October 20 is World Osteoporosis Day . The theme of this year is "Consolidate your life and win the fight against fractures." Li Tao, deputy director of Nanjing Jiangbei Hospital and director of the Orthopedic Center, introduced that osteoporosis is divided into primary osteoporosis and secondary osteoporosis. Only by correct calcium supplementation, regular life, and moderate exercise can you say "no" to osteoporosis.
is not only old, but also these reasons may induce osteoporosis
osteoporosis , which is caused by various reasons, and the decrease in bone density and bone mass, and the destruction of bone microstructure, resulting in increased bone fragility, which is prone to systemic bone disease of fractures. Director Li Tao introduced that primary osteoporosis is usually related to a decrease in physical function. "For example, women usually have an estrogen level drop after menopause at the age of 50, and men have a decrease in androgen level after 60 or 70 years old. At this time, bones gradually begin to decrease from bone mass to osteoporosis." Director Li Tao emphasized that if some bad living habits are added at this time, such as obesity, not loving to exercise, not loving to sunbathe, and hobby of smoking, drinking and drinking coffee, it is easy to induce or aggravate the occurrence of osteoporosis.
Secondary osteoporosis refers to osteoporosis caused by other diseases. Director Li Tao told reporters that for example, patients will use glucocorticoid all year round due to liver, respiratory tract, especially eyes and kidneys related diseases, thereby stimulating osteoporosis. At the same time, Director Li Tao introduced that poor liver and kidney function will interfere with calcium metabolism in the body, while poor gastrointestinal function will affect calcium absorption. "For example, there are tumors. More than half of the patients with tumors will have osteoporosis after a long period of illness. Then these are called secondary osteoporosis."
calcium supplementation is of particular importance. Calcium tablets are not the more expensive, the better
Most people cannot feel their bone metabolism in life. It is not until they are accidentally, even if a slight external force causes a fracture, and they realize the seriousness of bone loss. So for people over 40 years old, how can we protect our calcium and minimize calcium loss? Director Li Tao suggested that if the level of osteoporosis has not yet reached, the calcium needed by the human body should be supplemented with diet. For example, you can eat more seafood, especially deep-sea fish, dairy products, and sesame paste, which are good ways to supplement food in the early stages of calcium deficiency.
However, once osteoporosis is confirmed, calcium supplementation is necessary. There are many types of calcium tablets on the market, and the price difference is quite large. How should we choose calcium tablets? Director Li Tao said that from the perspective of chemical structure , the calcium with the highest absorption rate is calcium carbonate. "For calcium carbonate, there is no difference in absorption rate between three yuan per bottle and thirty yuan or three hundred yuan per bottle." However, experts pointed out that the absorption rate of another type of calcium gluconate is relatively low, and it will not be because it is liquid, so the absorption rate will be high. "But generally, many elderly people will feel uncomfortable and constipated after taking calcium carbonate and calcium gluconate. At this time, we recommend that they can be replaced with calcium citrate . Although the absorption rate is low, it will not cause gastrointestinal discomfort."
"We do not advocate simple calcium supplementation." Speaking of calcium supplementation, Director Li Tao reminded that calcium supplementation is not just "the more the better." In fact, plaques in blood vessels, arteriosclerosis, coronary heart disease, , cerebrovascular disease and other diseases are involved in calcium. "So the concept of simply supplementing calcium is wrong, but we need to supplement calcium for bones." Therefore, experts suggest that while ensuring calcium intake, active vitamin D can be supplemented in moderation to promote the body to absorb calcium intake from the gastrointestinal tract into the blood. In addition, the calcium level in the blood can be reduced by supplementing calcitonin , so that it can be deposited on the bones, so as to truly achieve the purpose of supplementing calcium to the bones.
protects the body's calcium, you can't be afraid of sunbathing
Over the years, more and more people have liked to drink coffee, and some people even have to "check in" 1-2 cups of coffee every day. However, the topic of "Whether drinking too much coffee can lead to osteoporosis" has attracted attention recently.In Director Li Tao's view, excessive consumption of beverages or foods containing caffeine can indeed induce or aggravate osteoporosis. "Coffee will interfere with the absorption of calcium, affect the deposition of calcium salts and calcium phosphorus in the bone, which will lead to a decrease in bone mass." Although drinking coffee is theoretically related to osteoporosis, Director Li Tao pointed out that existing research results confirm that coffee also has a certain positive effect on improving the function of the heart and lungs and reducing the occurrence of in cardiovascular and cerebrovascular diseases. "So if you drink too much coffee, we recommend that people be in a relatively active and active state. If you bask in more sunlight, you might be able to make up for it."
In addition, Director Li Tao suggested that for patients with osteoporosis, regular life, moderate exercise, and balanced diet are very important. "For the elderly, middle-aged and elderly people, we also recommend more sunbathing. In addition to not being too strong in the ultraviolet rays from 10 am to 3 pm, it will cause too much damage to skin aging, but it is beneficial to not applying sunscreen to sunbathing in the sun at other times."
Yangtze Evening News/Zi Niu News reporter Lu Yanlin
Photo source Visual China
Proofreading Faye Wong
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