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Osteoporosis: Why Men Should Take this Condition a Little More Seriously

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Osteoporosis is a disease that causes skeletal weakness and decreased bone density making bones more susceptible to breaking. There has been very little evidence to show what causes osteoporosis. Many doctors have deduced that osteoporosis may not be more prominent in women; the disease hits men later in life. Though the risk of osteoporosis in men is lower than their female counterparts, an estimated 2.5 million men have this bone disease. Another 12 to 13 million men are at risk of osteoporosis.

An estimated one-fifth to one-third of all hip fractures in men is symptomatic of osteoporosis. However, most men are not even diagnosed until they have fractured a bone. Women typically show signs of the disease between the ages of 55-65 years, yet men don't show symptoms until much later, ages ranging from 65-75. This could be because men have a higher bone density. There have been studies done to correlate osteoporosis to whole lifetime exposure to sex hormones created by our bodies. However, no consensus has been reached on that theory. The best recommendation doctors are making is to take preventative measures. First, identify your risk factor. Second, find a supplement regimen that is comparable to your lifestyle.

There are two different forms of osteoporosis, senile osteoporosis and idiopathic osteoporosis.  Senile osteoporosis is caused by age related bone loss, which can be advanced due to a lack of essential mineral absorption.  This is a common factor later in life. The latter, idiopathic osteoporosis, occurs in men before the age of 65. The medical community considers this to stem from certain lifestyle behaviors, medications, and pre-existing disease or medical conditions.  The most common causes are: glucocorticoid medications, hypogonadism (lack of testosterone), alcohol abuse, smoking, gastrointestinal disease, hypercalciuria, and immobilization. Low calcium intake and lack of exercise are also synonymous with low bone density. Please talk to your doctor about extra preventative means if you suffer from any of the conditions listed above.

Luckily, treating osteoporosis has become a little easier in the past few years.  Your doctor should conduct a complete physical exam every year. This should include: height and weight measurements, urine and blood test, and a BMD test.

 “What’s a BMD test,” you ask?

A Bone Mineral Density measurement is a special type of X-ray that identifies and diagnoses osteoporosis at an early stage, when it can be treated with supplementation. There are several supplement companies that perform bone density screenings at local health food stores. Please check out your local health food stores for further information. If your doctor does not do regular bone density screening at your annual check-up, please voice your concern. Talking with your doctor now can increase your quality of life later.

Prevention is the best way to treat osteoporosis. Only 1 in 4 women, ages 45-75 ask their doctors about the risk of osteoporosis. Men, only 1-30 of you, between the ages 55-75, have asked your doctors about osteoporosis and its risks to you. The old standard, a healthy diet and regular exercise, holds true as the best means of prevention. The steps that you take now can benefit you later in life. Consider it to be a little added insurance. This is not only true to help prevent osteoporosis but a number of other health conditions, as well as those that have moved steadily into the mainstream - conditions such as diabetes, heart disease, and obesity.

A healthy diet consisting of calcium rich foods like sesame seeds, seafood, and dark leafy green vegetables are key ways of preventing osteoporosis.  Do not look to dairy sources as the best means of getting your calcium. Cheese contains very little calcium and an 8 ounce glass of milk contains only 20% of your daily requirement along with a much higher content of saturated fat and sugar. The recommended daily allotment of calcium is 1,000-1,200 milligrams and that’s a lot of milk!  If you realize that you do not get enough calcium in your regular diet, you may want to take a calcium supplement, preferably, a supplement that contains magnesium and vitamin D.  Vitamin D is crucial to the proper absorption of calcium and for normal cell and bone growth. Magnesium works as a catalyst for a number of minerals, especially calcium, to ensure that it is utilized by the body and not expelled as waste.

As for the benefits of exercise, no one is saying that you have to go the gym 6 days a week and lift weights with a personal trainer. However, weight bearing exercise seems to be the best way to maintain bone density and muscle tone. Applying walking, hiking, jogging, dancing, stair-climbing, or lifting small weights does, in fact, work. The recommendation from health care professionals is to perform some sort of exercise 30-45 minutes 3-5 days a week, or roughly 5-10 miles a week. If you suffer from a pre-existing ailment, be sure to speak with your health care provider before starting any exercise regimen. The more effort you make now can save you from tedious physical therapy later.

While the rest of the world it sighting osteoporosis as merely a women’s health concern, please be aware that it is a disease that we all should take more seriously. So, get up, get out, talk to your doctor, a nutritionist, or visit your local health food store for more information about supplementation. It is best if you start the process early, but it is never too late.

-N. Dussault (July 2005)

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