Introduction: Osteoporosis is a disease that disproportionately affects postmenopausal women. It is an important disease for public health to address as it greatly contributes to frailty and risk of injury, largely due to fractures, and the associated burdens on the health care system. Literally translating to “porous bones”, osteoporosis occurs when bones lose their density, and the inner bone matrix becomes much more brittle (Figure 1).1,2 Health adult bones are in a constantly dynamic state, with living cells that multiply to grow and repair bones as we age. Bones structurally consist of a hard, calcified outer layer, and an inner matrix made of collagen and non-collagen proteins.3 Healthy bone mass, and the structure of this inner matrix, is maintained through processes called resorption and remodeling.1 Resorption occurs as some cells dissolve bone matrix for the body to reabsorb and reuse the minerals, and remodeling occurs simultaneously as other cells deposit new bone matrix proteins to replace the dissolved minerals. Each remodeling activity is associated with a slight net loss in bone mass, and as such, healthy adults achieve peak bone density in their early 20s, and bone density gradually declines thereafter.1,4
Pathophysiological Changes: Osteoporosis occurs when the resorption process outpaces remodelling, and the inner matrix is dissolved at a quicker rate than it can be replaced. This ultimately leads to significantly less dense bones which are prone to
Building denser bones is extremely important for the elderly and especially elderly women. Osteoporosis is the gradual thinning of bone mass and bone density (“Osteoporosis”). Osteoporosis is a very common disease amongst women and it is estimated that approximately 1 out of 5 women in the United States of America over the age of 50 years have Osteoporosis (“Osteoporosis”). At least half of all women over 50 will fracture a major bone such as a hip, spine, arm, or wrist (“Osteoperosis”). Osteoporosis is a very painful, debilitating, and even fatal disease that can be prevented through good diet and most importantly physical activity such as weightlifting. Studies have shown that the risk of Osteoporosis is lower for people who are more active and especially for those who participate in activities such as weightlifting (“Bone Builders”). The American Society for Bone and Mineral Research conducted a study measuring the bone density of athletes and all of the athletes on average had 13% higher bone density than non-athletes; the highest being in athletes who
Osteoporosis is a bone disease that occurs when the body loses too much bone, makes too little bone, or both. As a result, bones become weak and may break from a fall or, in serious cases, from sneezing or minor bumps (nof.org). This skeletal disease is characterized by the increase in the fragility of bones as a result of reduced bone mass density and the deformation of the structure of bone tissue (Angin,Erden,Can, 849). Many patients with osteoporosis are instructed by their doctor to exercise; as this will improve their rehabilitation of this disease and lessen the pain associated with it.
An imbalance in the regulation of bone remodeling's two contrasting events, bone resorption and bone formation, results in many of the metabolic bone diseases, such as OSTEOPOROSIS.
Osteoporosis is a progressive bone disease that is characterized by structural deterioration of bone tissue and reduced bone mineral density(BMD). Consequences include increased pain, increased risk of fracture, loss of mobility, and death (Osteoporosis Canada 2014).
Osteoporosis, meaning porous bone from the Greek language, is bone disease that gradually and steadily wears down bone tissue and its living cells. This wearing down will eventually cause the cells of bone tissue to degrade and die, leaving their “scaffolding” to be the only things only bone together. Without living cells to take up a home in this scaffolding, minor injuries such as falls, bumping into objects, and pressure that would normally be completely and would not pose any threat to bone tissue suddenly becomes a real hazard that can easily pose a threat to one’s well-being. Osteoporosis affects a person skeletal system.
Osteoporosis is a disorder of bones that affects bones making them low in bone mass fragile and will lead to bone fracture. Bone fracture will easily occur as this disease cause the matrix inside the bone become weak and brittle.Bones can become so brittle due to activities such as coughing can cause fractures.According to Macgill (2015) the origin of the word osteoporosis explain the condition of ‘osteo’ is for bone and ‘porosis’ means porous that resulting in weakness. At this condition, the bone tissue is mineralized normally, but the production is not enough to preserve the normal skeletal architecture. 80% of women and 20% men of 28 million American are affected with the osteoporosis. Approximately, women with the age of 50 will develop osteoporosis. Thin bones are the cause of 1.5 million fractures a year. As in Malaysia, the statistic shows that osteoporosis related to fractured is the common health problem especially in elderly..
