Postmenopausal Osteoporosis – A Review of New Statistics by: Chima Njoku

October 20th, 2009

What is osteoporosis? Osteoporosis is a condition in which a progressive loss of bone density causes bones to be weak and fragile and increases the risk of fracture. Postmenopausal osteoporosis typically occurs after menopause in women between the ages 51 and 75, but it can also occur earlier or later. The main cause of the disease is lack of estrogen, the primary hormone that promotes bone formation in women.

In adults, bones are continuously broken down and rebuilt in a process called remodeling. Before age 30, the body builds more bones than are broken down and as a result, bone mass progressively increases during this period. In women, estrogen regulates this bone building process. Women achieve peak bone mass in their 20s and gradual bone loss begins in their 30s. After menopause, estrogen production declines drastically, and this reduces a woman’s ability to form new bones. As a result, bone loss accelerates. It is estimated that women lose up to 2% of their bone mass each year after menopause, especially in the first 3 – 6 years after menopause.

We have known for decades that the risk of postmenopausal osteoporosis for every woman is not the same. White and Asian women are at greater risk of osteoporosis that Black and Hispanic women. Thin women are particularly susceptible to the disease because they have smaller bones than heavier women, even in their 20s when their bones are at their strongest. Secondly, they have less fat than heavier women. It is believed that fat tissue activates certain parts of estrogen. So, women with less fat have reduced ability to activate estrogen. The combined effects of these two features increase bone turnover in thin women later in life.

What the new statistics reveal is that the incidence of osteoporosis among postmenopausal women is on the rise. For example, it is estimated that the disease affects 75 million older women in U.S, Europe, and Japan. In the United States, an estimated 30 million older women have osteoporosis or low bone density. Each year, 1.5 million osteoporosis-related fractures occur in U.S, and the direct health care costs associated with these fractures are estimated at $18 billion per year. Nearly half of all women and a quarter of men age 50 and older will suffer an osteoporosis-related fracture in their remaining lifetime. Furthermore, osteoporosis and low bone mass are now believed to be a major public health threat for 44 million Americans aged 50 and older. By 2010, that number is expected to increase to over 52 million.

Although postmenopausal osteoporosis is a silent disease, it exhibits classic symptoms namely fractures of the arm, vertebrate, and the hip. In U.S, osteoporosis-related hip fractures account for 300, 000 hospitalizations each year. About 20% of postmenopausal women who suffer a hip fracture die within a year, and another 20% of these patients will be in a nursing home within one year.

Without a doubt, the new statistics reveal an epidemic of osteoporosis among postmenopausal women. In the United States, 30 million women have osteoporosis or low bone mass. By 2010, the disease will become a major public health threat for 52 million Americans, most of whom are women. What worries experts is the ability of the disease to “sneak up” on its victims. This explains why millions of women with the disease are unaware that they have it and as a result, they remain untreated. This is a wake up call and women should take steps to protect themselves from this debilitating disease.

Chima Njoku is a biochemist, freelance medical writer, and publisher of free consumer friendly information on vitamins and minerals. Learn how you can reduce bone loss at http://healthsolutionsontheweb.com/Calcium.html

Article Source: http://EzineArticles.com

What is the most absorbable form of calcium? Natural vs non natural source?

October 14th, 2009

I have osteoporosis. I have initially asked here what the best brand of coral calcium is. I got conflicting replies. Someone gave me tips about coral calcium, Intuition tells me indeed that if it’s from a once living source such as coral it’s better. But then someone said that this too is calcium carbonate. Someone suggested calcium citrate is the best.

Besides, are calcium and magnesium supplements friends or enemies?

At present I’m on calcium carbonate 2mg daily + one monthly vial of vitamin D + Fosamax, the regimen recommended by my doctor.

So what is the best among the three: coral calcium, calcium citrate or my current regimen? Any other suggestion?

Thanks for taking the time to read all this, and possibly respond! Any resources on the web?

1.Calcium Citrate –
Absorption: Calcium is best absorbed in an acidic environment, hence calcium citrate is the best absorbed supplemental form of calcium. It does not require extra stomach acid for absorption, hence we may take it anytime in a day, even on an empty stomach.

Calcium content: Calcium Citrate usually provides less elemental calcium per pill than Calcium Carbonate, therefore one may need to take a relatively more numbers of pills per day to meet the needs.

Pill Size: Calcium Citrate is usually small in capsule form.
If you suffer from acid stomach, it is best to avoid Calcium Citrate.

2.Calcium Carbonate e.g. Tums or Caltrate

Absorption: Calcium Carbonate is alkaline based, it requires extra stomach acid for better absorption, hence it is best taken right after meals or with a glass of acidic juice such as orange juice.

Calcium Content: Calcium Carbonate is the most prevalent calcium supplements in the market . It provides more elemental calcium than Calcium Citrate hence you may not need take as many pills.

Pill Size: Calcium Carbonate usually comes in a bigger tablet, some people may find it harder to swallow.

3.Coral calcium, indeed, is composed of mostly calcium carbonate, just like those you found in Tums or other calcium carbonate supplements from the stores! In addition, in June 2003, the Federal Trade Commission FTC has charged the marketers of Coral Calcium Supreme with making false and unsubstantiated claims about the product’s health benefits.

The Dietary Reference Intake DRI for calcium for adults is 1000mg -1300mg depending on age and gender.

Warning: do not consume more than 2500mg of elemental calcium daily.

NATURAL PRESCRIPTION FOR OSTEOPOROSIS

Increase foods containing calcium, including low-fat dairy products. You can add dry, powdered milk to certain recipes — puddings, meat loafs, muffins, and baked goods-to boost calcium content.

Reduce your protein intake (limit to 6 ounces daily) and your salt intake (avoid the salt shaker and use sparingly in cooking.

Eliminate caffeine, sugar, and alcohol from your diet. Stop smoking

Adopt a program of regular exercise.

TAKE –
Calcium: 1,200 mg of calcium citrate at bedtime.
Magnesium: 400 mg /day.
Boron: 2 mg/day.
Vitamin D: 400 IU /day.

Natural Treatments for Osteoporosis

October 14th, 2009

Learn natural ways to prevent Osteoporosis from Dr. Hansen.

Duration : 0:6:12

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Are You At Risk for Osteoporosis?

October 2nd, 2009

Learn the risk factors for developing osteoporosis. Dr. Omar El-Abd, MD, from Newton-Wellesley Hospital’s Spine Center, explains what puts you at risk – some risks include smoking, diet, medicines. coffee-drinking, and gender. How much calcium should you have in your diet? For more info, please visit www.nwh.org/spine.

Duration : 0:2:25

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Are you at risk for osteopenia and osteoporosis?

September 28th, 2009

Dr. Warren Levy explains the differences and what options are there.

Duration : 0:2:50

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