Written by Paris Kazemian
Osteoporosis is a medical condition that occurs when the body loses bone density and strength, causing an increased likelihood of fractures. It can impact any bone in the body, but the hip, spine, and wrist are most commonly affected. Fractures caused by osteoporosis can lead to chronic pain, disability, and even death, and the disease is often called a “silent disease” since it usually progresses without symptoms until a fracture happens.
Risk factors
There are several risk factors that increase the likelihood of developing osteoporosis. These include:
- Age: The risk of osteoporosis increases as you get older, especially after menopause in women.
- Gender: Women are more likely to develop osteoporosis than men.
- Family history: If a close family member has osteoporosis, you may be at a higher risk of developing it too.
- Low body weight: People with a lower body weight are at a higher risk of developing osteoporosis.
- Smoking: Smoking cigarettes can contribute to a decrease in bone density.
- Alcohol consumption: Drinking alcohol excessively can lead to a decrease in bone density.
- Certain medical conditions: Certain conditions such as hyperthyroidism, inflammatory bowel disease, and celiac disease can increase the risk of osteoporosis.
- Certain medications: Long-term use of certain medications such as corticosteroids and anticonvulsants can contribute to a decrease in bone density and increase the risk of osteoporosis.
Osteoporosis symptoms
Osteoporosis is commonly referred to as a “silent disease” because it typically advances without symptoms until a fracture takes place. Nevertheless, there are a few indications and symptoms that could suggest the existence of osteoporosis, such as:
- Fractured or collapsed vertebrae leading to back pain.
- Height loss caused by compression fracture in the spine over time.
- A rounded back or spine curvature (dowager’s hump).
- Increased tendency to break or fracture bones, particularly in the hip, spine, or wrist.
- Reduced grip strength and difficulty in performing daily activities
It’s important to note that many people with osteoporosis may not experience any symptoms until they have already suffered a fracture. Therefore, regular bone density tests are recommended for people at risk of developing osteoporosis.
Osteoporosis tests
There are several tests that can be used to diagnose osteoporosis, including:
- Dual-energy X-ray absorptiometry (DXA or DEXA): This is the most common test used to diagnose osteoporosis. It is a painless, non-invasive test that measures bone mineral density (BMD) at the hip and spine.
- Ultrasound: This test is often used to screen for osteoporosis in people who cannot have a DXA test. It uses sound waves to measure bone density at the heel or shin bone.
- CT scan: A computed tomography (CT) scan can be used to measure bone density and identify fractures in the spine.
- MRI scan: Magnetic resonance imaging (MRI) scans can identify fractures and other abnormalities in the bones.
- Blood tests: Blood tests can be used to measure levels of calcium, vitamin D, and other minerals that are essential for bone health.
It is recommended that women aged 65 years or older and men aged 70 years or older should undergo a bone density test. However, if you have risk factors for osteoporosis, such as a family history of the condition, low body weight, or a history of fractures, your doctor may recommend earlier screening.
Nutrition and Osteoporosis
Proper nutrition is crucial for both preventing and treating osteoporosis. Consuming enough calcium, vitamin D, and other nutrients is important for enhancing bone health and minimizing the likelihood of fractures.
Calcium
Calcium is an essential mineral for bone health, and it is suggested that adults should have a daily intake of 1000-1200 mg of calcium.
Some excellent dietary sources of calcium are:
- Dairy products
- Leafy green
- Vegetables
- Tofu
- Fortified foods
Vitamin D
Vitamin D is crucial for bone health as it facilitates the absorption of calcium in the body. It can be obtained from sources such as sun exposure, fortified foods, and supplements.
You study my article about Vitamin D here
Other Nutrition
Magnesium, potassium, protein, Vitamin C and vitamin K are among the various nutrients that could assist in promoting bone health.
What can I eat?
There are several nutrient-dense foods that you can consume to improve bone health and reduce the risk of osteoporosis. Some of the foods that are rich in bone-healthy nutrients include:
- Dairy products: Milk, cheese, and yogurt are high in calcium and vitamin D, which are essential for bone health.
- Leafy green vegetables: Kale, spinach, collard greens, and other leafy greens are excellent sources of calcium, magnesium, and vitamin K.
- Fatty fish: Salmon, tuna, and mackerel are rich in vitamin D and omega-3 fatty acids, which are beneficial for bone health.
- Fortified foods: Certain types of cereal, bread, and orange juice are fortified with calcium and vitamin D.
- Tofu: Tofu is an excellent source of calcium and may also be fortified with vitamin D.
- Nuts and seeds: Almonds, sesame seeds, and chia seeds are rich in calcium and other bone-healthy nutrients.
- Beans and legumes: Chickpeas, lentils, and kidney beans are high in magnesium and other minerals that are essential for bone health.
A well-balanced diet that includes a variety of these nutrient-dense foods can help improve bone health and reduce the risk of osteoporosis.
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In addition to proper nutrition, regular weight-bearing exercise, quitting smoking, and minimizing alcohol consumption are also important lifestyle factors for managing osteoporosis. It’s always a good idea to consult with a healthcare professional or a registered dietitian for personalized advice on nutrition and lifestyle changes to support bone health.