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In
the Spotlight
Putting
the Brakes on Bone Breaks Caused by Osteoporosis
By
Lee Phillips M.D.
Personal MD.com Advisory
Board
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Test
Results
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Bone
measurement test results are reported as a "T-score,"
indicating how far the measurement is below that of a
normal person age 20 - 29:
- Your
bone strength is normal if you have a T-score
above -1.
- You
have osteoporosis if you have a score below
-2.5.
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general, your risk of a fracture doubles for every point
below zero. For example, if you have a score of -2.0, you
have twice the risk of fracture of someone with a score
of -1.0. |
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The results of a bone measurement test are site-specific
and tell you something about the part of the bone which
is measured. But, since bone loss occurs over the entire
body, the results at any one site also tell you something
about the condition of your bones overall |
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Questions
and Answers About Bone Density Testing
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Should
everyone have bone measurement testing?
No,
these are not screening tests. The decision for bone testing
is made based on risk factors, such as age, medications,
medical history, and family history with your physician.
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I
had bone testing done and the results were normal. Am
I safe?
No.
The abilityof bone strength testing to predict fractures
is limited. The fact that one site has a normal result
does not guarantee that bone density is normal in other
sites.
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How
often should I have bone measurement testing?
Repeating
the test at intervals of less than two years usually will
not lead to useful results
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Strategies
for Bone Health
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Everyone
should consider the following measures:
- Diet--Increase
calcium intake from an early age to increase maximum
bone density. Foods that are rich in calcium are dairy
products, dark green leafy vegetables, tofu, and almonds.
Dietary supplements are also helpful and may be necessary
for some people to assure adequate intake. The National
Academy of Sciences recommends that an "Adequate Intake"
of calcium is 1,000 mg/day for individuals under age
50, and 1,200 mg/day in those over 50 years. Vitamin
D is also important for calcium absorption and bone
health. The recommended daily amount is 400 - 800 IU.
- Exercise--Particularly
weight-bearing activities such as walking and jogging.
- Lifestyle--Stop
smoking, limit alcohol use
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Who
Will Get Osteoporosis?
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The
risk of osteoporosis is greater in:
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Women after menopause
- Caucasian
and Asian women, though African American women are also
at risk
- Women
with a family history of osteoporosis
- Women
with small bone frames, thin women
- Women
and men with certain uncommon medical conditions (such
as hyperparathyroidism) or use of certain medications
such as cortisone, heparin, seizure medicines, and some
cancer treatments
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