Posts Tagged ‘Bone Density’
Spring is here. The birds are singing. Soon flowers will be blooming. All the world is coming to life. And more hips will be breaking.
32% of all hip fractures (nearly 1/3) occur in Spring! Nearly 1/3 of hip fractures over 70 are in men. And nearly 1/3 of those men die within months from medical complications initiated by their hip fractures. Dangerous!
What can we do to avoid those fractures? Decrease Fracture Risk! How? Do the following:
It is March; this is Iowa; almost 90% of persons not on major doses of Vitamin D3 are low. (By late September that falls to less than 60% that are low.) Remember that if you have a low Vitamin D level, you cannot absorb enough of the Calcium you consume in food and/or supplements. Take extra Vitamin D3.
Remember that while Calcium Citrate is always absorbable, Calcium Carbonate often is not. Remember that you need enough Magnesium to absorb Calcium. A Senior Multiple Vitamins & Minerals has enough Magnesium for those of us over age 50, and lots of other good stuff too.
Protein is a big deal, especially over age 60, when our protein needs actually increase. 80% of bone and 90% of muscle are protein. Regular exercises, including Balance Exercises, are necessary to Prevent Falls.
Take Control Naturally with proper nutrition and exercises.
Jay Ginther, MD
DXA is very good at determining Bone Mineral Density (BMD), provided you look at the images and over-read the computer. DXA alone is less good at predicting Fracture Risk. But, Fractures are what we want to avoid.
At the International Society for Clinical Densitometry (ISCD) meeting this week, we will discuss the other modalities, which supplement DXA to obtain greater accuracy. Vertebral Fracture Assessment (VFA) helps evaluate bone quality. FRAX was specifically designed to predict Fracture Risk. QCT (Quantitative Computerized Tomography) has been added in recent years as an alternative to DXA.
ISCD will discuss adding TBS (Trabecular Bone Score), Hip Structural Analysis, Hip Axis Length, and uses of Central CT. We are constantly pushing toward our goal – Prevent Fractures.
Preventing Fractures is not just DXA. Get a Complete Bone Health Evaluation.
Take Control of your future. Check your bone health.
Jay Ginther, MD
Wrong Question! What you should be managing is Fracture Risk. If you only look at Bone Mineral Density (BMD), you miss the chance to decrease Fracture Risk in the overwhelming majority of people.
85% of the women who Fracture have a DXA score of “osteopenia” or even “normal”. Keeping their bone density at “only osteopenia” does them no favor. So how can you manage Fracture Risk?
I recently saw a patient who has not improved her Bone Mineral Density despite 2 years of Forteo followed by 3 years of Reclast. The good news is that she stopped having Fragility Fractures. But she is very disappointed that her BMD has not improved.
Her problem is obvious. She is willing to take high-powered osteoporosis medications. She is not willing to take Calcium either in her diet or in supplements.