Release date: 2015-04-28
WHO: A "loose fracture" occurs every 3 seconds in the world
It is generally believed that osteoporosis is an inevitable and normal phenomenon of degeneration and aging in the process of aging, neither fatal nor affecting daily life.
In fact, the condition of osteoporosis is far more serious than we think. It is called “silent killer†by the medical community. Because osteoporosis does not have a warning signal, it is easily overlooked in the clinic, so usually its first sign is fracture.
According to the World Health Organization, an osteoporotic fracture occurs every 3 seconds in the world. Among the elderly over the age of 50, the proportion of women with osteoporotic fractures is as high as 1/3.
The WHO study data show that high mortality and high disability rate will occur after fracture, and postmenopausal female mortality of vertebral fracture is 9 times that of unfractured patients.
According to WHO's prediction: more than half of the world's hip fractures will occur in Asia by 2050. Osteoporosis and osteoporotic fractures have become an important global concern for public health.
If you do not seek active treatment after the fracture, the risk of recurrence of the fracture will increase significantly, that is, the "waterfall effect" after the fracture - after the first fracture, the risk of secondary fractures tripled, and the third fracture increased fivefold.
Although the bone density looks similar, the microstructural damage of the bone after fracture is severe and the strength is greatly reduced. This is the reason why many elderly people have multiple fractures.
Prevention of osteoporosis has started from adolescents, and prevention is too late at the age of 20
Our bones are always in the interaction of bone formation and bone resorption. From birth, bone formation is greater than bone resorption, and the bones become strong and strong day by day. The bone deposition rate is the fastest before the age of 20, reaching more than 90% of the highest bone mass, reaching the highest point of bone mass by about 30 years old. (peak bone mass), at which point the accumulation of bone mass stops.
Lower peak bone mass at a young age often leads to osteoporosis in old age. If bone metabolism is compared to bank storage, bone formation is like saving money, and bone absorption is like spending money. The more bank reserves before the age of 30, or before the age of 20, the lower the risk of osteoporosis and osteoporotic fractures later.
Therefore, anti-osteoporosis should start from adolescents, through balanced diet, strengthen bone nutrition and strengthen exercise to achieve the desired peak bone mass and bone quality, so that the bone loss caused by the loss of bone mass in middle-aged and post-aged patients is postponed. .
30% loss of bone mass during pregnancy, 30-year-old pregnant mother has to add calcium
When you have a child, the bone loss is about 10%; the more children you have, the easier it is to have osteoporosis. When the fetus is bred in the mother's body, it will absorb the nutrients of the mother, including elements such as calcium ions, to form the skeletal development of the fetus itself. In the past, many mothers did not know this, and they had many pregnancies in their lives. They had several children, and the nutrition could not keep up. As a result, once a child was born, the bone loss was about 10%. The more children born, the more the nutrition and calcium supplements were not paid attention to. The loss of bone mass will be very serious, and mothers will suffer from osteoporosis prematurely.
Some women have "moon disease" such as loose teeth, back pain, heel pain after breastfeeding, and calcium deficiency during lactation is also one of the reasons. During breastfeeding, the mother feeds the baby a certain amount of calcium every day through the milk to meet her nutritional needs. If the mother's calcium intake is insufficient at this time, the calcium stored in the bones will be used to maintain the calcium concentration in the breast milk, which will lead to calcium deficiency in the mother and increase the risk of suffering from osteoporosis.
Pregnant and lactating mothers should be able to drink 500 ml of milk a day, eat more egg yolk, fish, meat, beans, cauliflower, seaweed and other foods to enhance the absorption of calcium. If necessary, the calcium preparation can be appropriately supplemented under the guidance of a doctor. In addition, during the calcium supplementation, more sun exposure, outdoor exercise, postpartum exercise, promote bone bone density recovery, increase bone stiffness.
For women before the age of 35, men before the age of 40 must have a high bone mass, the higher the better. Once a woman enters menopause, she embarks on a path of osteoporosis.
The bone loss is the fastest in 50~60 years old, and the female bone loss in menopause is 20%~30%.
Under normal circumstances, there are two types of osteoporosis, postmenopausal osteoporosis and senile osteoporosis. Postmenopausal osteoporosis usually occurs after menopause in women around 50 years old, and senile osteoporosis occurs after women age 62 and men after 72 years of age.
According to a study in Japan, when women are 40 to 50 years old, the bone mass is lost by 0.3% to 0.5% per year before menopause, and 3% to 5% is lost in 10 years, to 50 to 60 years old. 20% to 30%. After entering the elderly, the annual loss of bone mass is reduced, and about 1% is lost in one year. It accumulates, and by the age of 80, the bone mass is lost by half.
Because estrogen plays an important protective role in female bones, estrogen in women after menopause is significantly reduced, and the rate of bone loss is significantly accelerated.
60 anti-bone prevention first fall, fracture is the most serious consequence of osteoporosis
The first way to prevent osteoporosis fractures in people with osteoporosis is to prevent falls and then to maintain bone mass and strengthen bone strength. The most common fracture sites in the elderly are fractures of the spine, carpal and hip. Once fractured, the bone mass will be lost by 10% in bed for one month. At the same time, muscle atrophy begins to occur and the exercise capacity decreases. This is even worse for the elderly who have little bone mass.
There is a survey in Japan where about 1/2 of the places where the elderly fall down are at home; 1/2 of those who fall at home are in their own rooms. Some patients with severe osteoporosis sometimes have a sneeze or a large basin of water can be broken, it is more important to pay attention. When sneezing or coughing, or when riding a bumpy vehicle, you should hold your back with your hands, which can reduce the sudden force on the spine and intervertebral disc and prevent fractures.
80 years old or hard bones: three major therapies against osteoporosis "sports + diet + drugs"
Exercise, diet and medicine are the three major therapies against osteoporosis. The anti-ostacre drugs currently approved for marketing in China mainly include anti-bone resorption drugs and bone-promoting drugs. Anti-bone resorption treatment is like “throttle†to prevent further loss of bone mass; and promoting new bone formation treatment is like “open sourceâ€. That is to help patients "long bones." For elderly patients with multiple fractures and low bone mass, “throttle†treatment can not fully meet the needs of patients. Reconstruction of new bone through drug treatment can reduce the probability of moderate to severe fractures.
Prevention of fractures or recurrent fractures In addition to drug treatment to improve bone mass, reducing the chance of falls can also reduce the incidence of osteoporotic fractures, improvement of living environment, appropriate protective measures and necessary physical activity and outdoor exercise It is a very beneficial method.
Source: Bio-Exploration
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