1. It's Osteoporosis: Not Old Age

2. Osteoporosis: The silent disease. What is it? A disease that weakens bones to the point that even simple, everyday activities can cause them to break. Osteoporosis can permanently change the way you live, work and enjoy your life by causing crippling fractures.

3. Bones…What Are They Like? The inside of a boneThe inside of a bone –spongy –honeycomb like –living tissue –constantly changing (remodeling)

4. Living Tissues in Bones Bones are constantly being broken down and rebuilt (remodeling).Bones are constantly being broken down and rebuilt (remodeling). –Special cells, osteoclasts, remove old bone and create a cavity –Other cells, osteoblasts, fill in the cavity with new bone tissue “Bonerupt” When osteoblasts do not have enough calcium, they cannot fill the cavity; the results are holes in the bones… thus going broke…

5. Osteoporosis: Porous Bones With out the calcium the holes get biggerWith out the calcium the holes get bigger –Bones get weaker and fragile –Back bones crack, humps/ curves start –Breaks occur with everyday activities… carrying groceries, picking up grandchildren, turning over in bed…...

6. Osteoporosis not just for women anymore More women have osteoporosis because:More women have osteoporosis because: –Smaller, lighter bones generally –Menopause stops estrogen’s protective effect on the bones –However, men have osteoporosis too.

7. Why do we develop it? Lifestyle habits can lead to osteoporosis.Lifestyle habits can lead to osteoporosis. –Diet- low in calcium, high protein, high salt –Physical Activity- sedentary –Smoking –Drinking alcohol Lifestyle You can prevent osteoporosis by choosing healthy lifestyle habits

8. Who is at risk? Risk Factors : Risk Factors : A family history of osteoporosis A family history of osteoporosis Early menopause (before 45 years old) Early menopause (before 45 years old) A previous broken bone that might have been the result of osteoporosis A previous broken bone that might have been the result of osteoporosis Caucasian or Asian descent Caucasian or Asian descent Thin or small build Thin or small build

9. Risk Factors Continued….. Using certain medicines, such as steroids used for asthma and arthritis and thyroid hormonesUsing certain medicines, such as steroids used for asthma and arthritis and thyroid hormones SmokingSmoking Drinking alcoholDrinking alcohol Lack of physical activityLack of physical activity Low calcium intakeLow calcium intake

10. Prevent Osteoporosis or Stop It From Getting Worse CalciumCalcium –1200-1500 mg DAILY –Food sources include: low fat milk, yogurt, cheese, some greens, soy foods, sardines with bones Vitamin DVitamin D –Helps calcium work! –Food sources include: milk products, eggs, fortified products, sun light

11. Physical Activity Weight bearing exercises can help build and maintain strong bones. These exercises force your muscles and skeleton to work against gravity to make them stronger. Examples are: walking, jogging, racquet sports, hiking, dancing, and stair climbing.

12. Additional Benefits From Physical Activity Improves overall balance and flexibility which helps prevent falls when you stumble.Improves overall balance and flexibility which helps prevent falls when you stumble. Bone strengthening activities last only as long as you continue with the exercise program.Bone strengthening activities last only as long as you continue with the exercise program.

13. If it is a silent disease, how do I know if I have osteoporosis? Bone Density MeasurementsBone Density Measurements Screening machines (foot, arm, finger)Screening machines (foot, arm, finger) Scanning (whole body scans)Scanning (whole body scans)

14. Medicare Pays For Bone Scans Medicare Pays For Bone Scans Estrogen deficient womenEstrogen deficient women Persons with previous spine fracturesPersons with previous spine fractures Persons using prednisone or steroid type medicationPersons using prednisone or steroid type medication Persons with hyperthyroidism (a metabolic disorder)Persons with hyperthyroidism (a metabolic disorder) Persons being treated for osteoporosisPersons being treated for osteoporosis

15. What are treatment options if I have osteoporosis? EstrogenEstrogen CalcitoninCalcitonin Fosamax* (alendronate)Fosamax* (alendronate) Evista* (raloxifene)Evista* (raloxifene) New options developingNew options developing

16. Prevention is the key Too many people think osteoporosis is just part of aging….. It is NOT. It is time to get the word out Osteoporosis can be prevented or managed.Osteoporosis can be prevented or managed. A test is available to help diagnose it early enough to make a difference.A test is available to help diagnose it early enough to make a difference.

17. Prevention is the key Calcium supplements for women between ages of 35 and 43 may Prevent bone loss andPrevent bone loss and Allow women to enter menopause with greater bone mass.Allow women to enter menopause with greater bone mass.

18. For additional information: Alabama’s toll free hot line “ Tone Your Bones” 1-888-934-BONE (2663)Alabama’s toll free hot line “ Tone Your Bones” 1-888-934-BONE (2663) National Osteoporosis FoundationNational Osteoporosis Foundation