This presentation aim is to provide general awareness of Osteoporosis disease specially in India for general public, students and anyone who is interested to know about; What Osteoporosis is? What are the Risk Factors, Cases of Osteoporosis in Worldwide as well as in India, Prevention.
4. 4
Why Are Healthy Bones Important?
• Strong bones support us and
allow us to move
• Bones are a storehouse for
vital minerals
• Strong bones protect our
heart, lungs, brain and other
organs
5.
6.
7.
8.
9.
10. 10
• After mid-30’s, you begin to
slowly lose bone mass.
• Women lose bone mass
faster after menopause.
• Men lose bone mass too.
20. But
In 2013 studies were made again & what the Result
they got…were totally unimaginable
People suffered by Osteoporosis reached to ……
21.
22. In most Western countries, the peak incidence of osteoporosis
occurs at about 70-80 years of age,
BUT
23. Osteoporotic Fractures:
Comparison with Other Diseases
1996 new cases,
all ages184 300
750 000
vertebral
250 000
other sites
250 000
forearm
250 000
hip
0
500
1000
1500
2000
Osteoporotic
Fractures
Heart
Attack
Stroke Breast
Cancer
Annualincidencex1000
1 500 000
Annual incidence
all ages
513 000
annual estimate
women 29+
228 000
annual estimate
women 30+
24. All fractures are Associated With
Morbidity
Cooper C, Am J Med, 1997;103(2A):12S-17S
40%
Unable to walk
independently
30%
Permanent
disability
20%
Death within
one year
80%
Unable to carry out at
least one independent
activity of daily living
25. Age/ Getting older
Having a family history of osteoporosis
Estrogens & testosterone hormone deficiency
Female sex
After Menopause in Female
Low Calcium /Vitamin D Intake
Alcohol consumption
Smoking
Low body weight
Long Use of Steroids medication
Low sun exposure
Poor or lack of exercise
Sedentary lifestyle/ Prolonged immobilisation
45. Daily
vitamin D needs in International Units (IU)
Age
600 IU
200 IU
400 IU
0
100
200
300
400
500
600
up to 50 51-70 over 70
IU
46. Medications Available for
Post-Menopausal Osteoporosis
• Actonel® (risedronate sodium tablets)
• Didrocal® (etidronate sodium tablets)
• Fosamax® (alendronate sodium tablets)
• Aclasta ® (zolendronate IV)
• Estrogen (some use)
• Evista® (raloxifene HCl)
• Miacalcin® (calcitonin salmon) Nasal Spray
• Forteo (Teriparatide) (sc)
• Consult with your physician to determine what medication may be best for
you
47. Diagnostic criteria* Classification
T is above or equal to -1 Normal
T is between -1 and -2.5 Osteopenia (low
bone mass)
T is -2.5 or lower Osteoporosis
T is -2.5 or lower + fx = Severe or est.
osteoporosis
*Measured in "T scores." T score indicates the number of standard deviations
below or above the average peak bone mass in young adults.
WHO Criteria for Diagnosis of
Bone Status
48. 48
Vitamin D from sunlight exposure
• Vitamin D is manufactured in your skin
following direct exposure to sun.
• Amount varies with time of day, season,
latitude and skin pigmentation.
• 10–15 minutes exposure of hands, arms and
face 2–3 times/week may be sufficient
(depending on skin sensitivity).
• Clothing, sunscreen, window glass and
pollution reduce amount produced.
Source: National Osteoporosis Foundation Web site; retrieved July 2005 at http://www.nof.org
49. 49
Vitamin D necessary for calcium
absorption
• Choose a supplement with vitamin D
unless obtaining vitamin D from
other sources.
• Follow age group recommendation.
Avoid going
over a daily combined total of 2,000
IU or 50 mcg from food
and supplements.
• It’s not necessary to consume calcium
and vitamin D at the same time to get
the benefit of enhanced calcium
absorption.
Vitamin D is like a key
that unlocks the door
and lets calcium
into the body.
50. 50
Limit calcium to 500 mg at a time
Our bodies can best handle
about 500 mg calcium at one
time from food and/or
supplements.
Spread your calcium sources
throughout
the day.
500
mg