of 1 to 2.5 SD below the
  young adult mean (-1 to - 2.5 SD)
• OSTEOPOROSIS A T-score of 2.5 SD or more below
  the young adult mean (gt - 2.5 SD)
• It takes about 10 years for change of 1 SD

For each standard deviation decrease in femoral
neck BMD,there is an approximate 2.5-fold
increased risk of hip fracture.
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spine
wrist
HIP
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Hip fractures account for 300,000
hospitalizations annually. Costs involved is very
heavy in lacs for individual and in billions for
the State RISK OF DYING WIHTIN FIVE YEARS IS
DOUBLED
You may not be able to walk again!!
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SILENT FRACTURES OF BACK BONES!

• Most of time undiagnosed 500,000 spinal
  fractures,compression or wedge fractures,
• Losing height .gt2cms
• Back pain
• Kyphosis
• In extreme cases chest compression
• Abdominal space reduced and problems of eating
  and digestion

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• Dowagers hump.
• Marked thoracic
• kyphosis due to
• multiple osteoporotic
• fractures in elderly
• woman.

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200,000 broken wrists Limited movement Quality
of life impaired
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• Calcium is deposited and withdrawn from bones
  daily.
• Bones build to about age 30.
• We need to build up a healthy bone account while
  young and continue to make deposits with age.

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• After mid-30s, you begin to slowly lose bone
  mass at increased rate of 4-5 /yr
• Women lose bone mass faster after menopause,
• Bones can weaken early in life without a healthy
  diet and the right kinds of physical activity.

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• If you have any of these red flags, you could
  be at high risk for weak bones. Talk to your
  doctor.

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• Older than 65
• Broken a bone after age 50
• Close relative has osteoporosis or .has
  broken a bone
• Health is fair or poor
• Smoke
• Underweight for your height /BMIlt19

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• You started menopause before age 40
• You never got enough calcium
• You take more than two drinks of alcohol
  .several times a week
• You have poor vision, even with glasses ,poor
  hearing
• you sometimes fall
• you are not active

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• You have one of these medical conditions
• Rheumatoid arthritis
• Hyperthyroidism
• Chronic lung disease
• Cancer
• Inflammatory bowel disease
• Chronic liver or kidney disease
• Hyperparathyroidism
• Vitamin D deficiency
• Cushing's disease
• Multiple sclerosis

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• You take one of these medicines
• Oral glucocorticoids (steroids)
• Cancer treatments (radiation, chemotherapy)
• Thyroid medicine
• Antiepileptic medications
• Gonadal hormone suppression
• Immunosuppressive agents

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• Start building healthy bones while young.
• Healthy diet and lifestyle are important for BOTH
  men and women.

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Latest reports say in utero origin of
osteoporosis also,genetic factor Chan GM et al.
Growth and bone mineralization in children born
prematurely. J Perinatol 2008 Sep 28619
AGE IS NO BAR
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• Get your daily recommended amounts of calcium
  and vitamin D.

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• Engage in regular weight-bearing /resistance
  exercise.

Even simple activities such as walking, stair
climbing and dancing can strengthen bones.
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beer
wine

• Avoid smoking and excessive alcohol.

whiskey
no more than 1 drink per day for women and 2 for
men.
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• Talk to your doctor about bone health.

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• Have a bone density test and take medication
  when appropriate.

Source of photo USDA ARS Photo Unit Photo by
Peggy Greb
Testing is a simple, painless procedure.
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• No loose rugs
• Good lighting at night
• Supports in the bath rooms
• Dont lock bath rooms
• Proper glasses for eye sight
• Balance exercises
• No sedatives
• Proper hearing aids
• Vit. D also helps in fall preventio

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