Osteoporosis For Dummies E-Book

Carolyn Riester O'Connor

• Herausgeber: John Wiley & Sons
• Kategorie: Ratgeber
• Sprache: Englisch

Seitenzahl: 371

Veröffentlichungsjahr: 2011

Beschreibung

Facts and advice to help people understand and prevent osteoporosis There are an estimated 55 million Americans over the age of 50 who have low bone mass. This easy-to-understand guide helps readers assess their risk and find a practical approach to the diagnosis, treatment, and prevention of osteoporosis. It covers bone density tests and a wide range of treatment options for osteoporosis-from hormone replacement therapy and acupuncture to calcium-rich foods, supplements, and exercise-and offers pointers on preventing broken hips and other common fractures.

Leseprobe

Osteoporosis For Dummies®

by Carolyn Riester O’Connor, MD and Sharon Perkins, RN

Osteoporosis For Dummies®

Published byWiley Publishing, Inc.111 River St.Hoboken, NJ 07030-5774www.wiley.com

Copyright © 2005 by Wiley Publishing, Inc., Indianapolis, Indiana

Published by Wiley Publishing, Inc., Indianapolis, Indiana

Published simultaneously in Canada

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Library of Congress Control Number: 2005923787

ISBN-13: 978-0-7645-7621-8

ISBN-10: 0-7645-7621-6

Manufactured in the United States of America

10 9 8 7 6 5 4 3 2 1

1B/RW/QW/QV/IN

About the Authors

Carolyn O’Connor graduated cum laude from Yale College with a bachelor of science degree in chemistry. She then traveled to Manhattan to attend Columbia College of Physicians and Surgeons. After medical school, she did her postgraduate training in internal medicine at The New York Hospital – Cornell Medical School. Her fellowship training in rheumatology was at Boston University Medical Center. Currently, she is chief of rheumatology and associate professor of medicine at Drexel University College of Medicine in Philadelphia. One of her major interests is metabolic bone disease. Her division of rheumatology runs the bone density program at Drexel.

She has two children; one has majored in philosophy and the other is studying mechanical engineering. Her outside interests include growing roses and struggling with the New York Times Crossword.

Sharon Perkins has been a registered nurse for almost 20 years, and currently works for a group of retinal doctors. Since she started treating an older population with macular degeneration, she sees way more osteoporosis than she wishes she did. She has five children and two daughters-in-law, two grandchildren, and a husband who recently retired from 20-plus years of flying airplanes and is currently hanging around the house.

Dedications

I dedicate this book to my many patients who trust in my advice. Truly, from listening to them and caring for them, I have learned more about osteoporosis than from reading any textbook.

Carolyn R. O’Connor, MD

For my granddaughter Emma, in hopes that osteoporosis will be fully preventable in her future.

Sharon Perkins

Authors' Acknowledgments

Many thanks to the following people:

* Antonio J Reginato, MD (in memoriam) friend and mentor, who taught me about metabolic bone disease and showed me my first case of osteomalacia 20 years ago

* Gerald F. Falasca, MD, who taught me how to read my first bone density reading

* Norman A. Johanson, MD, Chief of Orthopedic Surgery, Drexel University College of Medicine, who contributed invaluable comments to Chapter 13

* Susan Ott, MD, who supplied pathologic slides of bone disorders

Carolyn R. O’Connor, MD

One of my earliest memories is of my great grandmother, who my younger sister called “the grandma with the broken arm.” I’d just met my family history of osteoporosis, although I didn’t know it at the time.

Years down the road, my children remembered their great grandmother, daughter of my great grandma, who had fallen and broken her hip. Pictures show the inches she lost as she aged as evidence of vertebral compression fractures.

Osteoporosis runs in my family, but we never really put a name to it or did much about it. But because of the problems my relatives had, I was always aware of aging as being dangerous for your bones, and for that, I thank them.

I also have to thank my sister, Sue, for telling me I’d hate writing a book on osteoporosis, because “bones are boring.” She knows I love a challenge.

Thanks to all the rest of my family and my friends for occasionally remembering that I was writing a book and asking me how it was going. Sometimes I needed a chance to vent!

For all the people behind the scenes at Wiley Publishing, especially Kathy Cox, who never loses faith in me, thank you.

