Dr. Ertan Beyatlı

Causes Bone Melting?

(Update: ) - general subjects

What is osteoporosis?

It is when bones are fragile. Latin Osteoporosis Stop. This also means 'porous bonesis. - It is usually seen in the wrist, spine and hip. Prevention of this disease is more important than treatment.

How does osteoporosis occur?

Two types of cells work constantly on the bones. Cells that break down bone (Osteoclasts) and adhere (Osteoblasts). Each cycle normally takes 200 days. Many factors such as hormones, exercise, food (vitamin D and calcium) affect this bone replacement process. When this balance is disturbed, bone resorption begins.

Osteoclast and osteoblast
Relationship between osteoclast, osteoblast and osteoporosis

Who are at risk?

Everyone starts to lose bone density after the age of 35. This is a normal part of aging. However, this is more common in older women after menopause, due to the decrease in estrogen hormone. After menopause, bone can be lost more rapidly within 5-10 years.

Some of the reasons that increase the risk are as follows:

  • Family history of osteoporosis
  • Early menopause
  • Steroid therapy
  • Anorexia nervosa
  • Low body weight
  • Malnutrition, Smoking, Excessive alcohol intake
  • Inactivity or lack of exercise
  • Long-term untreated hyperthyroidism
  • Long-term overtreatment hypothyroidism
  • Rheumatoid arthritis celiac disease and other disease such as primary hyperparathyroidism

What is the link between thyroid disease and osteoporosis?

Too much thyroid hormone (i.e. T4 thyroxine, Hyperthyroidism) accelerates the rate of bone disappearance. Underactive thyroid (hypothyroidism) is not a risk factor for osteoporosis in itself, but osteoporosis may develop if over-treated with medications. Therefore, regular blood tests should be done at least once a year.

Prevent osteoporosis

  • Calcium-rich foods
  • maintaining normal vitamin D levels
  • smoking, reducing or avoiding alcohol consumption
  • regular exercise, jogging

Which foods contain calcium and vitamin D?

We need 700 mg of calcium daily. Calcium is most easily obtained from (preferably low-fat) dairy products such as milk, cheese, and yogurt. A glass of skim milk contains 880 mg of calcium.

If you do not like or cannot consume dairy products, certain types of fish and green vegetables such as okra and cress are good sources of calcium. Fatty fish like salmon, trout, mackerel, herring (including kippers) and fresh tuna contain vitamin D.

If there is not enough calcium or vitamin D in your diet and / or bone density it decreases, even if you are using another medicine for osteoporosis, then you should talk to your doctor about taking calcium and vitamin D supplements.

Source: National Osteoporosis Society (NOS) www.nos.org.uk

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