International Osteoporosis Day (October 20th) approaching, the Ministry of Health announced in October 10th the prevention and treatment of
International Osteoporosis Day (October 20th) approaching, the Ministry of Health announced in October 10th the prevention and treatment of osteoporosis knowledge points through its website, put forward 11 proposals, osteoporosis and osteoporosis risk factors of self detection and osteoporosis misunderstanding. Full text as follows:
First, the 11 tips for prevention and treatment of osteoporosis
(a) osteoporosis is a chronic disease is preventable and curable.
(two) people should pay attention to the prevention of osteoporosis at different ages, and the life style of infants and young people is closely related to the occurrence of osteoporosis.
(three) a balanced diet rich in calcium, low salt and moderate protein is beneficial to the prevention of osteoporosis.
(four) smoking increases the risk of fractures in both men and women.
(five) not excessive drinking. Daily alcohol consumption should be controlled within the standard beer 570ml, liquor 60ml, wine 240ml or aperitif 120ml.
(six) walking or running can improve bone strength.
(seven) an average of at least 20 minutes per day. The light generated enough and calcium absorption of vitamin D plays a key role.
(eight) weight-bearing exercise allows the body to gain and maintain maximum bone strength.
(nine) prevention of falls. More than 90% of elderly fractures are caused by falls.
(ten) high-risk groups should be as early as possible to the regular hospital for osteoporosis detection, early diagnosis.
(eleven) in the treatment of osteoporosis, it is not too late to start treatment at any stage, but early diagnosis and early treatment will benefit greatly.
Two, knowledge points
(a) what is osteoporosis?
Osteoporosis is the most common bone disease in the elderly.
Osteoporosis is a systemic disease, which is characterized by low bone mineral content, bone destruction, bone strength and fracture.
Pain, kyphosis, height reduction and fracture is a characteristic manifestation of osteoporosis. However, many patients with osteoporosis in the early stages of the disease often no obvious feeling.
Osteoporotic fractures are brittle fractures, usually occurring after weight bearing, activity, bending and fall.
Fracture is a direct consequence of osteoporosis, it will influence the function of the human body, severe disability and even death. The most common site of fracture is the back, hips and arms.
(two) the risk of osteoporosis.
Osteoporosis is the fourth most common chronic disease and the most common bone disease in the elderly.
Osteoporosis is known as the silent killer. Fracture is a serious consequence of osteoporosis, which is usually the first symptom and cause of treatment for some patients with osteoporosis. The first year after hip fracture due to various complications, the mortality rate reached 20-25%. More than 50% of the survivors will have different degree of disability.
The direct economic burden of a patient with osteoporotic hip fracture is 32776 yuan per year. The direct economic burden of osteoporotic hip fracture in China is 108 billion yuan per year.
(three) the etiology of osteoporosis.
Osteoporosis is affected by congenital factors and acquired factors. Congenital factors refer to race, gender, age and family history; acquired factors include drugs, diseases, nutrition and lifestyle. Old age, female menopause, male sexual dysfunction is the cause of osteoporosis.
(four) high risk population of osteoporosis.
The following factors belong to the high risk population of osteoporosis: aging; postmenopausal women; maternal family history (especially family history of hip fracture); low birth weight; sex hormone low; smoking; excessive drinking alcohol or coffee; physical activity; dietary calcium and / or vitamin D deficiency (light less or less intake); effect of bone metabolism diseases; bone metabolic drug application effect.
(five) prevention of osteoporosis.
Osteoporosis prevention and treatment.
People should pay attention to the prevention of osteoporosis in all ages, the life style of infants and young people are closely related to the occurrence of osteoporosis.
The mineral content of the human skeleton reaches the highest at more than and 30 years old, which is called the peak bone mass. The higher the peak bone mass, the equivalent of the human body, the bone mine bank reserves more, to the elderly to delay the onset of osteoporosis, the degree of light.
After the elderly to actively improve diet and lifestyle, adhere to calcium and vitamin D supplements can prevent or reduce osteoporosis.
Balanced diet: increase the intake of dietary calcium and protein intake, low salt diet. Calcium intake has an irreplaceable role in the prevention of osteoporosis. Smoking, alcohol abuse, excessive intake of caffeine and high phosphorus beverages can increase the risk of osteoporosis.
Proper amount of exercise: the human bone tissue is a kind of living tissue, people in the movement of muscle activity will continue to stimulate the bone tissue, so that the bones stronger. Exercise also helps to improve the body's response, improve balance and reduce the risk of falls. Osteoporosis is not easy to happen.
Increased exposure to sunlight: Chinese people's diet containing vitamin D is very limited, a large number of vitamin D3 rely on the skin after receiving sunlight UV synthesis. Regular exposure to sunlight will play a critical role in the formation of vitamin D and calcium absorption. The average person has an average of 20 minutes per day.
Tip: sunscreen, umbrellas will also increase the risk of osteoporosis in women. Usually under the condition of insufficient outdoor light, go out and coated with a thick sunscreen or with umbrellas, will affect the synthesis of vitamin D.
(six) early diagnosis and standard treatment to reduce harm.
