Press-Telegram (Long Beach)

Standing tall as you age is important

- Dr. Angela Sie Guest columnist

For the first three decades of your life, your bones are in a constant state of renewal.

But by the time “people enter their

40s and 50s, more bone may be broken down than is replaced,” according to the National Institute on Aging. Osteoporos­is is a condition that occurs when new bone growth doesn’t keep up with bone loss. It results in weakened and brittle bones — making them more susceptibl­e to fractures, especially in the hip and wrist.

Signs to be wary of include back pain, loss of height, stooped posture and bones that break easier than expected. Per the Mayo Clinic, “white and Asian women — especially older women who are past menopause — are at highest risk.” Overall, 5.1% of men and 24.5% of women 65 and older have osteoporos­is of the neck or spine, according to the U.S. Centers for Disease Control and Prevention.

Risks

While everyone is at risk for osteoporos­is, there are some unchangeab­le factors that increase your chances of developing the condition, including:

• Women are at a higher risk than men.

• Your risk increases with age.

• Those of White and Asian descent are at a higher risk.

• Osteoporos­is is more common in those with lowered sex hormones, which is why the reduction in estrogen at menopause increases a woman’s risk.

• Certain medical problems, including cancer, lupus and kidney disease, have been linked to a greater chance of receiving an osteoporos­is diagnosis.

Bone loss

No matter how old you are, however, you can still take steps to prevent bone loss and keep you stand

ing tall.

Many older adults are at risk for malnutriti­on due to a variety of causes, like less appetite, but being underweigh­t can increase your risk of bone loss and fractures. In older adults, it is recommende­d they have a body mass index between 25 and 27, rather than under 25. Work with your physician to ensure you are at an ideal weight for your body.

Calcium is also essential for bone health.

Women older than 50 and men older than 70 need 1,200 milligrams of calcium daily. Calcium can be found in lowfat dairy products, dark green leafy vegetables, and some calcium-fortified cereals and orange juice. In addition, vitamin D helps your body absorb calcium. To get enough vitamin D for bone health, sometimes a supplement is needed. You can find out more about your vitamin D levels from a simple blood test.

No matter your age, exercise will benefit your bones.

It is recommende­d that strength training exercises be combined with weight-bearing and balance exercises. Strength exercises, such as lifting weights, help the muscles and bones, especially in the arms and upper spine. Weight-bearing exercises, including walking, affect the bones in the lower half of your body. Balance exercises, such as tai chi or yoga, reduce the risk of falls. While swimming and cycling are good cardiovasc­ular exercises,

they don’t improve bone health because they are not weight-bearing.

Even if you have already been diagnosed with osteoporos­is, you can still do modified exercises to prevent further bone loss.

Another great way to take care of your bones is by taking steps to prevent falls. Easy ways to prevent falls include wearing properly fitting clothes, no slippery socks or flip flops, removing all loose rugs, and installing aids like handrails or stair lifts where appropriat­e.

Diagnosis

Osteoporos­is and bone loss can be diagnosed through a bone density machine that uses a lowdose X-ray to scan the minerals in your bones. The U.S. Preventati­ve Services Task Force recommends that high-risk women 65 and under and all women 65 and older undergo screening for osteoporos­is.

As with any diagnosis, treatment is unique to each patient. Depending on your risk, treatment may include medication or lifestyle modificati­ons.

Consult with your primary care physician to determine your unique risk for osteoporos­is and whether you should add any supplement­s to your daily routine.

After obtaining an order from your doctor, you can schedule a bone density exam at a MemorialCa­re Breast Center by calling 562-933-7880.

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