Flashcards in Osteoporosis Deck (18):
Major Osteoporosis factors
Decrease in height, rounding/humpback
Menopause/hysterectomy before 45 or amenorrhea
Long-term restricted diet or yoyo dieting
Not enough sun!
Not enough strength exercises!
Minor osteoporosis risk factors
Salt intake (urinary calcium)
Smoking less than a pack a day
High animal protein intake
Packaged convenience food intake
Carbonated soft drink intake
High fiber intake (phytate)
Lots of coffee
Lots of stress
Lots of antacids
No birth control
Vitamin A too much
Medical conditions or medications that increase osteoporosis risk
Corticosteroid, anti-convulsant, anti-coagulant, aluminum containing antacids, acid blockers, aromatase inhibitors, non-thiazide diuretic meds
Gastric sx or malabsorptive dz
RA, DM, Hyperthyroidism, cushings, endocrine disorders, alcoholism, kidney dz
Who should receive bone mineral density testing?
Women > 65, men 65, major risk favtors + menopause
Women and men
Good diet for reduction of osteoporosis
Adequate calories and protein
Low sodium and caffeine
Low salt, protein, high calcium (milk, yogurt, hard cheese, tofu made w/ calcium, chinese cabbage or greens, bok choy, kale)
Alkaline ash diet
Avoid smoking and excessive alcohol
DON'T YOYO DIET
3 reasons lots of soda = increase osteoporosis risk
High sodium, caffeine, phosphoric acid
Better dairy products
Low in salt and protein, high in calcium = milk/yogurt
Poor choices for dairy products
High in salt and protein, low calcium = cottage cheese, american cheese
Most concentrated andmost cost effective! Must take with meals for good absorption.
Patienst with kidney stone risk. Take with meals
Calcium citrate-malate and microcrystalline hydroxyapatite
Diagnosed osteoporosis and fractures
Vitamin D does whatc
Improves neuromuscular function
Deficiency = muscle weakness
+ calcium = increased bone density, prevents fractures in postmenopausal women and elderly men
What should you take with vitamin D to inpmrove effectiveness?
Besides calcium, what else helps to reduce bone loss?
K, Copper, Magnesium, manganese, zinc!
Ipriflavone, why controversial?
Revereses bone loss + calcium
Only use for very bad osteoporosis patients
Reported low WBC as side effect
vitamin K in bone formation?
What metabolite in blood = indicator of inadequate vitamin K status?
Decreases urinary calcium loss in postmenopausal women.
Under-carboxylated osteoclaci in blodo = increased fracture risk
Reduces undercarboxylated osteocalcin, improves bone density
Reduces bone loss
5000 mcg/day reduced risk by more than 50%