Why osteoporosis and osteopenia are fast turning into diseases of the young

Did you know that osteoporosis causes more than 8.9 million fractures worldwide every year? what is frightening is many of these fractures are now taking place among the youth due to deficit diet and poor lifestyle coupled with genetic predisposition. Both osteoporosis and osteopenia are two forms of bone loss conditions, with the latter being a precursor to the former. To distinguish between the two a bone mineral density test is usually performed.

What is the difference between osteoporosis and osteopenia?

A BMD (bone mineral density) t-score between -1 sd and -2.5 sd indicates osteopenia with a high chance of osteoporosis. On the other hand, a t-score of -2.5 sd and below stands for osteoporosis. A higher bone density (above -1sd) is usually indicative of stronger bones. Fragility index is more accurate way to assess the risk of fractures.

In osteoporosis the bone loss or weakening of bones take place over a long period of time, and results in unexpected fractures and severe bone problems. Disfigurement, fractures in the spine, loss of mobility and independence are usual characteristics of this bone disease once it progresses further.

Prevention is better than cure, always!

To keep bones strong and healthy, calcium and phosphate is continuously absorbed by the body. But after 30, the body?s ability to absorb calcium slows down and there?s a decrease in the production of new bones. In contrast, bone desorption (the process of transferring calcium from the bone to the blood) continues unabated.

When the body starts absorbing the store of calcium in the bones to meets its needs, it leads to calcium depletion and is one of the causes of the weakening of the bone.

At present, the age limit (50-60 years) for osteoporosis has seen a drop with many younger people increasingly suffering from the ailment. Factors like unhealthy lifestyle, late-night shifts, smoking and alcohol consumption have been found to be the culprits behind the rise in osteoporosis cases among the young. Recent studies have identified vitamin d deficiency as a major factor for poor bone health and bone mass density in the young.

How to keep your bones strong and healthy? and manage osteo - penia/porosis complications:

Bone loss can be prevented by adopting these very simple but effective ways:

- exercising can help in building strong bones and muscles, while preventing bone loss.

- maintaining a calcium intake of 1000 mg for pre-menopausal women and 1200 mg for women post menopause.

- staying out in the sun for 20 minutes to produce requisite amount of vitamin d for calcium absorption and using supplements of vitamin d.

- there are many safe medicines available to prevent and treat osteoporosis like alendronates, calcitonin, parathyroid, teriparatide preparation etc.

- in osteoporosis induced /associated fractures we have to to modify implants to negate weak purchase of implants in bone and improve mobility. We have been using these modifications in established osteopenia/porosis case in fractures treatment/joint replacement/ arthroscopic fixations and MIS spine fracture management.


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Are Osteoporosis and Osteopenia fast turning into diseases of the young?

Osteoporosis is a condition wherein the bones become brittle and weak; so much so that even mildly stressful activities such as coughing, bending over or even a slight fall (such as the one from a high rise chair) can result in fractures. Osteoporosis-related fractures commonly occur in the spine, hip or the wrist. The human body has a continuous mechanism of bone absorption and removal. In case of osteoporosis, the creation of new bones doesn t happen in accordance with the removal of old bones.

Spinal Fractures:

The bones of the spine get extremely vulnerable to breakage and even cracking open. The fractures in the spine, also known as vertebral compression fractures can cause a sharp stinging pain in the back that may make sitting, standing, or even walking a very tardy task.

Risk Factors:

Increasing age

Abnormally less or high body weight

Smoking

Menopause or low levels of sex hormones

Gender: This disorder is more likely to affect women as compared to men. Also women, who are above 50 are more likely to suffer from this debilitating disorder.

Race is a significant risk factor of osteoporosis. If you are of Asian descent, you are more likely to be affected by it.

Having a family history of osteoporosis will put you at a greater risk of this disorder.

Symptoms:

Fractured or collapsed vertebra causing back pain

A stooped posture

A shrunken appearance (as if one has had loss of height)

Very fragile bones, thus increasing risks of fractures

Severe and sudden pain in the back

Difficulty in twisting or bending the body

Lower spine fractures are way more troublesome as compared to fractures in the upper spine. Fracturing more than a bone in the spine also remains a huge possibility.

