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July 12, 2024 By Pradnya Shinde Leave a Comment

Dealing with Bone Problems in Menopause!!

The other day one of my patients who is in her 60s fell while walking and she got a hip fracture. When I asked what the reason for your fracture was? She said it’s my old age. I asked if you would have fallen like this 30 years back, would you have got a fracture? She said No.

As we age, naturally our bones start becoming weaker. But there are certain milestones we need to be aware of. And menopause is one important milestone in women’s life.

The menopause is NOT JUST the end of your period cycle. A lot more changes happen in your body before, during and after menopause. And changes in your bones are very important because bone is NOT JUST a hard and brittle skeleton but it’s a living organ, alive with cells. Bones are constantly renewed. And during menopause women may lose bone mass rapidly for several years.

Why is Bone Health Important During Menopause?

Oestrogen hormone is crucial for bone formation. During menopause, oestrogen levels decrease, leading to rapid bone density loss and increasing the risk of osteoporosis, which weakens bones and heightens fracture risk. Bone loss begins 1-3 years before your last period, accelerating rapidly after menopause and continuing for the next 5-10 years, with an average annual bone density loss of 2%.

What to Check for Osteoporosis Risk?

Be aware of conditions that increase osteoporosis risk, aside from menopause:

  • Low Bone Mass: High risk if you had lower bone mass in your younger years.
  • Early Menopause: Increased risk if menopause occurs before age 45.
  • Lifestyle Factors: Smoking and alcohol use elevate risk.
  • Medications: Taking depression medicine or steroids adds further risk.

Steps for healthy Bone Life

  1. Seek Medical Help: Osteoporosis is often called a silent disease because it has no symptoms until a fracture occurs. Don’t wait for a fracture to find out about your bone health. Talk to your doctor about the need for osteoporosis screening. Hormone treatments can also be used to help manage bone density.
  2. Do Weight-Bearing Exercises: Exercise is crucial in preventing osteoporosis. Weight-bearing activities like walking, running, and lifting weights help strengthen bones. Start with light exercises for about 30 minutes daily and include strength training 2-3 times a week. Activities like brisk walking, cycling, swimming, and controlled dancing can be very beneficial.
  3. Eat Calcium and Vitamin D: 50-70% of your bones are made up of calcium. Vitamin D is essential for calcium absorption. Include dairy products, green leafy vegetables, almonds, fish with bones, and soy in your diet. Exposure to sunlight is the primary source of Vitamin D, but dietary sources include egg yolk, fatty fish like mackerel, salmon, tuna, and fortified foods. If necessary, consult your doctor about supplements.

Additional Tips

  • Quit Smoking: Smoking increases the risk of osteoporosis.
  • Limit Alcohol: Reducing alcohol intake can help protect your bones.
  • Reduce Caffeine: Switch to decaf drinks to minimize the impact of caffeine on bone health.
  • Maintain a Healthy Weight: Both overweight and underweight conditions can increase the risk of osteoporosis.

If you or someone you know is at risk for osteoporosis, it’s crucial to take preventive steps before a fracture affects the quality of life. By following a triangle of exercise, diet, and medical help, you can continue to enjoy activities like hiking, dancing, or playing with your grandkids. Take care of your bone health as soon as possible to avoid osteoporosis from becoming a significant issue in your life. For further information or guidance, reach out to our certified experts by subscribing to GOQii’s Personalised Health Coaching here.

#BeTheForce

Disclaimer: The information provided in this blog is for general awareness and educational purposes only. It is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for personalised medical guidance or concerns related to your health.

February 1, 2024 By Trishala Chopra 3 Comments

All that a women needs to know about – MENOPAUSE!

Menopause simply means marking the end of a female’s reproductive period. This is something women experience as they age. It does not occur overnight! It is a gradual process.

This gradual process is usually known as Perimenopausal phase which is a completely different transition for every woman. It is a very challenging phase for every woman, a woman might get irritated, and mood swings are the most common thing! Emotional breakdowns also occur. Earlier, the ideal age for menopause was around 45-50 years but, if a woman has attained early puberty, menopause occurs early too!

  • Menopause comes with many complications and the most common complication is osteoporosis and heart disease.
  • The bone mineral density gradually goes down during menopausal transition which may result in osteoporosis however, these symptoms vary in different women.
  • Hot flashes occur very frequently.
  • The entire menopause is divided into 3 phases which are Perimenopause, Menopause and Post Menopause.
  • Out of these 3 phases, Perimenopause phase which can also be called as “time around menopause” lasts for the maximum time which involves all symptoms.
  • Menopause and post menopause phase lasts for a shorter period.
  • Apart from hot flashes and mood swings, women in menopausal stage also face excess stress, tiredness, fatigue and sometimes vaginal itchiness and drying.
  • The main sign of menopause is irregular vaginal bleeding.
  • Menopause is a part of every woman’s life and it is not a disease which can be treated. However, menopause can be managed and tackled if handled properly.
  • Nutrition and physical exercise plays a key role in managing the menopausal symptoms

FOODS which help managing Menopausal Symptoms:-

(1) Include more fruits and vegetables in your diet

(2) Eat more beans

(3) Eat more of good fats and Omega 3 rich foods such as avocado, fish-Salmon, walnuts flaxseeds etc rather than saturated fatty acids.

(4) Consume good beverages; avoid consuming carbonated beverages and caffeine. Caffeine is a diuretic which puts load on kidneys to remove more amount of water than required which results in dehydration. Focus more on herbal teas which helps in relieving hot flashes.

