OsteoporosisDaniel 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 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

Common fractures Hip fracture Spine fracture Wrist fracture

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%

Spine fractures People at risk

6.6% in 1 year 16.9% at 3 years If already had fracture, 20%

23% are symptomatic fractures

Spine fractures

Wrist fracture

Wrist fracture

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

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

Diagnosis Bone mineral density test

DEXA test

Treatment Make sure you take adequate Calcium

and Vitamin D Bisphosphonates

Fosamax, Boniva, etc Physical therapy to improve strength,

balance, posture Stay active!!

Calcium

Sources of Calcium

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

Vitamin D

Exercises

Exercises