Dr. O’Connor and I both thank our acquisitions editor, Mikal Belicove, for the chance to write this book, as well as our marvelous project editor, Natalie Harris, copy editor, Chad Sievers, and technical editor, Deborah Kado. And once again, Kathryn Born has done a wonderful job on illustrations.

Sharon Perkins

Publisher’s Acknowledgments

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Some of the people who helped bring this book to market include the following:

Acquisitions, Editorial, and Media Development

Project Editor: Natalie Faye Harris

Acquisitions Editor: Mikal E. Belicove

Copy Editor: Chad Sievers

General Reviewer: Deborah Kado, MD, MS

Senior Permissions Editor: Carmen Krikorian

Editorial Manager: Michelle Hacker

Editorial Assistants: Courtney Allen, Melissa Bennett

Cover Photos: Steve Bly/Getty Images/Stone

Illustrations: Kathryn Born

Cartoons: Rich Tennant, www.the5thwave.com

Composition

Project Coordinator: Nancee Reeves

Layout and Graphics: Carl Byers, Andrea Dahl, Lauren Goddard, Stephanie D. Jumper, Mary Gillot Virgin

Proofreaders: Leeann Harney, Carl William Pierce, Dwight Ramsey, TECHBOOKS Production Services

Indexer: TECHBOOKS Production Services

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Publishing for Technology Dummies

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Composition Services

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Debbie Stailey, Director of Composition Services

Contents

Title

Introduction

About This Book

Conventions Used in This Book

What You’re Not to Read

Foolish Assumptions

How This Book Is Organized

Icons Used in This Book

Where to Go from Here

Part I : Understanding Your Bones

Chapter 1: Boning Up on Osteoporosis

Defining Osteoporosis

Who, Me? How Osteoporosis May Affect You

Why Early Diagnosis Is So Important

Improving Your Peak Bone Density — And Your Children’s

Evaluating Osteoporosis Therapy

Terminology 101: Keeping Your “Osteos” Straight

Chapter 2: Loving the Living Tissue Called Bone

Understanding Your Living Skeleton

Meeting Your Bones

Modeling and Remodeling

Building Up and Breaking Down: Your Bones Day by Day

Your Bones from Birth to Infinity: More Stuff to Know

Chapter 3: Breaking Down the Risk Factors

Assessing Your Risk Factors: Which Women Get Osteoporosis?

Focusing on Lifestyle Factors

Recognizing Medications That Cause Bone Loss

How Gastrointestinal Problems Can Affect Your Bones

Noting Other Diseases Associated with Osteoporosis

Reducing the Risks of Getting Osteoporosis

Chapter 4: Men and Kids Get Osteoporosis, Too

Taking a Closer Look at Who Else Gets Osteoporosis

Focusing on Osteoporosis in Men

Why Too Thin Is Bad for Bones — Especially in Teens

Yes, Little Kids Can Have Osteoporosis

Part II : Keeping Your Bones Healthy

Chapter 5: Eating Right for Good Bones

Getting Enough Calcium in Your Diet

Examining the Critical Role of Vitamin D

Nutrients You Probably Never Think About

Setting Down the Saltshaker

High Protein or Low Protein?

Assessing Alcohol in Your Diet

Decreasing Caffeine: Does it Matter?

Looking At How Your Weight Affects Your Bones

Chapter 6: Exercising for Strong Bones

Starting While You’re Still Young

Moving Your Bones to Build More Bone

Developing an Exercise Plan

Avoiding Injury While Exercising

Getting Down to the Nitty-Gritty: Choosing an Exercise Routine

Part III : Diagnosing and Treating Osteoporosis

Chapter 7: Facing the Consequences of Bones Gone Bad

Aging and Your Bones

Facing Fragility Fractures

Breaking Bones – Different Types of Fractures

Chapter 8: Finding (and Paying For) a Doctor to Treat Osteoporosis

I Looked in the Phonebook, But I Couldn’t Find Any Bone-ologists

Preparing to Meet the Doctor

Team Tactics: Setting Up a Care Plan with Your Doctor

Getting the Most Out of Your Insurance Plan

Chapter 9: Testing Your Bones

What’s Bone Density Testing, Anyway?

