Osteoporosis: The Silent Disease

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..

Calcium helps to keep bones strong but just drinking milk doesn’t mean that you won’t get osteoporosis. You may be genetically inclined to get it even though you drink milk every day. There are also many other things that contribute to getting osteoporosis, like not eating enough calcium, doing steroids causes bones to become weak and look like sponges when looking at it under a microscope. Scenarios A,B, and C help to explain that it’s not just the calcium that can cause osteoporosis

Osteoporosis is a condition involving the thinning of bones(bone demineralisation), leaving them brittle and more susceptible to fracture. 99% of calcium is stored in the bones, so sufficient calcium is important in order to maintain or reach peak bone mass(PBM). Osteoporosis mainly effects the older population, with 19.8 million people over the age of 50 in the UK.

Osteoporosis is a generalized, progressive diminution of bone tissue mass per unit volume, causing skeletal weakness, even though the ratio of mineral to organic elements is unchanged in the remaining morphologically normal bone. Histologically there is a reduction in cortical thickness and in the number and size of the trabeculae of cancellous bone, normal width of the osteoid seams. Bone reabsorption is increased, bone formation appears to be normal but be defective. The major clinical manifestations of osteoporosis are bone fractures. The most common form of metabolic bone disease is the idiopathic osteoporosis in sub-adults of both sexes with normal gonadal functions. Post menopausal osteoporosis, of course between 50 & 70 years of age, and is six times more common in women than men (pathologia). There is a much greater loss of trabecular bone (cancellous) than cortical bone. It is largely responsible for vertebral crush fracture cooles’ fractures. Senile osteoporosis occurs mainly in individuals older than 70 years of age, is twice as common in women compared to men. It affects both trabecular and cortical

396). When blood calcium needs to be replenished, the trabecular bone gives up minerals. The loss of trabecular bone is significantly apparent in men and women in their 30s. However, the trabecular bone can start to desintegrate whenever calcium withdrawals exceed deposits. Furthermore, cortical bone also gives up calcium, however this occurs at a slower and steadier pace. The cortical bone begins to give up ususally around someone in their 40s. Therefore, as bone loss continues, bone density begins to decline, which causes osteoporosis to become apparent. For instance, "Bones become so fragil that even the body's own weight can overburden the spine - vertebrae may suddenly disintegrate and crush down, painfully pinching major nerves" (Whitney & Rolfes, 2013, p. 396). Nonmodifiable risk factors for osteoporosis tend to occur in the older age, female gender, smaller frame Caucasian, Asian, or Hispanic/Latino. In addition, it occurs in people with family history of osteoporosis or fractures. However, modifiable risk factors include, sedentary lifestyle, diet inadequare in clacium and vitamin D, diet excessive in protein, sodium, caffeine, cigarrette smoking, alcohole abuse and low

Osteoporosis is disease cause by low bone mass and deterioration of bone tissue. This disease increase the fragility of the wrist, shoulder, hip and spine. This disease occurs without any symptoms and can affect any age group, but it mainly affects elderly women and men. Osteoporosis relates to density because people have this disease have a low or very low bone density causing some of their bones to be very fragile and painful.

Osteoporosis is a medical condition in which bones become brittle and fragile as a result of tissue loss. Causes of osteoporosis include hormonal changes, deficiency of vitamin D, and, most commonly, deficiency of calcium. Bones affected by osteoporosis are easily fractured, and such fracturing most often occurs in the hip, wrist, or spine. Under normal circumstances, bone tissue is constantly being broken down and subsequently replaced by the human body; however, osteoporosis prevents the creation of new bone. As a result, a net loss of bone tissue occurs since no new tissue is available to replace the old tissue. With age, bone mass loss increases faster than does bone mass creation. There is currently no known cure for the disease. Osteoporosis

Osteoporosis is often called “the silent disease” as bone loss occurs without any symptoms, many people might not have a clue that they have osteoporosis until they face a fracture from a minor trauma or fall, or a vertebra collapses. Physical signs include back ache, loss of height over period, curved posture, and ruptures of vertebrae, wrists, or hips. Osteoporosis can be spotted by a bone mineral density test or even a regular x ray. Without preventive treatment, women can lose up to 20% of their bone mass in the first five to seven years following menopause, making them more vulnerable to osteoporosis.

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 an age related disorder, more common in females compared to males. Osteoporosis is defined as a “skeletal disorder characterized by compromised bone strength predisposing to increased risk of fractures (Manolagaas, 2014). Osteoporosis is defined as “a disease characterized by low bone mass and deterioration of bone tissue (What is osteoporosis?2014). Osteoporosis is sometimes also referred as “silent thief” as the bone loss occurs very slowly and silently without any symptoms (Osteoporosis facts & statistics.2014). The most common site for fracture due to osteoporosis is hip followed by humerus (Woltman & den Hoed, 2010) . Osteoporosis can occur at any age, although it is a disorder common in females (especially post-menopausal females). Everyone is prone to osteoporosis (Osteoporosis facts & statistics.2014). According to Osteoporosis Canada, 1 in 3 Canadian females and 1 in 5 Canadian males may suffer fractures due to osteoporosis during their lifetime (Osteoporosis facts & statistics.2014). Canadian health care system spends 1.2 billion dollars for the acute hospitalization caused by osteoporosis and in 2010 the health care system spent 3.9 billion dollars for the total treatment of osteoporosis (Osteoporosis facts & statistics.2014). Osteoporosis can be screened and diagnosed by various methods; however the dual energy x ray absorptiometry (DXA) is commonly used. If the T-score values are less than -1 and greater than -2.5SD it is termed as osteopenia,

Osteoporosis is often called “the silent disease” because there are no symptoms in the early stages of bone loss. As time progresses, the bones become weak and common signs and symptoms may include loss of height, bone fracture, back pain, a stooped posture, and a humped back known as dowager’s hump or kyphosis. Most people do not know that they have osteoporosis until they have a sudden bump, strain or fall that causes a bone to fracture (Lewis, p.1635). The most common type of fracture occurs in the bones of the vertebrae, forearm, femoral neck, and proximal humerus. Differential diagnosis for osteoporosis include osteoarthritis, osteomalacia or rickets, inadequate mineralization of existing bone matrix (osteoid), multiple myeloma, metastatic cancer, paget disease of bone, renal osteodystrophy (Papadakis & McPhee, para.2).

The term osteoporosis describes bone loss that is extensive enough to increase the risk of fracture. The term is a general one, not related to any specific cause for the bone loss. Nearly all people with OI have osteoporosis, because they do not develop appropriate bone mass at any age. Women and men with OI can experience additional bone loss, such as age-related bone loss, superimposed on a background of OI. Symptoms of additional bone loss may appear at a younger age than commonly seen in people who don’t have

According to the National Osteoporosis Foundation, “About 54 million Americans have osteoporosis and low bone mass, placing them at increased risk for osteoporosis. Studies suggest that approximately one in two women and up to one in four men age 50 and older will break a bone due to osteoporosis.” The bone disorder may be common, but there are many risk factors for osteoporosis. Osteoporosis usually happens with elders, especially in postmenopausal women. According to Human Anatomy and

Osteoporosis is a devastating bone disease in which bones become porous and brittle and are more susceptible to fractures; according to Johnell O and Kanis JA (2006), “Worldwide, osteoporosis causes more than 8.9 million fractures annually, resulting in an osteoporotic fracture every 3 seconds.” Osteoporosis is the result of several factors including diet and lifestyle choices, age, disease and medications, but the underlying cause is due to bone loss occurring faster than the body can replace it.

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