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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