Deciding When to Have a Bone Density Test

DXA, SXA, PDXA, and More — Understanding This Alphabet Soup

Testing Bones in Other Ways

Interpreting the Results of Your DXA

Knowing How Often You Need a Bone Density Test

Chapter 10: Taking Prescription Drugs for Osteoporosis

Sorting Out the Different Types of Drug Treatment

Looking at Bisphosphonates for Building Up Bone

The Estrogen Replacement Controversy

Calcitonin: An Old Medication Standby

Building Bone with Teripeptides

Exploring New Directions in Medication

Chapter 11: Keeping Bones Strong with Over-the-Counter Supplements

Why Vitamin D Is a Major Player

Overdoing Vitamin A

Confronting the Cacophony of Calcium Supplements

Chapter 12: Managing Pain from Osteoporosis

Recognizing the Real Pain of Osteoporosis

“Oh, My Aching Back!”

Treating Acute Pain from a Fracture

Treating Chronic Pain: What to Do When Pain Goes On and On

Dealing with Pain without Medication

Chapter 13: Recovering from a Fracture When You Have Osteoporosis

Checking for Osteoporosis after a Fracture

Preventing Falls

Recognizing Breaks and What’s Most Likely to Break

How Long Does Bone Take to Heal?

Reducing the Chance of Another Fracture

Chapter 14: Focusing on the Future of Osteoporosis

Improving Osteoporosis Prevention

Looking at Future Technologies for Your Bones

Finding Future Medications

Repairing Collapsed Vertebrae: A New Surgical Treatment

Fighting Osteoporosis on an International Level

Battling Osteoporosis in the United States

Ongoing Research Regarding Osteoporosis

Part IV : The Part of Tens

Chapter 15: Ten Surprising Sources of Calcium

Drinking Mineral Water

Going Beyond Leafy Green Veggies

Munching on Nuts and Seeds

Eating Tacos for Dinner

Sending Out for Pizza

Taking One Latte to Go!

Chugging a Little OJ Today

Adding a Little Molasses

Indulging on Chocolate Cake

Powdering with a Different Twist

Chapter 16: Ten Things You Need to Know about Bones

Broken Bones Hurt!

Broken Bones Can Make You Sick — or Worse

Increasing Calcium Certainly Helps Decrease Fractures

Milk Is Really Important to Bone

You Don’t Get a Second Chance at Building Bone

Today’s Bad Habits Lead to Tomorrow’s Bone Loss

Getting Shorter Is No Fun at All

Your Bones Are a Storehouse of Necessary Minerals

Broken Bones Cost Society a Ton of Money

Bones Turn Over All the Time

Chapter 17: Ten Resources for Finding Out More about Osteoporosis

Staying Up-to-Date with the NOF

Relying on the NIH

Utilizing Expert Medical Facilities

Joining a Support Group

Chatting Online about Osteoporosis

Reading Books

Watching Videos

Talking with Your Doctor about Osteoporosis

Visiting Your Favorite Physical Therapist

Going Online for the Latest Information

Chapter 18: Top Ten Questions Dr. O’Connor’s Patients Ask about Osteoporosis

What’s the Best Type of Calcium for Me?

How Much Calcium Do I Need Each Day?

I Drink Plenty of Milk. Isn’t That Enough Calcium for My Bones?

What Exercises Are Best for Preventing Osteoporosis?

What’s the Difference between Osteoporosis and Osteoarthritis?

My Back Hurts. Is That My Osteoporosis?

What Else Can I Do to Improve Bone Strength?

My Family Doc Recommended a Bone Density Study. How Is It Done?

Which Is Better, Alendronate or Risedronate?

I’ve Had a Curved Spine Since My Teenage Years. Do I Have Osteoporosis?

Chapter 19: Ten (Or So) Parenting Tips to Build Strong Bones

The More You Exercise, the Stronger Your Bones Will Be

Drinking Milk Daily Builds Big Benefits for Bones

Shopping Wisely Is Worth the Extra Time

Don’t Let Lactose Intolerance Rob Your Child of Calcium

Avoid Carbonated Beverages

Watch for Signs of Anorexia

Know Your Family History

Set an Example about Eating Healthy

Help Your Teen Avoid Cigarettes and Alcohol

Appendix: Reviewing Osteoporosis Programs State by State

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

Glossary

Introduction

You may think you know enough about osteoporosis without reading a whole book on it. Take calcium, try not to fall down the basement steps, be prepared to shrink three or four inches as you get older, and so on, right? What else is there to know? Plenty, as we hope you’ll agree after reading this book. The unfortunate fact is that although nobody wants to have osteoporosis, not enough people take steps to decrease their chances of develop- ing it.