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Dr.maninder Ahuja Chairperson Geriatric gynaecology committe FOGSI

Dr.maninder Ahuja Chairperson Geriatric gynaecology committe FOGSI Chairperson public awareness committee (IMS). Woman is the axle around whom the family, society nay! The whole universe is revolving .So her health is of utmost importance at all stages of life more so in Menopause.

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Dr.maninder Ahuja Chairperson Geriatric gynaecology committe FOGSI

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  1. Dr.maninder Ahuja Chairperson Geriatric gynaecology committe FOGSI Chairperson public awareness committee (IMS) Dr.MANINDERAHUJA

  2. Woman is the axle around whom the family, society nay! The whole universe is revolving .So her health is of utmost importance at all stages of life more so in Menopause Dr.MANINDERAHUJA

  3. Women have to spend more years in menopause as life expectancy is increasing from 26 yrs in Roman era to 65 yrs in India 80 yrs average world wide. • Average age of menopause is 46-52 yrs so they have to spend 1/3 of their life in menopause • More women are there in menopause and more problems are being recognised • No family ,social or state support system ,so they have to remain active. Dr.MANINDERAHUJA

  4. what is osteoporois? Osteoporosis causes weak bones. In this common disease, bones lose strength . They become fragile and break easily. Fracture even on fall from standing height or silent vertebral fractures Normal Bone Bone with Osteoporosis Dr.MANINDERAHUJA

  5. Often called the “silent disease” • Bone loss occurs without symptoms • First sign may be a fracture due to weakened bones • A sudden strain ,bendingor bump can break a bone Dr.MANINDERAHUJA

  6. The number of osteoporotic hip fractures has quadrupled in the past decade • 1 out of 3 females in India suffers from osteoporosis, largest affected. • 26 million with thenumbers projected to increase to 36 million by 2013.(Osteoporosis Society of India (2003) • By 2050 1 out of 2 hip fractures would occur in Asia • A woman’s risk of developing an osteoporosis-related hip fracture is equal to her combined risk of developing breast  uterine and ovarian cancer. Dr.MANINDERAHUJA

  7. Osteoporotic Fracture 1,200,000 NO OF FRACTURES IS MORE > 1 million Breast Cancer 1,84,000 > 5.5 X Strokes 228,000 > 4.4 x Heart Attack 513,000 > 2.0 x OSTEOPOROSISIN WOMEN : CONCERN Dr.MANINDERAHUJA

  8. “What will you do if you can’t drive?” Osteoporosis robs you of your independence, friends shopping parlour You can’t do anything worship doctor Dr.MANINDERAHUJA

  9. HAD SOME BODY TOLD ME EARLIER! • “If somebody had told me sooner what I know now about osteoporosis, none of this might be happening to me!” Dr.MANINDERAHUJA

  10. “Medications are expensive. But I can’t afford to let my condition get worse and this medicine will help stop or slow down the bone loss.” Medicines ?cost? Dr.MANINDERAHUJA

  11. Osteoporosis Is preventable Dr.MANINDERAHUJA

  12. Osteoporosis is for elderly women • Fact is it can strike at any age • You’re never too young or old to improve bone health! So start at any age. Dr.MANINDERAHUJA

  13. By DXA SCAN • WHO CLASSIFICATION • NORMAL A T-score within 1 SD (+1 or -1) of the young adult • OSTEOPENIA A T-score of 1 to 2.5 SD below the young adult mean (-1 to - 2.5 SD) • OSTEOPOROSIS A T-score of 2.5 SD or more below the young adult mean (> - 2.5 SD) • It takes about 10 years for change of 1 SD For each standard deviation decrease in femoral neck BMD,there is an approximate 2.5-fold increased risk of hip fracture. Dr.MANINDERAHUJA