Diagnosis and Treatment:

Firstly, an X-ray or a computerized tomography (CT scan) will be done to have a closer look at the bones. A bone density test is another commonly used method of diagnosing osteoporosis. 

Steroids and medications: Some medications may be used to prevent or combat osteoporosis. These include alendronate, ibandronate, risedronate and zoledronic acid.

Physical therapy: Just like muscles, bones get stronger too when you exercise. Weight-bearing and muscle- strengthening exercises are the most helpful in this regard and are considered best for the treatment of osteoporosis. Cardiovascular exercises such as walking, jogging or even swimming can prove to be immensely beneficial.

Diet: Make a diet chart that includes high-calcium food items, dairy products such as yogurt, cheese, and low-fat milk, tofu, green vegetables such as collard greens and broccoli, sea fish such as salmon and sardines.

Salt: Limit salt intake

Therapy: Hormone replacement therapy (treatment method consisting of estrogens to alleviate and treat symptoms of osteoporosis) is another method of treatment that can be recommended by the doctor.

Osteoporosis Spine Fractures: Risks, Symptoms and Treatments

When we think of a light evening snack, we often think of a packet of fried chips or Kurkure. However, it is time to think of something healthier, as we are already aware of the ill effects of these snacks all around us. This is where snacks like fox nuts are gaining popularity. Grown in the wetlands of Asian countries, they are also known as phool makhana (because of their flowery appearance) and lotus seeds. 

They are a great snack and have multiple benefits. Read on to know about this wonderful, economical, tasty, and healthy dish.

They are low in calories, fat, and sodium. They are therefore the perfect in-between-meal snack. They also make you feel full, so further cravings for binge eating are reduced
Their low sodium and high potassium and magnesium content makes them very useful for people with high blood pressure
The high calcium content is good for bone and teeth health
Their sugar content is low, and so are highly useful for diabetics, who have the urge to eat at short intervals
The fox nuts have astringent properties and are useful for kidney ailments
People looking for weight loss should try makhana, as they are very low in calories but can fill the stomach. This helps control hunger pangs and intake of high-calorie foods
It is rich in fiber and so can be used in weight loss as well as for digestion problems like constipation
Fox nuts are rich in antioxidants and therefore useful in fighting ageing and chronic inflammation and stress in the body
In both men and women, makhana is believed to improve fertility rates. The sperm quality and quantity is believed to improve when makhana is consumed
Given its multiple benefits, especially calcium and iron, pregnant women are given makhana. It also helps prevent hypertension and diabetes in the pregnant mother
Fox nuts are believed to help get rid of insomnia
If addiction to coffee is your problem, try some fox nuts to get rid of the addiction
Methods of use:

The seeds are actually tasteless and so whether it is salt or sweet, they take on the added taste
Roast the seeds with a little ghee on a light flame. Sprinkle salt, and the yummy snack is good to go
Other spices like cinnamon or oregano can be added to suit one s taste
They can also be used in sweet dishes like kheer and other desserts
If you are looking for a super snack that is highly healthy, economical, and has little hazards on your health, grab a bowl of fox nuts.

Fox Nuts (Makhana) - 12 Reasons Why You Should Eat Them!

Fresh fruits vs. Dehydrated fruits - what's better?

It is said that dehydrated fruits offer same health benefits as that of fresh fruits, but differ slightly in mineral and vitamin content. Both fresh and dried fruits will provide you with fiber and antioxidants, which are beneficial for your health; however dried fruits usually lose a small percentage of their vitamins during the process of dehydration.

When you compare fresh and dried fruits, it's great to make use of the standard serving sizes, which are 1 cup of fresh fruit and quarter cup of dried fruit.

But when fruits lose their water content and eventually volume during the drying process, their sugar, calorie, and nutrient content become concentrated. So when you consume a handful of dried fruits, there is an intake of more calories than you would if you consumed that same quantity of fresh fruits.

Besides giving you a variety in taste and health benefits, both fresh fruits, and dehydrated fruits have their own significance.

For instance, whereas dry fruits can offer you portability and a longer shelf life; fresh fruit as opposed to dry fruits contain a higher amount of minerals and hence is a more nutritious choice than dried fruits.

