Osteoporosis and Fragility Fractures: What You Need to Know

It's not typical cocktail party chit-chat, but maybe it should be. According to the NOF, one in two women and one in four men over 50 will experience an osteoporosis-related fracture. They're also called fragility fractures or low-impact fractures, and they’re usually in the hip, spine, or wrist. Hip fractures cause the most problems and, in one in five patients, can result in nursing-home care. Twenty-four percent of hip fracture patients age 50 and over die in the year following a fracture.

"There's a big disconnect between breaking a bone, and the underlying condition of osteoporosis that may cause the break," says Dr. Singer. "Patients with normal bones won't usually break anything in the same situation. For someone with osteoporosis, it doesn't matter how hard the surface. It's about the energy transfer on weakened bones. Osteoporosis is a systemic skeletal disease that causes changes in the underling structure of the bone, making it more fragile and more likely to break."

Earlier研究has shown that most people believe there's a difference between a fracture and a break. "We use these terms interchangeably, but the public doesn't always use those words," says Dr. Singer. "If you break or fracture something — it's the same thing — that may signify that osteoporosis is the underlying cause. A 'care gap' can occur, so you should ask for a correct diagnostic workup to determine if you have osteoporosis and to receive appropriate treatment."

Certain factors increase osteoporosis risk歌手博士说，增加了脆弱性骨折的风险。有些人无法控制：成为50多名的女性，是更年期后，白种人或亚洲，或体重低，与小的身材相关，薄而薄。家庭历史是风险，以及类风湿性关节炎，吸收疾病等条件celiac disease,inflammatory bowel diseasesuch as Crohn's disease, some thyroid disorders, and type 1 and type 2 diabetes.

为了帮助自己，您可以确保充分摄入钙和钙和vitamin D, eat more fruits and vegetables, be more active overall, especially with more weight-bearing exercise, which is also called strength training, she says. You definitely want to avoid smoking, drinking too much alcohol, or losing excessive weight rapidly — more than "normal," which is why it's especially important to seek help for an eating disorder such as anorexia nervosa.

作为2017年的研究，其他研究引用了骨折的预测因子BMC肌肉骨骼障碍传达。“需要更多的证据来检查预防勒欠老年人的干预措施是否可以预防骨质疏松骨折，”作者说。歌手博士说，Frailty不仅包括骨质损失，而且损失肌肉质量和力量，或肌肉病毒。“这些因素以及某些药物的营养或副作用差，可能导致落下的风险增加。”

"We want to focus on healthy aging and consider the 'whole person' and every aspect we can to maintain bone health," says Dr. Singer. "It's always harder to recover from bone loss than to prevent it in the first place. Once you have an osteoporotic fracture, you and your health care provider should discuss overallmanagement strategiesand medications available to prevent future fractures. This disease doesn't go away and requires lifelong management, to avoid losing mobility and independence."

NOF表示，您的医生可以解释包括双膦酸盐，Denosumab，激素疗法和甲状旁腺激素和甲状旁腺激素相关蛋白的合成代谢物的不同类别。药物旨在揭示吸收的过程 - 细分和去除 - 以及形成或产生新骨。告诉你的医生关于副作用，并开放到尝试不同的药物。

For women over 50, a painless, non-invasive bone mineral (think "calcium") density test is the best way to assess osteoporosis risk. In keeping with the name, osteoporosis, imaging will show areas of your bones that have deteriorated and now show low bone mass. The NOF and most doctors, including Dr. Singer, recommend a dual-energy X-ray absorptiometry scan — also called a DXA scan or DEXA scan. You'll be given a resulting T-score, which predicts future fracture risk.

你看过关于钙的报道，并想知道：“我应该吗？多少？”歌手博士是2016年12月发表的医疗指南的作者内科. It says that calcium with or without vitamin D, from food or supplements, has no relationship, good or bad, with risk for cardiovascular (heart) and cerebrovascular (brain) disease, mortality, or all-cause mortality in generally healthy adults. Recommended daily intake should be no more than 2000 to 2500 milligrams.