|
|
Rising Against Osteoporosis
At
birth, our 270 bones lack calcium. As we grow, a bone's soft collagen framework
rapidly stores calcium. Bones lengthen at special structures near their ends
called growth plates. The growth plates allowed your bones to grow longer, while
the rest of the bone remained strong to handle the forces you generated as an
active youngster. When you reached your maximum height and linear growth
stopped, the growth plates closed permanently. Some bones fuse together during
growth, resulting in the 206 bones of the adult skeleton.
By the time you reach your twenties, you have achieved your peak bone mass. That
is, your bones are as dense as they are ever going to be. Then, for your bones
(as for many things), it is pretty much all downhill from there. But you can
change the slope of that decline by the choices you make about diet and
exercise.
Having strong, dense bones in your twenties is critical for preventing
osteoporosis later in life.
Prevention with Exercise and Calcium
The
two factors over which you have the most control are your calcium intake
and the amount of bone-loading exercise you get.
Your peak bone mass is like your retirement fund, the nest egg that you will be
living off later in life. (More accurately, the shell of the nest egg, as that
is where eggs have all their calcium.) As an adult, your job is to preserve the
nest egg.
To build up their accounts, growing adolescents need approximately 1500 mg of
calcium each day plus regular weight-bearing exercise.
Exercise to Treat Osteoporosis :
Exercise is an important part of your care if you have osteoporosis. You can
benefit from:
-
Endurance
and strength-training exercises- In the first category, your goal is to
use physical activity to strengthen your bones. Remember that weight-bearing
endurance activities and strength - training exercises strengthen your bones
best. Good choices for endurance activities are walking, stationary cycling,
and water aerobics. For those with weakened bones, these activities avoid
the excessive spinal loading of higher impact activities such as jogging or
step aerobics. Endurance activities strengthen your leg muscles, and
additional weight-training exercises can be gradually added to your
workouts. Because of the potential for injury, begin weight lifting only
after getting the advice of your health care provider. To make sure your
technique and the lifts are appropriate, weight or strength training should
be initiated with a physical therapist's supervision.
-
Learning
posture and body movements that reduce your risk of injuring a bone-
Exercises that help maintain your posture and increase your stability while
moving will reduce stress on your spine and decrease your chance of falling.
Those activities include stretching your calf and strengthening your thigh
muscles. Your quadricep muscles (the front of your thigh) is strengthened by
extending your leg while sitting. Moving your leg backward while standing
strengthens muscles on the back of your thigh. As you become stronger, an
elastic band can be used to increase the resistance to your movements.
Having a rounded back puts more stress on your vertebral bodies, increasing
the risk of a compression fracture. Maintaining the normal lordosis, or
forward sway, in your lumbar spine reduces the compression forces of your
vertebral bodies.
-
Activities
to prevent falls - If you fall, your risk of breaking a bone goes up as
your bone density decreases. Besides strengthening your leg muscles, you can
reduce your risk of falling by engaging in physical activities that improve
your balance. The exercise Tai Chi has proven
especially beneficial for improving balance. Tai Chi is a Chinese exercise
that originated in the sixth century B.C. It is based on a set of 81
maneuvers, each done slowly, with one movement flowing gracefully into the
next. In studies among the elderly, Tai Chi can increase fitness,
coordination, balance, and body control. When studied, Tai Chi has been more
effective than other physical activities for preventing falls. The exercises
can be learned from videotapes and books on Tai Chi. However, it is best
learned in a class, where an instructor can coach you on the movements.
Your Simple Calculated
Osteoporosis Risk Estimate (SCORE)
|
Your Score
|
Add the points:
|
|
|
|
-
If you are not African-American add 5 points
|
----------
|
-
If you have rheumatoid arthritis add 4 points
|
----------
|
-
If you have broken a bone with a minor injury after age 45,
add 4 points for each fracture (maximum score 12)
|
----------
|
-
If you have gone through menopause and have never received
estrogen therapy add 1 point
|
----------
|
-
Add 3 times the first digit of your age (for example, 74
years old = 7*3 = add 21)
|
----------
|
-
Divide your weight in pounds by 10 and round the result to
the nearest
|
----------
|
-
Whole number * for example, 163 pounds divided by 10 = 16.3,
which rounds off to 16). Then, subtract your result from your
score
|
----------
|
|
|
Your total score is
If your total score is more than 5, you are at high risk for
osteoporosis.
|
|
Related Links
|
|
|
|
|