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Am I at Osteoporosis?

You might worry about osteoporosis. If your doctor says that you have a high risk for osteoporosis, it indicates that you may have one or more risk factors. You can prevent or manage your osteoporosis with risk management.

Osteoporosis is a disease that causes your bones to become weak and brittle. This happens when bone tissue damage occurs faster than the production of new bone cells. Most people do not know that they have osteoporosis until they realize a reduction in height or until their bones break.

In the early stages, you might not know if you have osteoporosis because there are no physical signs of the condition. But after the bones become weak, you might notice:

  • back pain, which is caused by a fractured spine
  • loss of height from time to time
  • bent posture
  • the occurrence of fractures even as a result of small collisions

People with risk factors are more likely to have osteoporosis. There are factors that cannot be controlled and factors that you can control. Good prevention can reduce your risk of osteoporosis and avoid developing your condition to an advanced level if you already have it.

Risk factors for osteoporosis that cannot be controlled

If you are more than 50 years old you are at high risk. At around 30 years old, your body will reach what is called a "peak mass" of bone density. Since then, new bone production has slowed, while old bone has continued to decline. At some point, the speed of bone decay will exceed the speed of production of new bone.

Women have a higher risk of developing osteoporosis than men. The International Osteoporosis Foundation estimates that osteoporosis affects about 200 million women worldwide. Even at the beginning of the age of 20 years, women begin to lose their bone mass. Between the ages of 20 and 80 years, women can lose about one third of their bone density. When compared with men, they only lose a quarter of their bone density. Women who are more than 50 years old will experience menopause. This results in a lack of estrogen which can contribute to bone weakening.

Ethnic Asians have smaller body skeletons and smaller bones compared to other ethnic groups. This makes their bone mass lower than the average in the whole world. Asian women tend to consume less calcium in their diets. This means a lack of milk, cheese and other calcium-rich dairy products.

Family history
Having a family member with osteoporosis can increase your risk. Recent research has tried to identify specific genes that cause studies to find that each genetic variant represents a small increase in the risk of osteoporosis.

Natural body shape
Having a low body weight or a small, thin body usually indicates that you have less bone mass than other people. This also means that you tend to lose bone mass faster than other people.

Broken bones can cause the body to lose calcium and cause a decrease in height.

Managed risk factors for osteoporosis

Dietary habit
The easiest way to provide calcium and vitamin D to the body is to eat healthy foods. Not getting enough calcium and vitamin D, not eating enough fruits and vegetables, or consuming too much protein, sodium and caffeine can cause calcium deficiency.

Sports routines
Not enough exercise or being inactive will increase your risk for osteoporosis.
Smoking and alcohol

Smoking and alcohol have a direct effect on your health. In a survey among smokers and non-smokers, compared to those who had never smoked, smokers reported experiencing an incidence of pain about 50% higher. For alcohol users, studies have shown that alcohol can cause muscle cramps and thin skeleton in many people.

The more weight you have, the more weight is placed on the joints and bones. Obesity can cause several musculoskeletal disorders such as osteoarthritis, low back pain, gout, and fibromyalgia.

Office workers
When you spend most of your time sitting, you increase your risk of osteoporosis. Sitting not only makes you less active but also causes poor posture and back problems. You can control it by doing activities that improve bone balance and strengthening.

Steroid use
Long-term use of corticosteroids can interfere with the process of bone rebuilding. You can talk to your doctor to find alternative treatments for your condition.

Treatment for osteoporosis
Your treatment depends on your risk of fracture in the next 10 years. This information is collected from your bone density test. If your risk is low, your doctor will advise you to focus on lifestyle changes and risk control. This includes:
  • Do not smoke.
  • Avoid drinking excessive alcohol.
  • Active: Some sports that you can do walking, swimming.
  • Prevent from falling. Make sure your home and place of work are safe. Place the carpet in a place where you might fall. You can also wear low heels with non-slip soles.
  • Maintain a healthy weight. Make sure you are not overweight or obese. This can cause stress to the bones and make you more vulnerable to injury.
  • Maintain a healthy diet with calcium and vitamin D. Your diet must include essential nutrients to make bones strong. This will help reduce the risk for fractures.
When the risk of injury to your bones becomes higher, your doctor will suggest several drugs to prevent bone loss and treat osteoporosis. This drug is called a class of bisphosphonates called. These drugs include:
  • Alendronate (Fosamax ®)
  • Risedronate (Actonel ®, Atelvia ®)
  • Ibandronate (Boniva ®)
  • Asamzoledronic (Reclast ®)
This drug can cause several side effects such as nausea, abdominal pain, difficulty swallowing, and inflammation of the esophagus or esophageal ulcer. These side effects are less likely to occur when the drug is used correctly.

This medicine is first taken in the morning on an empty stomach with only a glass of water. You should avoid lying down for at least 30 minutes to avoid irritation in the esophagus. Please discuss with your doctor for the right dosage.

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