size news client October 20 (Correspondent Li Chengxiu Jiang Zongyan) osteoporosis is a common and frequent disease in the elderly because the symptoms are atypical called "quiet epidemic" and also called the "silent killer" of the human bones. Osteoporosis causes the bone mass of the elderly to be swallowed silently, resulting in the occurrence of fragile fractures in many parts such as the hip, vertebrae, and distal radius, which puts a heavy burden on individuals, families, and society. In order to arouse people's attention to osteoporosis, since 1998, the World Health Organization (WHO) has designated October 20 as World Osteoporosis Day . At present, more than 100 member states and organizations around the world have carried out this activity, making World Osteoporosis Day an important global event. The Chinese theme of this year's Osteoporosis Day is "Consolidate your life and win the fight against fractures". Experts from relevant institutions and health knowledge propagandists Bai Yansong and others jointly call for attention to bone health throughout the life cycle.
What is osteoporosis?
Osteoporosis is the most common bone disease. It is a systemic bone disease characterized by low bone mass and damage to bone tissue microstructure, resulting in increased bone fragility and prone to fractures. Osteoporosis is divided into two categories: primary and secondary. Primary osteoporosis mainly includes two types of postmenopausal osteoporosis in women and elderly osteoporosis in women; the former generally occurs within 5 to 10 years after menopause in women; the latter generally refers to osteoporosis that occurs after the age of 70. Primary osteoporosis is a skeletal disease associated with ageing. As the population aging becomes increasingly serious, osteoporosis has become an important public health problem facing our country. Epidemiological Survey shows that the prevalence of osteoporosis among people over 50 years old in my country is 20.7% for women and 14.4% for men; the prevalence of osteoporosis among people over 60 years old has increased significantly, especially among women.
What are the dangers of osteoporosis?
The biggest harm of osteoporosis is osteoporosis fracture. Osteoporotic fractures, also known as non-violent fractures, or fragile fractures, refer to fractures that occur during minor trauma or daily activities. They are serious consequences of osteoporosis and are one of the main causes of disability and death in elderly patients. The most common part of osteoporotic fractures is vertebral fractures. Some elderly women cough hard or carry heavy objects on their hands can lead to vertebral fractures. The one with the greatest harm to the human body and the highest mortality rate is hip fracture . Within 1 year after a hip fracture, 20% of patients will die from various complications, and about 50% of patients will be severely disabled and their quality of life will be significantly reduced.
What are the risk groups for osteoporosis?
(1) Postmenopausal women, men over 70 years old;
(2) Men and female adults who are too thin;
(3) People with a large number of unhealthy lifestyles such as smoking, drinking, and lack of exercise, or people who have been unhealthy in their lives for a long time without receiving sunlight and long-term bedridden;
(4) Men and female adults with family history of fragile fractures;
(5) Men and female adults with low sex hormone levels caused by various reasons;
(6) People with diseases that affect bone metabolism or the history of using drugs that affect bone metabolism.
What are the clinical manifestations of osteoporosis?
Osteoporosis usually has no obvious clinical manifestations in the early stages of osteoporosis, so it is called a "silent disease" or a "quiet epidemic". However, as the condition progresses, bone mass continues to be lost and bone microstructure is damaged, patients will suffer from bone pain, , shorter height, hunchback and other deformities, and even severe osteoporotic fractures. Bone pain usually occurs when turning over, sitting up, and walking for a long time. The pain worsens at night or during weight-bearing activities, and may be accompanied by muscle spasm , or even limited movement. Some patients may have no clinical symptoms and are diagnosed with osteoporosis only after serious complications such as osteoporosis fractures occur.
How is osteoporosis diagnosed?
Dual-energy X-ray absorption method bone density bone density in the lumbar spine and hip determined by the bone density meter (DXA) is the gold standard for diagnosing osteoporosis. Bone metabolic marker assays can help us understand what state our bones are in.Of course, if a fragile fracture occurs, osteoporosis can be directly diagnosed.
Experts recommend that the public undergo bone density test first at the age of 40 to understand what state of bone mass is in, and test it once a year after the age of 50. Once osteoporosis is found, effective treatment should be carried out in time and away from the threat of fractures.
