Didier FONTES MD
International Member of the American Society for Surgery of the Hand
http://orthodoc.aaos.org/DrDidierFontes
Institut Main, Epaule et Sport Paris - Espace Médical VAUBAN www.vauban-medical.com
Espace Médical VAUBAN 2A avenue de Ségur
Paris, 75007 FRA
Phone: +33153598806  | Fax: +33153598801
Copyright 2007 American Academy of Orthopaedic Surgeons
What Is Your Risk for Osteoporosis?

Osteoporosis is a major health threat for more than 28 million Americans. In the United States, eight million women and two million men already have osteoporosis. More than 18 million Americans have low bone mass placing them at increased risk for osteoporosis.

Risk Factors

Genetic Factors

If someone in your family has osteoporosis, you have a 60 to 80 percent chance of getting the condition, too. And, if your mother has broken a hip, your chances double for having a hip fracture—a strong indicator of bone weakness.

You do not get enough calcium

People need to incorporate calcium throughout their lives to prevent osteoporosis. Milk and other dairy products can provide a major boost of bone-building calcium to most diets. Leafy green vegetables are another good source of calcium.

You smoke or drink excessive amounts of alcohol

If you smoke, you double your risk of suffering an osteoporotic fracture. Researchers have found that smoking reduces your ability to absorb calcium. That's because cigarette smoke is thought to damage bone cells and prevent new bone growth. People who drink too much alcohol on a regular basis are prone to bone loss and fractures due to poor nutrition as well as increased risk of falling.

You are thinner than normal

Low body weight is an important risk factor for osteoporosis and increased risk of fractures. Being too thin means you have less padding of muscle and fat to protect your bones which are more vulnerable to injury. Frequent dieting can be risky because when you lose weight, you also lose fat, muscle and bone density. Fat and muscle may eventually come back, but bone could be gone forever.

You have chronic medical problems

If you suffer from rheumatoid arthritis, hyperthyroidism (excessive production of thyroid hormones), hyperparathyroidism (a condition caused by excessive amounts of parathyroid hormone), diabetes, or liver disease, your chances of having osteoporosis increase.

You have persistent back pain

Back pain that will not quit could be a sign that you have a spinal fracture. Spinal fractures occur when bones in your back become so weak that they fracture and collapse. This can happen without warning even during ordinary activities, such as bending over to pick up a newspaper.

You are shorter than you used to be

If you fracture a bone in your spine, it could collapse onto itself causing you to shrink. Multiple fractures also can cause the spine to form a curve causing the disfigurement known as a dowager's hump. However, not all height loss is caused by osteoporosis. As you age, the disks in your back lose their elasticity causing your frame to shift downward. It is not uncommon to lose anywhere from one half to 1 inch in height between the ages 60 and 80.

Last reviewed: July 2007
AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. This information is provided as an educational service and is not intended to serve as medical advice. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS "Find an Orthopaedist" program on this website.
Copyright 2007 American Academy of Orthopaedic Surgeons
Related Topics
First Fracture May Be a Warning Sign (http://orthoinfo.aaos.org/topic.cfm?topic=A00281)
Osteoporosis (http://orthoinfo.aaos.org/topic.cfm?topic=A00232)
OrthoInfo
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