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What Is Osteoporosis?
                                      Fast Facts: An Easy-to-Read Series of Publications for the Public

                                      Osteoporosis is a disease in which the bones become weak and are more likely
                                      to break. People with osteoporosis most often break bones in the hip, spine,
                                      and wrist.

                                      Who Gets Osteoporosis?
                                      In the United States, more than 40 million people either already have
                                      osteoporosis or are at high risk due to low bone mass.
                                      Osteoporosis can occur in both men and women and at any age, but it is most
National Institutes of Health
Osteoporosis and Related              common in older women.
Bone Diseases ~
National Resource Center
                                      What Causes Osteoporosis?
2 AMS Circle
Bethesda, MD                          Many risk factors can lead to bone loss and osteoporosis. Some of these things
20892--3676
      -                               you cannot change and others you can.
Phone: 202--223--0344
             - -
Toll free: 800--624--BONE
               - -
                                      Risk factors you cannot change include:
Fax: 202--293--2356
          - -                         •   Gender. Women get osteoporosis more often than men.
TTY: 202--466--4315
           - -
Email: NIAMSBoneInfo@                 •   Age. The older you are, the greater your risk of osteoporosis.
       mail.nih.gov
Web site: www.bones.nih.gov           •   Body size. Small, thin women are at greater risk.
The NIH Osteoporosis and              •   Ethnicity. White and Asian women are at highest risk. Black and Hispanic
Related Bone Diseases ~ National          women have a lower risk.
Resource Center is supported by
the National Institute of Arthritis   •   Family history. Osteoporosis tends to run in families. If a family member
and Musculoskeletal and Skin              has osteoporosis or breaks a bone, there is a greater chance that you will
Diseases with contributions from:
National Institute on Aging,              too.
Eunice Kennedy Shriver
National Institute of Child Health    Other risk factors are:
and Human Development,
National Institute of Dental and      •   Sex hormones. Low estrogen levels due to missing menstrual periods or to
Craniofacial Research, National           menopause can cause osteoporosis in women. Low testosterone levels can
Institute of Diabetes and
Digestive and Kidney Diseases,            bring on osteoporosis in men.
NIH Office of Research on
Women’s Health, and the Office
                                      •   Anorexia nervosa. This eating disorder can lead to osteoporosis.
on Women’s Health.                    •   Calcium and vitamin D intake. A diet low in calcium and vitamin D makes
The National Institutes of Health         you more prone to bone loss.
(NIH) is a component of the
U.S. Department of Health and
                                      •   Medication use. Some medicines increase the risk of osteoporosis.
Human Services.                       •   Activity level. Lack of exercise or long-term bed rest can cause weak
                                          bones.
                                      •   Smoking. Cigarettes are bad for bones, and the heart, and lungs, too.
                                      •   Drinking alcohol. Too much alcohol can cause bone loss and broken
                                          bones.



Updated January 2011
                                                                                                                       1
What Is Osteoporosis?
                                               Fast Facts: An Easy-to-Read Series of Publications for the Public




Can Osteoporosis Be Prevented?
There are many steps you can take to help keep your bones healthy. To help keep your bones
strong and slow down bone loss, you can:

•   Eat a diet rich in calcium and vitamin D
•   Exercise
•   Not drink in excess or smoke.

Nutrition
A healthy diet with enough calcium and vitamin D helps make your bones strong. Many
people get less than half the calcium they need. Good sources of calcium are:

•   Low-fat milk, yogurt, and cheese
•   Foods with added calcium such as orange juice, cereals, and breads.
Vitamin D is also needed for strong bones. Some people may need to take vitamin D pills. The
chart on this page shows the amount of calcium and vitamin D you should get each day.



                     Recommended Calcium and Vitamin D Intakes
                                                   Calcium       Vitamin D
         Life-stage group                         (mg/day)        (IU/day)
    Infants 0 to 6 months                                    200          400
    Infants 6 to 12 months                                   260          400
    1 to 3 years old                                         700          600
    4 to 8 years old                                       1,000          600
    9 to 13 years old                                      1,300          600
    14 to 18 years old                                     1,300          600
    19 to 30 years old                                     1,000          600
    31 to 50 years old                                     1,000          600
    51- to 70-year-old males                               1,000          600
    51- to 70-year-old females                             1,200          600
    >70 years old                                          1,200          800
    14 to 18 years old,
     pregnant/lactating                                    1,300          600
    19 to 50 years old,
     pregnant/lactating                                    1,000          600
    Definitions: mg = milligrams; IU = International Units
    Source: Food and Nutrition Board, Institute of Medicine, National Academy of
    Sciences, 2010.




                                                                                                              2
What Is Osteoporosis?
                                           Fast Facts: An Easy-to-Read Series of Publications for the Public




Exercise
Exercise helps your bones grow stronger. To increase bone strength, you can:

•   Walk
•   Hike
•   Jog
•   Climb stairs
•   Lift weights
•   Play tennis
•   Dance.