What are the prevention and treatment methods for osteoporosis? The basic measures for prevention and treatment include sufficient basic bone health supplements and a healthy lifestyle, as follows: (1) Adequate calcium and vitamin D intake: elemental calcium: 1200mg/day, ordinary vitamin D: 800-1000IU/day. (2) Adequate sunshine: It is recommended to expose the skin to the sun for 15~30 minutes from 11:00 am to 3:00 pm. (3) Regular weight bearing and muscle strength exercises to increase muscle strength and prevent falls. (4) Intake a balanced diet rich in calcium, low salt and appropriate amount of protein . (5) Quit smoking and limit alcohol. (6) Avoid excessive drinking of coffee and carbonated beverage . (7) Try to avoid or use less drugs that affect bone metabolism. Once an osteoporosis fracture occurs, or bone density measurement indicates osteoporosis or bone mass reduction, you need to actively go to a regular hospital for treatment with anti-osteoporosis drugs.
How to prevent osteoporosis throughout the life cycle?
The prevention and treatment of osteoporosis should run throughout the entire life process. It is not early at any time, and it is not late at any time. The main prevention and treatment goals of bone pore include improving bone growth and development, promoting the ideal peak bone mass in adulthood; maintaining bone mass and bone mass, preventing bone loss; and avoiding falls and fractures.
Experts suggest:
0-18-year-old must strengthen nutrition and exercise in order to achieve an ideal peak bone mass so that bones are healthy and not inferior to the starting line.
18-40-year-old age group should take the time to maintain more bone health, pay attention to sun exposure, and avoid some unhealthy living habits.
40-65-year-old age group , recognize this disease, frequently screen, check bone density every year, and early detection, early diagnosis, and early treatment.
65 years old age group should pay attention to preventing falls and the risk of fractures caused by falls. Once osteoporosis is found, you need to go to the hospital for regular treatment as soon as possible. Simply supplementing calcium is far from enough.
2022 World Bone Pine Day China Theme Unveiled
On August 18, 2022, the Laishan Campus of Yantai Yuhuangding Hospital was officially opened, and the outpatient clinic and ward of the Endocrinology Department of Yantai Yuhuangding Hospital were also opened at the same time. Whether on holidays or weekends, endocrine and metabolic disease expert clinics are routinely opened, and specialized specialized disease clinics such as osteoporosis, hyperuricemia, thyroid , adrenal , and sexual development abnormalities are also opened. The expert lineup is strong, and the hospital headquarters has taken turns to take the clinic. The opening of the Endocrinology Koleishan Campus has solved the demand for medical treatment in Laishan and surrounding areas, so that chronic diseases such as diabetes , hyperthyroidism, hypothyroidism, osteoporosis, obesity, and hypertension can be best diagnosed and treated at home. The hospital's service concept of "integrated management and homogeneous quality" allows ordinary people to enjoy medical services at the same level as the general hospital area at home.
Expert Profile:
Wang Qiuling, deputy director of the Department of Endocrinology, chief physician, master's supervisor, visiting scholar at Mount Sinai Medical Center, New York, USA.
is currently a member of the endocrine and metabolism professional committee of the Smart Health Education Working Committee of the China Smart Engineering Research Association, Shandong Medical Association Osteoporosis and Bone Mineral Salt Diseases Professional Committee, Deputy Chairman of the Endocrine and Diabetes Committee of the Provincial Society of Integrated Traditional Chinese and Western Medicine, Deputy Chairman of the Osteoporosis Branch of Yantai Maternal and Child Health Association, and Deputy Chairman of the Diabetes Branch of Yantai Society of Integrated Traditional Chinese and Western Medicine.
has studied in the Endocrinology Department of Peking Union Medical College Hospital, and is good at the diagnosis and treatment of diabetes and acute and chronic complications, obesity, thyroid, parathyroid , adrenal gland, pituitary , gonads and other diseases.Specializes in the diagnosis and treatment of osteoporosis and abnormal calcium and phosphorus metabolism, and opens specialized disease clinics.
presided over and participated in completing many projects, published more than ten papers in domestic and foreign journals, obtained one patent, edited two monographs, and participated in the editing of one.
Editor in charge: Gao Han
Reviewed by: Zhao Xuan
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-