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Osteoporosis

Osteoporosis. Daniel K. Park, MD. Osteoporosis. Weakening of the bones. Osteoporosis. Bone mass decreases after 35 yrs old 10 million Americans have it 34 million are at risk. Osteoporosis. Women more at risk because bone loss occurs more rapidly after menopause

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Osteoporosis

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  1. Osteoporosis Daniel K. Park, MD

  2. Osteoporosis • Weakening of the bones

  3. Osteoporosis • Bone mass decreases after 35 yrs old • 10 million Americans have it • 34 million are at risk

  4. Osteoporosis • Women more at risk because bone loss occurs more rapidly after menopause • 50% of women >50 yrs old will have fracture • 25% of men >50 yrs old will have fracture • 2005 • 2 million fractures • $19 billion in costs

  5. Common fractures • Hip fracture • Spine fracture • Wrist fracture

  6. Hip fracture • Older women who have hip fracture have 2-3 fold increase in death in one year • 1 month after surgery 10.5% • 6 months 21.5% • 1 year 27.3%

  7. Spine fractures • People at risk • 6.6% in 1 year • 16.9% at 3 years • If already had fracture, 20% • 23% are symptomatic fractures

  8. Spine fractures

  9. Wrist fracture

  10. Wrist fracture

  11. Risk Factors • Genetics • Lack of exercise • Weight bearing exercise strengthen bones • Too little Calcium and Vitamin D • Smoking • Excessive alcohol • Low body weight • Race • White and Asians

  12. Osteoporosis-signs • You can have osteoporosis now or be at risk without realizing it • If fracture, you HAVE osteoporosis • Becoming shorter or more curve in your back

  13. Diagnosis • Bone mineral density test • DEXA test

  14. Treatment • Make sure you take adequate Calcium and Vitamin D • Bisphosphonates • Fosamax, Boniva, etc • Physical therapy to improve strength, balance, posture • Stay active!!

  15. Calcium

  16. Sources of Calcium

  17. Vitamin D • Few food sources of vitamin D • Fish best • Salmon • Tuna • Milk, Eggs • Impossible to get sufficient vitamin D from diet alone • Best supplement is vitamin D3 CHOLECALCIFEROL • 1-70 yrs old--600 IU/day • >70 yrs old-- 800 IU

  18. Vitamin D

  19. Exercises

  20. Exercises

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