If you are keeping a close watch on your weight, then dried fruits should not be eaten much as they contain considerably more calories in each serving than the fresh fruits. Dried fruits that contain sugar additives are high in calorie content, but the ones with low-calorie content offer numerous health rewards:

- antioxidants

There are some dried fruits which are a rich source of antioxidants, the journal of the American college of nutrition revealed. For instance, phenol an antioxidant-type is found more in dried fruits such as figs and dates than in fresh fruits.

- high fiber

Dried fruits are usually high in fiber content than the equal-sized serving of the fresh fruits. Fiber helps in running our digestive system smoothly and prevents obesity as well as cancer and heart disease.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Whole Fruit vs Fruit Juice - Which Is Healthier for You?

Fresh Fruits Vs. Dry  Fruits

Persistent fatigue can be a symptom of an underlying disease. Fatigue refers to the feeling of weakness, tiredness and constant lack of energy. Fatigue can be an underlying symptom of weight loss, diarrhea, vomiting, chest pain, muscle weakness and depression.

Fight fatigue in the following ways:
1. Consistent physical activity can actually help by enhancing well-being, balance, endurance and weight loss. Exercises help release  endorphins  in the brain that help reduce stress.
2. A nap in the afternoon can help you fight the day long stress.
3. Be careful with your medications: While few medicines such as aspirin can help with the management of fatigue, it is best to avoid fatigue fighting drugs. Review their side effects properly, lest they might add to your fatigue.
4. People bowed down with fatigue may experience more exhaustion in scorching climatic conditions. These methods would really help you to calm down. For instance turning on the air conditioning during the summer months, putting on light cotton clothes or a cooling vest, consuming cold beverages, swimming or taking a cold shower may rejuvenate you for the day.
5. You can also opt for physical or occupational therapies to help combat stress and fatigue. In occupational therapy, a trained professional helps you to simplify work, at home or even at the office, so that you can manage all work and yet stay do not feel bogged down by stress. In physical therapy, an expert aids you in performing the routine physical chores more effectively.
6. One of the most vital ways to manage stress and fight fatigue is to get sufficient sleep every day. Clocking 8 hours of sleep will give your body and mind the required energy to function optimally the next day.
7. A balanced diet with all the necessary nutrients can go a long way in managing stress and fatigue. Also, a cup of coffee will also give you your daily nicotine fix that can help you stay alert and rejuvenated.

Tired of Feeling Tired? 7 Ways You Can Fight it 

4 ways to gain weight

A very low body mass index can be due to many causes including genetic, developmental and hormonal disorders and other issues with absorbing nutrients in the body. A low body mass index may also be owing to a high metabolism rate. Here are a few healthy ways to gain weight according to different requirements:

Know your calorie needs

- Calculate your resting metabolic rate with the formula - RMR = 10* weight (kg) + 6.25* height (cm) - 5* age (yr) + x [For men; x=5, for women; x = -161] Your BMR tells you how much minimum calories you will burn if you rested an entire day.

- Account for your activity by using your RMR as BMR (Base metabolic rate) and calculate your daily calorie needs by the following formulae:

-BMR * 1.2 - If you are sedentary
-BMR * 1.375 - For light exercise
-BMR * 1.55 - Moderate activity
-BMR * 1.725 - High activity
-BMR * 1.9 - Intense activity

Diet to follow

- Gradually increase your calorie intake

- Eat healthy and timely

- Have a balanced diet with heavy foods like - starchy vegetables, dense fruits, added oils and creamy soups

- Have foods rich in protein, avoid watery fruits and veggies

- Avoid trans-fats

- Do not binge, pace yourself through your diet regime

- Have dietary supplements and protein shakes

Build muscle to increase body weight

- Include weight training in your daily regime

- Compensate for extra calorie lost in training

- Do not over do it, rest is equally important in building muscle

Things to remember

- Stop eating junk food, eat healthily

- Hydrate yourself well

- Rapid weight gain may cause stretch marks

- Be careful when choosing fatty foods as overindulging in them can lead to heart diseases and type 2 diabetes

- Overeating may cause bloating, stomach aches and cramps

If you would like to consult with me privately, please click on 'Consult'.

4 ways to gain weight

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