Healthy Lifestyle
Smoking is bad for bones as well as the heart and lungs. Also, people who drink a lot of
alcohol are more prone to bone loss and broken bones due to poor diet and risk of falling.

What Are the Symptoms of Osteoporosis?
Osteoporosis is called the "silent disease" because bone is lost with no signs. You may not
know that you have osteoporosis until a strain, bump, or fall causes a bone to break.

How Is Osteoporosis Diagnosed?
A bone mineral density test is the best way to check your bone health. This test can:

•   Diagnose osteoporosis and tell you whether you are likely to break a bone.
•   Check bone strength
•   See if treatments are making the bones stronger.

How Is Osteoporosis Treated?
Treatment for osteoporosis includes:

•   A balanced diet rich in calcium and vitamin D
•   An exercise plan
•   A healthy lifestyle
•   Medications, if needed.

How Can I Prevent Falls?
Men and women with osteoporosis need to take care not to fall down. Falls can break bones.
Some reasons people fall are:

•   Poor vision
•   Poor balance
                                                                                                          3
What Is Osteoporosis?
                                               Fast Facts: An Easy-to-Read Series of Publications for the Public




•   Certain diseases that affect how you walk
•   Some types of medicine, such as sleeping pills.

Some tips to help prevent falls outdoors are:

•   Use a cane or walker
•   Wear rubber-soled shoes so you don't slip
•   Walk on grass when sidewalks are slippery
•   In winter, put salt or kitty litter on icy sidewalks.

Some ways to help prevent falls indoors are:

•   Keep rooms free of clutter, especially on floors
•   Use plastic or carpet runners on slippery floors
•   Wear low-heeled shoes that provide good support
•   Do not walk in socks, stockings, or slippers
•   Be sure carpets and area rugs have skid-proof backs or are tacked to the floor
•   Be sure stairs are well lit and have rails on both sides
•   Put grab bars on bathroom walls near tub, shower, and toilet
•   Use a rubber bath mat in the shower or tub
•   Keep a flashlight next to your bed
•   Use a sturdy step stool with a handrail and wide steps
•   Add more lights in rooms
•   Buy a cordless phone to keep with you so that you don't have to rush to the phone when
    it rings and so that you can call for help if you fall.

For More Information About Osteoporosis and Other Related Conditions:
NIH Osteoporosis and Related Bone Diseases ~ National Resource Center
2 AMS Circle
Bethesda, MD 20892-- 3676
                        -
Phone: 202-- 223-- 0344
             -     -
Toll free: 800-- 624-- BONE
               -     -
TTY: 202-- 466-- 4315
           -    -
Fax: 202-- 293-- 2356
          -    -
Email: NIAMSBoneInfo@mail.nih.gov
Web site: www.bones.nih.gov


The information in this fact sheet was summarized in easy-to-read format from information in a more
detailed NIAMS publication. To order the Osteoporosis Handout on Health full-text version, please
contact NIAMS using the contact information above. To view the complete text or to order online, visit
www.niams.nih.gov.


                                                                                                              4
What Is Osteoporosis?
                                             Fast Facts: An Easy-to-Read Series of Publications for the Public




For Your Information
This fact sheet may contain information about medications used to treat the health condition
discussed here. When this fact sheet was printed, we included the most up-to-date (accurate)
information available. Occasionally, new information on medication is released.
For updates and for any questions about any medications you are taking, please contact the
U.S. Food and Drug Administration toll free at 888-- INFO-- FDA (888-- 463-- 6332) or visit its Web
                                                   -      -          -     -
site at www.fda.gov.




