Yesterday was the occasion of World Osteoporosis Day. Although there is some awareness of this disease, the majority of the population seems unaware of it, although it is very common in women and the elderly. We asked experts what makes osteoporosis so widespread and how to protect it …
Not infrequently in males
Osteoporosis and associated fractures are widespread in India. Although it is more common in women, especially after menopause, it is not uncommon in men. Dr. Dipti Patel, rheumatologist consultant, Wockhardt Hospital, sees at least 10 cases per week and six to seven cases per week of postmenopausal osteoporosis. She says, "The exact prevalence in India is not known, but in our population it can be estimated that there are about 46 million women with osteoporosis worldwide, it is estimated that one out of every three women over 50 suffer from osteoporotic fractures, as well as one of five men. "This disease also occurs in families, probably due to inherited factors that influence bone development.
This disease is of two types, senile and postmenopausal. Senile osteoporosis usually occurs in both sexes in the elderly in the age group 60+. "Senile osteoporosis is due to physical inactivity, which reduces bone density due to aging bones and vitamin D3 deficiency, and calcium is an essential adjuvant to therapy, not primary care," says Dr. Rakesh Nair, knee replacement surgeon at Zen Multispeciality Hospital.
Women are more likely to suffer from this condition than men. This is due to hormonal factors, multiple pregnancies, prolonged breastfeeding and inadequate nutrition. Every second postmenopausal woman has the lifelong risk of suffering from osteoporotic fractures, says Drs. Manan Gujarathi, orthopedist, SRV Mamata Hospital, adding that osteoporosis such as diabetes and high blood pressure has become so prevalent that it is practically epidemic. [1
Ninety percent of the patients with osteoporosis Nair are women who have a postmenopause. It happens after the 40s, but it also hits patients in their 30s. "The majority of them will have some elements of osteopenia – a condition in which the bones are weaker than normal, but not so far that they break easily, which is the hallmark of osteoporosis," he says, adding that each Woman is independent of her previous activity Before menopause, osteoporosis levels are dependent on the frequency of menopause.
Factors to be owed
Orthopedic surgeons are increasingly being confronted with fractures in people between the ages of 30 and 40 who have fallen a little bit, says Dr. Gujarathi. Lack of exercise, vitamin deficiency, excessive caffeine, alcohol consumption, smoking, diabetes, immune deficiency syndrome, unhealthy diet are additional risk factors that are extremely common.
Typically, the diagnosis of osteoporosis is a combination of anamnesis and clinical examination -up and tests. Dr. Gujarathi says that simple screening tests include ultrasound bone mineral density (BMD) estimation, which is often done in consciousness camps. Further examination, if necessary, may include a blood test to exclude hypovitaminosis (disease caused by vitamin deficiency), endocrine disorders and diabetes, X-rays and DEXA (dual energy X-ray absorptiometry) to quantify the disease, evaluate risk and formulate one treatment strategy.
Dr. Nair says that DEXA testing should ideally be done by any woman closer to her 40s and to men around 60. Adolescents in their 30s who have thyroid or hormonal problems should undergo this test.