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The 2017 annual meeting of American Society for Bone and Mineral Research took place from September
8-11 at Denver, Colorado, USA.
It is world’s
largest and most diverse meeting in the bone, mineral and musculoskeletal
research field.
Some
interesting facts about bone health:
Bone mass
peaks around age 30 and slowly starts to decline, the rate of loss accelerated in
the first few years after menopause.
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Experts
recommend testing for BMD in women who have suffered any fracture at age 45 or
older and at age 50 for women who have a family history of hip fractures or
other bone-related disease.
All women
above the age of 65 should have a baseline BMD testing done. However, after a
fracture 4 out of 5 women over 67 are not treated or tested for osteoporosis.
US and other
countries round the globe will see a steep rise in osteoporotic fractures
because of rise in aging population. Nearly 1 in 3 women and 1 in 5 men over
the age of 50 will suffer an osteoporotic fracture.
Osteoporosis
affects nearly 10 million Americans while another 34 million have low bone mass
predisposing them to fracture risk.
Worldwide a
fragility fracture occurs every 3 secs, amounting to more than 8.9 million
fractures annually.
Institute of
Medicine recommends that adults 19 years of age and older require about 600-800
International Units of vitamin D daily and 1000-1200 mg. of calcium daily through
food and with supplements if needed.
By 2050, the
worldwide incidence of hip fracture in men is projected to increase by 310% and
240% in women, compared to rates in 1990.
Is it at possible to assess, albeit grossly amount of Calcium and or vit D ingested in food in province wise on individual basis –thereby enabling quantum of suppl of Ca & Vit D? If in practical terms this task (assessment of Ca &Vit D ) intake in diet is impossible then what may be the average suppl of Ca & Vit D as exogenous source as Tab/Cap form ? A National suppl average ignoring the amount consumes on individual basis.
ReplyDelete.I have a feeling individual assessment and then formulating individual suppl, is practically not possible in any country. If not then we have to adopt a policy of universal country wise supplement of Ca vit D supplement as we do In India by adopting the policy of prescribing 100 mg elemental Fe Do after first trimester ignoring the nutritional status and type of diet she consumes
“National Osteoporosis Prophylaxis Programme” exists in India , I intend know which other countries have implemented such "National Osteoporosis Prevention program"and what the the cost & Outcome so far as fracture reduction is concerned?
ReplyDeleteOf the two commonly used methods of prevention of osteoprotection in elderly and in men & women above 55 yrs of age which method is found to be most effective? Is it 1) Vit D & ca rich diet .Or 2) regular weight bearing or stretching isometric exercises. Which one is superior??
ReplyDeleteWhat are the components of Fracture Risk Assessment (FRAX) “? How helpful is to have bone densitometry machine at their own clinic for such assessment for the genl gynecologist? Or, should Gynae specialists refer their patients for bone densitometry elsewhere?
ReplyDeleteHow early & indications of such group of SERM drugs (Raloxifene) or Alendronate group of drugs may be initiated keeping in mind that most women (so committed at this age with family bindings)-will not exercise, change their dietary habits (as strongly suggested by Drs N Agarwal & Nirmala Gupta of that Society) or change their lifestyle. Some cannot give up smoking too? Therefore early assessment and initiation of anti-fracture measures be initiated, How many of us are doing this job? Should we initiate premenopausaly -& then with what agent?
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