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Understanding Early Osteoporotic Changes and Enhancing Bone Health Throughout Life

This document discusses the early signs of osteoporotic changes in bone architecture, including loss of trabeculation and increased lacunar space. Investigations to rule out other causes typically focus on normal chemical parameters and utilize Bone Mineral Density (BMD) assessments. Emphasizing preventive and therapeutic measures, it highlights the importance of increasing bone mass during childhood, promoting calcium intake, encouraging physical activity, and avoiding obesity and certain medications. Daily calcium requirements vary by age and condition, with guidelines for children, adolescents, adults, and specific populations. Strategies to prevent fractures include avoiding high-strenuous activities and maintaining healthy habits.

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Understanding Early Osteoporotic Changes and Enhancing Bone Health Throughout Life

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  1. Normal bone architecture

  2. Early osteoporotic changes

  3. Loss of trabeculation • Increased lacunar space

  4. INVESTIGATIONS

  5. Rule out other reasons ( Normal chemical parameters) • Only investigation available to measure bone mass is Bone Mineral Density (BMD)

  6. PREVENTIVE AND THERAPEUTIC MEASURES

  7. Increase bone mass at childhood • Avoid obesity • Exposure to sunlight • Encourage exercises • Calcium intake • Avoid certain medications

  8. Daily Calcium Requirement • Children 600mg/day • Adolescents (growth spurt) 750mg/day • Adults 1g/day • Pregnant women, postmenopausal and patients with fractures 1.5g/day • Breast-feeding women 2g/day

  9. How to prevent fractures • Avoid high strenuous activities • Walking aids • Slippery floors • Healthy bending habits

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