1. Osteoporosis Awareness and Prevention Lunch n Learn Series May 2007

2. OSTEOPOROSIS Osteo= bone Porosis = porous Disease characterized by low bone mass and structural deterioration of bone tissue, leading to bone fragility and an increased susceptibility to fractures especially of the ? and ? and ?

4. Osteoporosis is a major public health threat for an estimated 44 million Americans, or 55% of the people over 50 In the U.S., 10 million people already have the disease 34 million more have low bone mass, placing them at increased risk for osteoporosis

5. Question Of the 10 million people who have osteoporosis how many ????Are women ????Are men

6. FRACTURES One in two women and one in four men over the age of 50 will have an osteoporosis-related fracture in their remaining lifetime. Osteoporosis is responsible for 1.5 million fractures annually.

7. SO WHAT!?! Osteoporotic fractures lower a patient’s quality of life. The estimated national direct expenditures (hospitals and nursing homes) for osteoporotic hip fractures was $18 billion in 2002 and the cost is rising.

8. SYMPTOMS Osteoporosis is a silent disease A sudden strain, bump or fall causes a fracture Severe back pain, loss of height and kyphosis (Dowagers Hump)

11. RISK FACTORS (factors that increase the likelihood of developing osteoporosis and fractures ) Personal history of fracture after age 50 History of fracture in a first degree relative Being female Being thin and/or having a small frame A family history of osteoporosis Estrogen deficiency

12. RISK FACTORS Abnormal or absence of menstrual periods Anorexia nervosa Low lifetime calcium intake Vitamin D deficiency Use of certain medications An inactive lifestyle Current cigarette smoking Excessive use of alcohol Being White or Asian (although African Americans and Hispanic Americans are at risk as well)

13. DETECTION Specialized tests called bone mineral density (BMD) tests can measure bone density in various parts of the body During the month of May, we are offering free DEXA scans!! Please call 280-BONE before May 31 st to set up an appointment

15. TREATMENT Alendronate = Fosamax Alendronate Plus = Fosamax with Vit D Ibandronate = Boniva Risedronate= Actonel Parathyroid Hormone= Forteo

16. PREVENTION Senile osteoporosis is a pediatric disease Charles E. Dent, 1972

17. Until the age of 30 you can build and store bone efficiently Then, as part of the natural aging process, your bones begin to break down faster than new bone can be formed

18. By about the age of 20, the average woman has acquired 98% of her skeletal mass Building strong bones during childhood and adolescence can be the best defense against developing osteoporosis later

19. Think of your bones as a saving account

20. 4 STEPS TO BONE HEALTH

21. Step 1: A diet rich in calcium

22. HOW MUCH CALCIUM ARE YOU GETTING?

24. NUTRITION LABELS 30% Calcium= ? milligrams 20% Calcium= ? milligrams 100% Calcium= ? milligrams

25. Step 2: A diet rich in Vitamin D

26. How Much Sunlight Exposure is Needed? Exposure to hands, face, arms, or back to suberythemal doses 1-2 times/wk in spring, summer, and fall. One minimal suberythemal dose is that dose that causes minimal redness. Sunscreen should be applied after initial suberythemal dose.

27. Step 3: Weight bearing and resistance training exercises

28. Step 4: A healthy lifestyle No smoking Moderate alcohol consumption

29. THE END Thank you!