Osteoporosis Summary

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.

The management of osteoporosis patients start with the diagnosis by rolling out secondary causes and then confirm it by measuring bone mineral density (BMD). After that, begin the treatment with lifestyle changes, pharmacological medications, and surgery for some fractures if needed. In this essay I will cover generally the diagnosis, treatment, and prevention of osteoporosis in five steps.

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 is a treatable disease, but not a curable one. There are different types of treatment for osteoporosis. Some of the medications that can be taken for treatment of osteoporosis are estrogen, bisphosphonates, calcitionin, raloxifene, parathyroid hormone, and testosterone replacement (UCSF Medical Center, 2010). Some of the more common names for bisphosphonates are Fosamax, Actonel, Boniva, and Reclast (Mayo Clinic, 2009). These treatments are taken orally once a week or once a month. In addition to the medications, there is also the treatment of exercise and diet. With a diet high in calcium, stopping unhealthy habits, like smoking and drinking, and regular exercise can reduce the likelihood of bone fractures in people with osteoporosis (The New York Times, 2010). In Ms. Duckworth’s incident, it would be recommended that she increase the amount of calcium in her diet and exercise, and depending on the severity of the osteoporosis, medication.

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.

Osteoporosis is a degenerative disease of the bones generally brought on by the process of aging, unfortunately there can also be a number of underlying or secondary causes; however, preventative care and drug treatments can minimize the severity of this prevalent disease. Osteoporosis has been estimated to affect more than 200 million people worldwide (Bethel, 2015). According to the National Osteoporosis Foundation, 9.9 million Americans have osteoporosis and an additional 43.1 million have low bone density.

Older adults with low bone density are at significant risk of getting Osteoporosis. Osteoporosis is known as a systemic skeletal disease with the characteristics of low bone mass and micro architectural deterioration of bone tissues [1]. Osteoporosis is usually diagnosed by testing an individual bone mass density. A score of -1.0 or above is the normal state an individual wants to get as a result after he or she takes the DXA-test (an instrument used to measure bone density). Anything below -1.0 and -2.5 means the individual has low bone density and should do something about it. Osteoporosis increases a person chances of bone fracture due to bone fragility. Bone mass density decreases as people age making osteoporosis more prevalent among older individuals [2]. In the US, there are more than 2 million fractures occurs annually as a result of osteoporosis, including 550,000 vertebral fractures and 300,000 hip fractures [3, 4]. Hospitalization, long-term care, impaired quality of life, disability and death are usually the events that occur after Osteoporotic fractures in older adults [5]. Osteoporosis is a viral disease that takes freedom away from older adults. It puts fear in older adult’s everyday life, which then leads to them not living their lives to the fullest like they would like to because they are afraid of breaking a bone or two which would lead to expensive medical bills. This limits the activities they can participate in or just makes them antisocial because if they aren’t going outside to “play”, they’ll be alone inside their room which could lead to depression and a very

Osteoporosis is a direct consequence of the excessive loss of calcium and bone protein, the

Studies have shown that both estrogen and raloxifene, a Selective Estrogen Receptor Modulator, can prevent the loss of bone mass in postmenopausal women. Alendronate, a bisphosphonate is an alternative to estrogen for bone protection. Calcitonin is another treatment used by women for osteoporosis. This drug has been shown to slow bone breakdown and also may reduce the pain associated with osteoporotic fractures. Treatments under investigation include other bisphosphonates, sodium fluoride, para-thyroid hormone, vitamin D metabolites, and other selective estrogen receptor modulators.

Osteoporosis is a disease in which bones become brittle and lose their durable architecture. This condition can be caused as a side effect of some drugs such as corticosteroids, hormonal changes or due to nutritional deficiencies. The pathogenesis behind osteoporosis is an imbalance between bone catabolism and anabolism; which nutrition contributes greatly to. The two main nutrients that are implicated with bone turnover are calcium and vitamin D, and a deficiency in either of them can result in impaired bone matrix deposition.

The National Osteoporosis Foundation1 (NOF) claim approximately 54 million Americans live with osteoporosis. According to the NOF, osteoporosis can be characterized as a disorder in which an individual’s body breaks down bone at a rate faster than it can be created and as a result bones lose density and weaken.1 Fracturing of bones occurs much easier, and individuals with osteoporosis often are forced to change their lifestyles in order to adapt to living with this disorder.1 Osteoporosis is most commonly diagnosed in individuals older than 50 years of age, postmenopausal women, and those taking steroid treatments.1 Certain criterion exist to evaluate the efficacy of osteoporosis medications: bone mineral density (BMD), bone