Osteoporosis help

Osteoporosis is a public health problem affecting 75 million persons in the United States, Europe and Japan, including one third of postmenopausal women and most of the elderly in the United States, Europe and Japan. Osteoporosis results in more than 1.3 million fractures annually in the United States. For more osteoporosis information by
 Ray Sahelian, M.D.

Osteoporosis Treatment
Reduce alcohol
Reduce caffeine
Reduce or stop smoking
Weight bearing exercises can reduce the risk for osteoporosis.
Calcium at mealtime with dinner. Calcium supplement is available at
Physician Formulas web site.
Vitamin D supplements are helpful in preventing or treating osteoporosis. Foods rich in vitamin D include milk, cheese, sardines, cooked greens. Expose yourself to sun a few minutes a day. The dose of vitamin D in the management of osteoporosis should be no less than 600 IU per day. An optimal dose of vitamin D should raise serum concentrations of 25(OH)D to the desirable range of at least 75 nmol/l.
   Many Canadians are at risk of vitamin D insufficiency or deficiency. Low levels of vitamin D have negative implications for bone health and raise the risk for osteoporosis.
   Although most doctors and researchers agree that vitamin D supplementation is useful in reducing the risk for osteoporosis, not all studies support this viewpoint. We have included on such osteoporosis study below.

A Randomized Controlled Trial of the Effects of Calcium with or Without Vitamin D on Bone Structure and Bone Related Chemistry in Elderly Women with Vitamin D Insufficiency.
J Bone Mineral Res. 2008 April. Zhu K, Bruce D, Austin N, Devine A, Ebeling PR, Prince RL.
There are few data on the relative effects of calcium supplementation with or without extra vitamin D on bone density and osteoporosis in patients selected for low vitamin D status. The aim of this study is to evaluate the relative importance of vitamin D and calcium treatment on bone density and bone related chemistry in elderly women with vitamin D insufficiency. 302 elderly women with serum 25OHD concentrations less than 60 nmol/L participated in a 1 year randomized, double-blind, placebo-controlled trial. All subjects received 1000 mg calcium citrate per day with either 1000 IU ergocalciferol (vitamin D(2)) or identical placebo (control). In patients with a baseline calcium intake of 1000 mg per day and vitamin D insufficiency, vitamin D(2) 1000 IU for one year has no extra beneficial effect on bone structure, bone formation markers or intestinal calcium absorption over an additional 1000 mg of calcium. Vitamin D supplementation adds no extra short term skeletal benefit to calcium citrate supplementation even in women with vitamin D insufficiency.

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Antidepressants and osteoporosis
People aged 50 and older who take SSRI antidepressants, including Zoloft, Prozac and other top-sellers, have a higher risk of osteoporosis and broken bones compared with those who don't use the SSRI drugs. Antidepressants have been linked with low blood pressure and dizziness leading to falls, which can increase risks for broken bones. Research in animals suggests that SSRI drugs have a direct effect on bone cells, decreasing bone strength and size.

Cause of osteoporosis
Osteoporosis is a condition characterized by deterioration of bone tissue leading to decreased bone mass and increased bone fragility. The major processes responsible for osteoporosis are poor bone mass acquisition during adolescence and accelerated bone loss in persons during the sixth decade (the perimenopausal period in women). Both processes are regulated by genetic and environmental factors. Reduced bone mass is the result of varying combinations of hormone deficiencies, inadequate nutrition, decreased physical activity, comorbidity and the effects of medications used to treat various unrelated medical conditions.

Osteoporosis questions
Q. I am fighting osteoporosis and would like to take inulin to enhance my calcium & magnesium absorption. I read that different inulin fructans have different efficacy. So, what form of inulin should I seek? Is fructooligosaccharide inulin the best?
   A. We have seen no long term studies that have evaluated the use of inulin for osteoporosis. Even after years and decades of research, there is still no firm agreement in the medical profession regarding the ideal dosages of calcium, vitamin D, mangesium, or other supplements. Hence the role of inulin in osteoporosis is likely to be unanswered for quite a while.

Q. Does coral calcium help with osteoporosis?
   A. It may, but we have not seen any human studies with coral calcium to know for sure. If the calcium amount is high enough, it should help with osteoporosis.

 

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