  14. spine wrist HIP Dr.MANINDERAHUJA

  15. Hip fractures account for 300,000 hospitalizations annually. Costs involved is very heavy in lacs for individual and in billions for the State RISK OF DYING WIHTIN FIVE YEARS IS DOUBLED You may not be able to walk again!! Dr.MANINDERAHUJA

  16. SILENT FRACTURES OF BACK BONES! • Most of time undiagnosed 500,000 spinal fractures,compression or wedge fractures, • Losing height .>2cms • Back pain • Kyphosis • In extreme cases chest compression • Abdominal space reduced and problems of eating and digestion Dr.MANINDERAHUJA

  17. Dowager’s hump. • Marked thoracic kyphosis due to multiple osteoporotic fractures in elderly woman. Dr.MANINDERAHUJA

  18. 200,000 broken wrists Limited movement Quality of life impaired Dr.MANINDERAHUJA

  19. Calcium is deposited and withdrawn from bones daily. • Bones build to about age 30. • We need to build up a healthy bone account while young and continue to make deposits with age. Dr.MANINDERAHUJA

  20. After mid-30’s, you begin to slowly lose bone mass at increased rate of 4-5% /yr • Women lose bone mass faster after menopause, • Bones can weaken early in life without a healthy diet and the right kinds of physical activity. Dr.MANINDERAHUJA

  21. If you have any of these “red flags,” you could be at high risk for weak bones. Talk to your doctor. Dr.MANINDERAHUJA

  22. 1 • Older than 65 • Broken a bone after age 50 • Close relative has osteoporosis or .has broken a bone • Health is “fair” or “poor” • Smoke • Underweight for your height /BMI<19 Dr.MANINDERAHUJA

  23. 2 • You started menopause before age 40 • You never got enough calcium • You take more than two drinks of alcohol .several times a week • You have poor vision, even with glasses ,poor hearing • you sometimes fall • you are not active Dr.MANINDERAHUJA

  24. 3 You have one of these medical conditions: • Rheumatoid arthritis • Hyperthyroidism • Chronic lung disease • Cancer • Inflammatory bowel disease • Chronic liver or kidney disease • Hyperparathyroidism • Vitamin D deficiency • Cushing's disease • Multiple sclerosis Dr.MANINDERAHUJA

  25. 4 You take one of these medicines: • Oral glucocorticoids (steroids) • Cancer treatments (radiation, chemotherapy) • Thyroid medicine • Antiepileptic medications • Gonadal hormone suppression • Immunosuppressive agents Dr.MANINDERAHUJA

  26. Start building healthy bones while young. • Healthy diet and lifestyle are important for BOTH men and women. Dr.MANINDERAHUJA

  27. Dr.MANINDERAHUJA

  28. Latest reports say “in utero origin of osteoporosis also,genetic factor Chan GM et al. Growth and bone mineralization in children born prematurely. J Perinatol 2008 Sep; 28:619 AGE IS NO BAR Dr.MANINDERAHUJA

  29. Get your daily recommended amounts of calcium and vitamin D. Dr.MANINDERAHUJA

  30. Engage in regular weight-bearing /resistance exercise. Even simple activities such as walking, stair climbing and dancing can strengthen bones. Dr.MANINDERAHUJA

  31. beer 5 oz. 12 oz. 1.5 oz. wine Avoid smoking and excessive alcohol. whiskey no more than 1 drink per day for women and 2 for men. Dr.MANINDERAHUJA

  32. Talk to your doctor about bone health. Dr.MANINDERAHUJA

  33. Have a bone density test and take medication when appropriate. Source of photo: USDA ARS Photo Unit Photo by Peggy Greb Testing is a simple, painless procedure. Dr.MANINDERAHUJA

  34. No loose rugs • Good lighting at night • Supports in the bath rooms • Don’t lock bath rooms • Proper glasses for eye sight • Balance exercises • No sedatives • Proper hearing aids • Vit. D also helps in fall preventio Dr.MANINDERAHUJA

  35. Dr.MANINDERAHUJA

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