Bone Health and Osteoporosis: What Causes a Higher Risk of Postmenopause Osteoporosis

The overall well-being of an individual depends largely on proper bone management; even more so in old age. When it comes to postmenopausal women, one of the crucial health problems that should concern them is the possibility of developing osteoporosis as this results in weakening of the bones and an increased risk of fractures. Estrogen It is vital in the prevention of osteoporosis since it protects bone density and therefore when it decreases after menopause; The bone is excessively resorbed, increasing the risk of osteoporosis.
The focus in preventing osteoporosis is the number of changes in diet and lifestyle. To ensure you consume enough calcium and vitamin D, experts recommend following a dietary regimen that incorporates intake of 1,200 mg of calcium and 800-1,000 IU of vitamin D daily (food consumption first, followed by supplements, if necessary). Food fortification, dark green leafy vegetables, and dairy are good sources of these nutrients.

Regular exercise is crucial, especially resistance and weight-bearing activities. Activities such as walking, jogging, or weight training help improve bone density and balance, thereby decreasing the chances of fractures and falls. It is important to maintain a good body weight since those who are overweight or underweight are prone to fractures.

Pharmacological treatments are also indicated for those people diagnosed with osteoporosis or who are at high risk. Bisphosphonates, such as alendronate and risedronates, are commonly prescribed to prevent further bone loss. HRT and SERMs can mimic the actions of estrogen on bone; However, due to possible adverse effects, HRT is generally used only for problematic menopausal symptoms. Other treatment alternatives include denosumab, which is a monoclonal antibody, and anabolic drugs such as teriparatide, which are used to improve bone formation.

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All postmenopausal women should have regular bone density testing and those who have risk factors such as low body weight, a family history of osteoporosis or fractures, especially should take key measures such as dietary modifications, exercise and early diagnosis and treatment to keep osteoporosis under control.
(Article courtesy of: Dr. Varshali Mali, Senior Consultant Obstetrics and Gynaecology, Surya Mother and Child Super Specialty Hospital, Pune)

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