Osteoporosis
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What is Osteoporosis?

The word ‘osteoporosis’ means porous bones. It is a disease that weakens bones. On cellular level, osteoporosis results from osteoclastic bone resorption not compensated by osteoblastic bone formation. This in turn causes bones to become weak and fragile, hence increasing the risk of fractures.

Based on an article in 2020, the prevalence of osteoporosis is 14%  among urban Malaysian population.

 

Common Risk Factors

Early Menopause (age <45)
Low calcium and vitamin D intake
Excessive caffeine intake (>3 drinks per day)
Excessive alcohol intake (>2 drinks per day)
Lack of physical activity
Cigarette smoking
Thyroid disorder

 

Sign & Symptoms

Lost of height over time
Bones that break easily
Back pain
Hunched/stooped posture

 

Complications

Limited mobility
Pain and stiffness
Depression

 

Food to Focus

Dairy products (milk, yogurt, cheese and calcium-fortified cottage cheese)

Green leafy vegetables (broccoli, kale, collard greens, dried figs, turnip greens, mustard greens)

Fish (canned salmon, sardines with the bones)

Nuts (almonds, Brazil nuts)

 

Food to Avoid

High-salt food

Caffeine

Alcohol

Red meat

 

Lifestyle Modifications

Avoid smoking and alcohol.

Limit caffeine intake (1-2 servings/day).

Tai Chi to improve balance and posture.

Weight-bearing aerobic exercises.

Ensure the floor at home is free from objects which may increase risk of falls.

 

References

1. Föger-Samwald U, Dovjak P, Azizi-Semrad U, Kerschan-Schindl K, Pietschmann P. Osteoporosis: Pathophysiology and therapeutic options [Internet]. EXCLI journal. Leibniz Research Centre for Working Environment and Human Factors; 2020 [cited 2022Jan7]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7415937/#:~:text=Osteoporosis%20is%20a%20metabolic%20bone,increasing%20the%20risk%20of%20fractures.

2. Yeap SS, Thambiah SC, Samsudin IN, Appannah G, Zainuddin N, Mohamad-Ismuddin S, et al. Different reference ranges affect the prevalence of osteoporosis and osteopenia in an urban adult Malaysian population [Internet]. Osteoporosis and Sarcopenia. Elsevier; 2020 [cited 2022Jan7]. Available from: https://www.sciencedirect.com/science/article/pii/S2405525520301059

3. Callahan A, Upham B, Dunleavy BP, Rauf D, Roan S. What to eat and what to avoid for Healthy Bones [Internet]. EverydayHealth.com. [cited 2022Jan7]. Available from: https://www.everydayhealth.com/osteoporosis/what-eat-what-avoid-healthy-bones/

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