(5) Balance your meals: – heavy breakfast, moderate lunch and light dinner should always

(6) Consume more of calcium containing foods as this mineral is very important for women after the age of 30. Adequate amount of calcium in diet decreases the risk of osteoporosis. Some of the natural foods high in Calcium are dairy products, ragi, sesame seeds etc

(7) Say no to high fat and high sugar foods!

(8) Add functional foods to your diet such as flaxseeds which is a super food! Raw Flaxseed should be ground and 1 tsp should be had and drink a glass of water over it.

(9) Exercise! It is a key to life a healthy life! 30 minutes of walk also acts as a stress buster!

Ladies out there at this stage of your life take care of yourself.

As you navigate through the various phases of menopause, may this article serve as a valuable guide to support your well-being. For more insightful articles on Women’s Health, explore here. If you seek further information or personalised guidance, don’t hesitate to reach out to our certified experts. Subscribe to GOQii’s Personalised Health Coaching here.

#BeTheForce

October 20, 2016 By Dr Anand Kulkarni 3 Comments

OSTEOPOROSIS

osteoporosis

How often have you come across your parents, grandparents or an elderly relative who has had a minor fall in the bathroom, slipped on the floor or had a terrible jerk while travelling on a bumpy road and sustained fractures of bones with a lot of pain, suffering and disability.

It has been noticed that the culprit for such incidents is OSTEOPOROSIS.

Osteoporosis is one of the most common disabilities encountered in the elderly. It literally means POROUS BONE. The condition results in reduced density and increased fragility of bones resulting in higher risk of fracture with minor falls, cough, sneeze, or minor bumps.

osteo1

The condition is observed worldwide. There are more than 10 million cases per year in India. In the USA about 55% of its population aged 50 years and older have Osteoporosis. One third have disabilities and one third regain their pre-fracture status. The health costs from fractures are tremendous amounting to billions of dollars annually.

It is very important to learn about osteoporosis because it is a ‘SILENT DISEASE’ except occasional bone pains. You may not know that you have osteoporosis until your thin weakened bones fracture in a bump or fall. The more common sites are Hip, Spinal Vertebrae and Wrist.

Clinical studies suggest that approximately 1 in 2 women and 1 in 4 men aged 50 years and older will break a bone due to osteoporosis. Such people in this age group usually present with chronic vague backache, loss of height, or stooping (Kyphosis) and should consult doctor immediately.

osteo2

THE RISK FACTORS ARE,

  • Advanced age
  • Family history of osteoporosis
  • Early menopause
  • Short Stature
  • Lack of Exercise
  • Poor nutrition with lack of Calcium
  • Lack of Vitamin D
  • Chronic Cigarette Smoking and Excessive Alcohol Consumption
  • Medical Illnesses- like hyperthyroidism, surgical removal of ovaries, long term steroid therapy and rare inherited bone disorders like Osteogenesis Imperfecta.

SCREENING is advised for all elderly above 65 years of age and Men and Women less than 65 years of age who have increased risk of fracture or already suffered from fracture.

DIAGNOSIS – is by bone scan which measures-Bone Mineral Density (BMD). The test called DEXA (Dual Energy X ray Absorptimetry) gives indication of likelihood of fracture due to osteoporosis.

It is also used to monitor response to treatment.

Result.— T score a)   ( -1) and above ——- normal

  1. b)   (-1) to ( -2.5) ——- mild bone loss or osteopenia
  2. c)     ( -2.5) and below —- osteoporosis

Our aim should be to prevent bone less or slow down the occurrence of Osteoporosis and encourage healthy bone mineralization.

Following measures are recommended:

  1. Healthy Nutritional Diet – To be incorporated during childhood and adolescent period itself with adequate calcium and magnesium intake. Calcium intake should be 1000 to 1200 mg per day. Common calcium rich foods are dairy products, cheese, ragi, broccoli, spinach, cabbage, green beans, soy beans, okra, dates, egg, salt water fish and fruits like orange, figs.
  2. Vitamin D intake of 800 IU per day is a must. We encourage exposure to SunLight and supplementation as Vitamin D requirement cannot be fulfilled through nutrition alone.
  3. EXERCISE plays a major role. Weight bearing exercises like walking, playing golf, Dancing, Hiking, Racket sports like Tennis, Squash promote mineralization of bones and make them healthy. Muscle strengthening exercises like weight lifting benefit by increasing muscle strength and Non- Impact activities like YOGA help in balancing, posture, agility of joints and benefit people with osteoporosis by decreasing the risk of falls and fractures.

Studies have also reported an increase in BMD in the spine of those who do YOGA regularly. Exercise should be tailored to the individual person based on BMD report and medical condition in consultation with health care professional.

osteo3

osteo    

  1. Other Lifestyle Changes – Have a Positive Attitude towards Life, avoid the use of tobacco and Cigarette Smoking, moderate alcohol intake if any, and measures to avoid falls like having railings, avoid slippery floors, having a mat or carpet on the floor helps etc.

Medications—You may also require osteoporosis medications to either build or maintain bone density. People have been treated with medications like Bisphosphonates, Hormone Therapy in Women, Calcitonin, Parathyroid Hormone. Stem Cell Therapy is also being tried out in severe cases.

But, any of these modalities of treatment should be undertaken in consultation with your Doctor. The doctor is the only one who will be able to decide the right treatment for you weighing the benefits and risks of the therapy.

Cultivate healthy living and enjoy life!

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