At any stage of osteoporosis treatment is better than no treatment. Early formal examination, standardized medication can greatly reduce the risk of fractures, relieve pain and other symptoms, improve the quality of life.
The prevention and treatment of osteoporosis should be carried out under the guidance of doctors, and its prevention and treatment strategies include two parts: basic measures and drug treatment.
Basic measures include lifestyle adjustments and bone health supplements. Adjust the way of life: a balanced diet rich in calcium, low salt and the amount of protein; pay attention to proper outdoor sports; avoid smoking and drinking; with drugs affecting bone metabolism; take various measures to prevent falls. Bone health supplements include calcium and vitamin D.
Drug treatment includes anti bone resorption drugs, bone formation promoting drugs, and a number of mechanisms of drugs. Must be under the guidance of physicians.
(seven) self detection of high risk population of osteoporosis.
Tip: high-risk groups should be as early as possible to the normal hospital for osteoporosis detection, so early diagnosis, early prevention, early treatment.
The following questions can help to detect the high risk of osteoporosis, any one answer is "yes", then for high-risk groups, should go to osteoporosis clinic:
1 have you ever hurt your bones because of a slight collision or fall?
2 you for more than 3 months to take hormone drugs?
3 do you have a height of less than three cm younger?
4 do you often drink too much alcohol (drink 2 times a day, or only 1-2 days a week without alcohol)?
5 do you smoke more than 20 cigarettes a day?
6 do you often have diarrhea (due to celiac disease or enteritis)?
7 do parents have a slight impact on the hip fracture?
8 lady replied: you are before the age of 45 menopause?
9 have you ever had a continuous period of not more than 12 months (except during pregnancy)?
10 men answer: do you suffer from impotence or lack of sexual desire these symptoms?
Tip: old age, low weight women, in particular, need to pay attention to osteoporosis, doctors commonly used thin old lady to describe such high-risk groups. In addition, lack of exercise, lack of light is also a risk factor for osteoporosis in young people.
(eight) the misunderstanding of osteoporosis.
1, drink bone soup can prevent osteoporosis. Experiments show that the same bowl of milk calcium content, far higher than a bowl of bone soup. For the elderly, the bones of the soup dissolved in a large number of bone fat, regular consumption can also cause other health problems. To pay attention to the diversification of diet, eat less greasy, insist on drinking milk, not too much into the protein and caffeine.
2, treatment of osteoporosis is equal to calcium. Simply speaking, osteoporosis is abnormal bone metabolism (affect human osteoclasts than osteoblasts and bone resorption rate than bone formation rate) caused by. Therefore, the treatment of osteoporosis than calcium alone, but the comprehensive treatment, improve bone mass, increased bone strength and fracture prevention. Patients should go to regular hospital for diagnosis and treatment.
3, osteoporosis is a unique phenomenon in the elderly, and young people have nothing to do. Osteoporosis is not the older "patent", if the young period of neglect movement, often picky or diet, unbalanced diet, resulting in dietary calcium intake, body weight, and do not reject the bad habits, such as less than ideal bone peak quantity and quality, can make the osteoporosis have the opportunity to invade young people, especially young women. Therefore, the prevention of osteoporosis to start early, so that young people get the ideal peak bone.
4, the elderly treatment of osteoporosis is too late. Many elderly people believe that osteoporosis can not be reversed, the treatment of the elderly has no effect, to give up treatment, which is a pity. From the point of view of treatment, the earlier the treatment, the better the effect. Therefore, once diagnosed with osteoporosis, the elderly should receive formal treatment to reduce pain and improve quality of life.
5, rely on the feeling of finding osteoporosis. The majority of patients with osteoporosis in the initial period does not appear abnormal feeling or feeling is not obvious. Found that osteoporosis can not rely on their own feelings, do not wait until they find themselves back pain or fracture when the diagnosis and treatment. High risk groups, regardless of whether or not the symptoms, should regularly have a dual energy X-ray absorptiometry of the hospital for bone mineral density examination, to help you understand the changes in bone density.
6, osteoporosis is a minor illness, without the need for a Big deal. Osteoporosis is usually not just the back leg pain only, once the brittle fracture, especially in elderly patients with hip fracture, resulting in long-term bedridden, very high mortality rate.
7, osteoporosis treatment of their own medicine on it, no need to see a specialist. For patients who have been diagnosed with osteoporosis, it should be as early as possible to the regular hospital, a comprehensive treatment of specialist.
8, osteoporosis prone to fracture, should not move static. Maintaining normal bone mineral density and bone strength requires constant motor stimulation. Physical exercise has a positive effect on preventing osteoporosis. In addition, if you do not pay attention to exercise, osteoporosis, muscle strength will be reduced, the stimulation of the bones to further reduce. In this way, not only will accelerate the development of osteoporosis, but also affect the flexibility of joints, easy to fall, resulting in fractures.
9, after fracture operation, the bone is normal. A fracture often means that osteoporosis has been very serious. Fracture surgery is only for the treatment of local lesions, and the risk of systemic bone fracture has not been changed. Therefore, we should not only actively treat fractures, but also need to objectively evaluate their bone health, in order to timely diagnosis and treatment of osteoporosis, to prevent the recurrence of fracture.