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Osteoporosis is a major health problem with more than 10 million Americans affected by poor bone health.  It is estimated that another 44 million have osteopenia which can become osteoporosis. Osteoporosis and osteopenia cause softening of the bones and can lead to fractures of the spine and long bones. It occurs in women 2 x more common than men. 

Men are at the greatest risk at 75 years of age.


Osteoblast promote ossification or increased bone density

Osteoclast promote bone resorption or decreased bone density


When we are young our osteoblast makes more bone than our osteoclast can breakdown and strong bones are created. In the mid 30s osteoclast function better than osteoblasts and you start to lose bone overtime. 


When bone health is adequate we will continue to make strong bones as we age.


Who is at the most common risk of accelerated bone loss after postmenopausal period?

 White and Asian women followed by African American and Hispanic women.


What ethnicity has the most osteoporosis?


More women suffer from hip fractures than men, but the mortality in men is greater by nearly 50%.



Cost of Osteoporotic fractures is estimated $19 Billion in healthcare expenditures annually.  This is expected to rise to 25.3 billion by 2025.


What are the types of fractures and how many a year?



What are your risk factors that can lead to osteoporosis?



What is the gold standard of diagnosing osteoporosis?

DEXA (dual-energy x-ray absorptiometry) of the hip or spine with T-score measurements.


What does a T-score mean?


WHO Criteria for Diagnosis or Osteoporosis by T-Score


When should I be treated if I am a woman over 50 years and postmenopausal?  When the T-score is less than -2.5



What are the most common medications associated with secondary osteoporosis?

Glucocorticoids, even small doses for long periods of time


What are secondary causes of Osteoporosis?



How do I prevent osteoporosis?


Factors that increase your fall risk?


How to prevent falls:


Signs indicating Osteoporosis?

Dovie McVean, MS, PA-C Certified Physician Assistant, Orthopedic Surgery & Nutritionist

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