Thursday, March 24, 2011

Osteoporosis fragile bones

In Spain, One of every three women padecerá osteoporosis after menopause.

Fractures associated with this disease are associated to an increase in the mortality and impact in terms of mobility, social isolation, fears and sometimes to a great degree of dependence to lead a life more easy.

Osteoporosis is characterized by a decrease in the density of the bones by loss of normal bone tissue properly calcified, but there is least amount of bone per unit volume: This explains that you present a minor trauma or load resistance, with the consequent appearance of fractures.

The bone is a living tissue, with an incessant activity throughout their lives, something that collides head-on with the idea of eternal durability that the population tends to be in relation to these bodies.

In this sense, explains Dr. "" Ramos, rheumatologist of the hospital Nisa Seville aljarafe with more than twenty years dedicated to the study and treatment of osteoporosis of the bones "dry" and its persistence for thousands or even millions of years give us a false picture of what is the bone in life.

 huesos fragiles

Mainly vertebral fractures, hip, wrist, shoulder, pelvis and ribs are the most visible manifestation of osteoporosis.

However, their negative consequences can go beyond.

Hip fracture mortality is estimated at 20% within the first year; approximately half are due to complications of the own fracture and the other half to the diseases that had previously the patient.

"On the other hand, approximately 40 per cent of women who survive hip fractures, not returning to walk and become dependent," explains Dr. Ramos.

In this regard, should emphasize the importance of the diagnosis early, a diagnosis is complicated given the silent nature of the disease; not in vain it is known to be "silent epidemic"

The age - especially since the age of 70 - and menopause are two of the most important risk factors against osteoporosis.

However, aren't the only ones: "have been described up to eighty" says Dr. Ramos sedentary lifestyle, alcohol and tobacco are some of the easily avoidable in order to reduce the impact of the disease and the risk of fractures.

In relation to alcoholconsumption, says Dr. Ramos, "has been linked to the osteoporosis when it exceeds three units a day, while I would like to make it clear that of course that a beer or a glass of red wine a day does not increase the risk of osteoporosis".

On the one hand forms new bone (bone formation), and is destroyed at the same time, aging bone (bone resorption).

Featured osteoporosis when breaking the balance between the two.

The disease affects mainly over the age of seventy years and women as this hormonal process triggers, occasionally, a lost bone mass accelerated after the menopause.

Diagnosis

Different technical radiologías help diagnose osteoporosis to identify the loss of bone mass in its early stages and to act as a result.

"From two years ago", explains Dr. Ramos "have a tool for the calculation of risk of fracture osteoporotica, sponsored by who (FRAX ™) that integrates twelve risk factors and allowing closer to the risk of fracture of a particular patient in the next few years".

In Spain, osteoporosis affects almost four of every ten females age of fifty.

The PRE-Valencia fires up to 60% in people older than 80 years.

Unfortunately the effectiveness of the treatment is overshadowed by the fragile follow-up thereof; 50% of patients abandoned treatment during the first year.

Calcium is essential to preserve a good quality of bone mass.

Milk and its derivatives have been considered, as an unbeatable source of intake of calcium.

But dairy products are not unique in this mineral-rich foods.

Certain types of seafood and nuts, for example, outweigh the contribution calcium of milk or yogurt.

It should be noted also that the needs of calcium are not always the same.

During growth and after menopause these needs are more high and recommended daily contributions of 1000 - 1500 MG per day.

These quantities can be made with the food, but in real life there are few people with your diet succeed, given that

Use added supplements.

The problem with vitamin D associated with calcium, on the other hand, has proved to be a cheap and effective measure for the prevention of fractures ua good way to prevent the dificit of vitamin D and calcium is to take vitamin and mineralsupplement.

In recent years, the study and classification of osteoporosis has experienced a remarkable development, which has opened the doors to the possibility of innovative treatments and research of formulas as esperánzadoras as the discovery of new molecules osteoformadoras.

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