As generally stated in the introduction, osteoporosis is a skeletal disorder that involves the strength and integrity of one’s bones. The WHO defines osteoporosis as, “a systemic skeletal disorder characterized by low-bone mass, deterioration of bone tissue, increased bone fragility, and its susceptibly to recurrent fractures.” 2 The most important factor to take into account when addressing osteoporosis is the mass of bone, also referred to as, bone mineral density (BMD). As bone mass begins to decline, typically in the older population, specifically postmenopausal women, individuals are at an increased risk for fractures.3 As a result of this serious condition, many people are affected by morbidity, mortality, and economic difficulty.1
Osteoporosis, also known as porous bone, is a disease characterized by low bone mass and structural deterioration of bone tissue which leads to bone fragility and an increased risks of the hip, spine, and wrist. Both men and women are affected by this (although it affects women more) but it can be prevented and treated. In the United States, more than 40 million people either already have osteoporosis or at a high risk because of low bone mass.
Throughout a lifetime, old bone is removed (resorption) and new bone is added (formation) to the skeleton. During childhood and teenage years, new bone is added faster than old bone is removed. Consequently, bone become larger, heavier, and denser. Bone formation continues at a pace faster than resorption until peak bone mass, which is reached around age 30. After age 30, bone resorption slowly exceeds bone formation. In women, bone loss is most rapid in the first years after menopause but persists throughout the postmenopausal years. Based on year 2000 census data, it is estimated that 55% of people age 50 and older have either osteoporosis or low bone mass. The major risk
Osteoporosis is a health ailment which causes bones to become so porous that they can break easily. Osteoporosis literally means 'porous bones'. The bones in our skeleton are made of a thick outer shell and a strong inner mesh filled with collagen [protein], calcium salts and other minerals. The inside looks like honeycomb, with blood vessels and bone marrow in the spaces between bone. Osteoporosis occurs when the holes between bone become bigger, making it fragile and liable to break easily. Osteoporosis usually affects the whole skeleton but it most commonly causes breaks or fractures to bone in the wrist, spine and hip.
Osteoporosis is described by the NHS as “a condition that weakens bones” and is fairly common, affecting roughly 3 million, with more than 300,000 people receiving treatment each year. Fractures are extremely common as the weakened bones are more susceptible to damage, even coughing may cause vertebral damage. Osteoporosis can be classified as type I or II, “both type I and type II osteoporosis occur through an imbalance between total skeletal bone formation and bone resorption which is sustained over many years” (Theobald, 2005), and are related to a lack of vitamin
Osteoporosis, exactly means porous bone as show in figure(2.4),is skeletal disorder characterized by a decrease in bone mass density, and this decrease leads to structural deterioration and loss of connectivity between bone tissue, resulting in enhanced fragility and an increased risk of fracture (Bridgeman and Pathak 2011). Osteoporosis is commonly referred to as the “silent thief” as there are no noticeable symptoms associated with its progression until it manifests in the form of a fragility fracture ( Lin and Lane 2004). Although a fragility fracture can occur in any bone, fracture of the hip, spine, and wrist are particularly common in individuals with osteoporosis (ALAnazi 2014) . They have high percentages of trabecular bone, which is more vulnerable due to the higher turnover rate (Rissanen 2013) . Osteoporosis is attributable to an imbalance in bone remodeling, and thus, the understanding of the cellular events is important to target the treatment( Tamminen
Bone maintenance is a delicate business. In adults, the daily removal of small amounts of bone mineral, a process called resorption, must be balanced by an equal deposition of new mineral if bone strength is to be preserved. When this balance tips toward excessive resorption, bones weaken (osteopenia) and over time can become brittle and prone to fracture (osteoporosis).
Osteoporosis is a condition when the bones become weak and brittle because the body loses
Bone remodeling is the process where bones are continually breaking down and reforming. This process can also lead to osteoporosis, causing the bone tissue to thin and become fragile. Decreasing a person’s strength can cause major risks for patients that could lead to a weakness, resulting in frequent fractures and falls (Woodward, 2015, p. 325). I discovered that bone density loss is non-reversible, but yet preventative lifestyle changes can reduce and optimize health and wellness, thus achieving the patient’s maximum potential (Caple & Schub). Osteoporosis is the most common metabolic bone disorder and more than 200 million people worldwide have osteoporosis (NIH, 2014). Yet knowing these statistics, many people still believe it is not a major issue because they are blinded by believing that it is a normal aging process for older adults. As nurses, it is important to inform patients that there are ways to decrease or slow down the process of BDL and improve the geriatric functioning.