Osteoporosis literally means ‘porous bone’ and is a disease that weakens bones, increases the risk of sudden and unwanted fractures, and leads to a loss of bone mass and strength. With an average life expectancy of more than 70 years, most women will experience more than a third of their lives after the menopausal transition, therefore, Health of the Menopause Women become the top concern all over the world.
Menopause is a natural physiological phenomenon caused by ovarian failure when ovarian function declines with age, at the onset of menopause, the hormone estrogen will decrease. During this period, women show prominent symptoms such as hot flashes, night sweats, atrophy and vaginal dryness, but besides that, osteoporosis is the most common disease in postmenopausal women and closely related. to low quality of life.
In an interview with HT Lifestyle, Dr Nanda Rajaneesh, endoscopic and general surgeon at Apollo Spectra hospital in Bangalore, explains: “Osteoporosis is characterized by low bone mineral density and deterioration bone tissue leading to fragile bones. It occurs mainly in women 10 to 15 years after menopause. The main health threat of osteoporosis is a fracture that occurs at a site associated with low bone mineral density, usually in the spine, hips, wrists, ribs, or ribs. Patients may not know they have osteoporosis until the bones are so weak that they are stretched or a sudden fall causes a fracture, leading to severe back pain, loss of height, or spinal deformity in such a stooped position.” .
Management of postmenopausal osteoporosis:
Postmenopausal osteoporosis is the most common problem among Asian women, and it is as dangerous as cardiovascular disease. Osteoporosis is a condition in which a decrease in bone mass, increases the fragility of bones and thus increases the tendency to fracture.
Dr. Nanda Rajaneesh has consulted menopausal hormone therapy and said, “The lowest effective dose of the hormone estrogen is used to prevent bone loss. It usually begins in women younger than 60 and/or less than 10 years after menopause. For women over 60 years of age and/or older than 10 years after menopause, drugs such as: Bisphosphonates- alendronate, selective estrogen receptor modulator (SERM)-recombinant parathyroid hormone raloxifene human- abaloparatide, teriparatide injection. “
She adds, “Denosumab (a monoclonal antibody that prevents bone breakdown), calcium, and vitamin D should be taken as basic nutritional supplements. Lifestyle adjustments such as regular weight-bearing exercise such as walking, hiking, climbing stairs, or jogging. Regular 30-minute exercise at least 3 to 4 days a week along with a healthy diet can increase or maintain bone mass. Eat calcium-rich foods like milk, fish, green leafy vegetables, and ragi. Quitting smoking, alcohol, and fall prevention strategies can also play an important role. “
Dr. Vanaja Shivkumar, Senior Consultant at Milann Fertility and Fertility Hospital in Bangalore’s Kumara Park, recommends, “We can prevent osteoporosis by maintaining an adequate calcium diet. and vitamin D, exercise, avoiding alcohol and smoking and having a healthy lifestyle are important. Subjects at risk are mainly postmenopausal women, people with a family history of osteoporosis, Asian races with low body weight, thin women (due to lack of estrogen), women who are taking steroid medication, having alcohol and tobacco use, immobility, and other medical conditions. “
“The mainstays of osteoporosis treatment are a well-balanced diet along with calcium- and mineral-rich prunes, and low-fat dietary products like calcium-rich milk and yogurt,” she revealed. and vitamin D, all legumes are rich in copper, magnesium and minerals, cabbage, broccoli, fatty fish and other green leafy vegetables are rich in calcium and magnesium. Lifestyle changes such as bone strengthening exercises involve all joints and regular and minimal sun exposure. There are drugs to slow down bone breakdown, which is estrogen. Estrogen receptor modulators are selective, but these drugs will not prevent hip fractures and there is also a risk of blood clots.”