                                                                                                            5

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Osteoporosis ff

  • 1. What Is Osteoporosis? Fast Facts: An Easy-to-Read Series of Publications for the Public Osteoporosis is a disease in which the bones become weak and are more likely to break. People with osteoporosis most often break bones in the hip, spine, and wrist. Who Gets Osteoporosis? In the United States, more than 40 million people either already have osteoporosis or are at high risk due to low bone mass. Osteoporosis can occur in both men and women and at any age, but it is most National Institutes of Health Osteoporosis and Related common in older women. Bone Diseases ~ National Resource Center What Causes Osteoporosis? 2 AMS Circle Bethesda, MD Many risk factors can lead to bone loss and osteoporosis. Some of these things 20892--3676 - you cannot change and others you can. Phone: 202--223--0344 - - Toll free: 800--624--BONE - - Risk factors you cannot change include: Fax: 202--293--2356 - - • Gender. Women get osteoporosis more often than men. TTY: 202--466--4315 - - Email: NIAMSBoneInfo@ • Age. The older you are, the greater your risk of osteoporosis. mail.nih.gov Web site: www.bones.nih.gov • Body size. Small, thin women are at greater risk. The NIH Osteoporosis and • Ethnicity. White and Asian women are at highest risk. Black and Hispanic Related Bone Diseases ~ National women have a lower risk. Resource Center is supported by the National Institute of Arthritis • Family history. Osteoporosis tends to run in families. If a family member and Musculoskeletal and Skin has osteoporosis or breaks a bone, there is a greater chance that you will Diseases with contributions from: National Institute on Aging, too. Eunice Kennedy Shriver National Institute of Child Health Other risk factors are: and Human Development, National Institute of Dental and • Sex hormones. Low estrogen levels due to missing menstrual periods or to Craniofacial Research, National menopause can cause osteoporosis in women. Low testosterone levels can Institute of Diabetes and Digestive and Kidney Diseases, bring on osteoporosis in men. NIH Office of Research on Women’s Health, and the Office • Anorexia nervosa. This eating disorder can lead to osteoporosis. on Women’s Health. • Calcium and vitamin D intake. A diet low in calcium and vitamin D makes The National Institutes of Health you more prone to bone loss. (NIH) is a component of the U.S. Department of Health and • Medication use. Some medicines increase the risk of osteoporosis. Human Services. • Activity level. Lack of exercise or long-term bed rest can cause weak bones. • Smoking. Cigarettes are bad for bones, and the heart, and lungs, too. • Drinking alcohol. Too much alcohol can cause bone loss and broken bones. Updated January 2011 1
  • 2. What Is Osteoporosis? Fast Facts: An Easy-to-Read Series of Publications for the Public Can Osteoporosis Be Prevented? There are many steps you can take to help keep your bones healthy. To help keep your bones strong and slow down bone loss, you can: • Eat a diet rich in calcium and vitamin D • Exercise • Not drink in excess or smoke. Nutrition A healthy diet with enough calcium and vitamin D helps make your bones strong. Many people get less than half the calcium they need. Good sources of calcium are: • Low-fat milk, yogurt, and cheese • Foods with added calcium such as orange juice, cereals, and breads. Vitamin D is also needed for strong bones. Some people may need to take vitamin D pills. The chart on this page shows the amount of calcium and vitamin D you should get each day. Recommended Calcium and Vitamin D Intakes Calcium Vitamin D Life-stage group (mg/day) (IU/day) Infants 0 to 6 months 200 400 Infants 6 to 12 months 260 400 1 to 3 years old 700 600 4 to 8 years old 1,000 600 9 to 13 years old 1,300 600 14 to 18 years old 1,300 600 19 to 30 years old 1,000 600 31 to 50 years old 1,000 600 51- to 70-year-old males 1,000 600 51- to 70-year-old females 1,200 600 >70 years old 1,200 800 14 to 18 years old, pregnant/lactating 1,300 600 19 to 50 years old, pregnant/lactating 1,000 600 Definitions: mg = milligrams; IU = International Units Source: Food and Nutrition Board, Institute of Medicine, National Academy of Sciences, 2010. 2
  • 3. What Is Osteoporosis? Fast Facts: An Easy-to-Read Series of Publications for the Public Exercise Exercise helps your bones grow stronger. To increase bone strength, you can: • Walk • Hike • Jog • Climb stairs • Lift weights • Play tennis • Dance. Healthy Lifestyle Smoking is bad for bones as well as the heart and lungs. Also, people who drink a lot of alcohol are more prone to bone loss and broken bones due to poor diet and risk of falling. What Are the Symptoms of Osteoporosis? Osteoporosis is called the "silent disease" because bone is lost with no signs. You may not know that you have osteoporosis until a strain, bump, or fall causes a bone to break. How Is Osteoporosis Diagnosed? A bone mineral density test is the best way to check your bone health. This test can: • Diagnose osteoporosis and tell you whether you are likely to break a bone. • Check bone strength • See if treatments are making the bones stronger. How Is Osteoporosis Treated? Treatment for osteoporosis includes: • A balanced diet rich in calcium and vitamin D • An exercise plan • A healthy lifestyle • Medications, if needed. How Can I Prevent Falls? Men and women with osteoporosis need to take care not to fall down. Falls can break bones. Some reasons people fall are: • Poor vision • Poor balance 3
  • 4. What Is Osteoporosis? Fast Facts: An Easy-to-Read Series of Publications for the Public • Certain diseases that affect how you walk • Some types of medicine, such as sleeping pills. Some tips to help prevent falls outdoors are: • Use a cane or walker • Wear rubber-soled shoes so you don't slip • Walk on grass when sidewalks are slippery • In winter, put salt or kitty litter on icy sidewalks. Some ways to help prevent falls indoors are: • Keep rooms free of clutter, especially on floors • Use plastic or carpet runners on slippery floors • Wear low-heeled shoes that provide good support • Do not walk in socks, stockings, or slippers • Be sure carpets and area rugs have skid-proof backs or are tacked to the floor • Be sure stairs are well lit and have rails on both sides • Put grab bars on bathroom walls near tub, shower, and toilet • Use a rubber bath mat in the shower or tub • Keep a flashlight next to your bed • Use a sturdy step stool with a handrail and wide steps • Add more lights in rooms • Buy a cordless phone to keep with you so that you don't have to rush to the phone when it rings and so that you can call for help if you fall. For More Information About Osteoporosis and Other Related Conditions: NIH Osteoporosis and Related Bone Diseases ~ National Resource Center 2 AMS Circle Bethesda, MD 20892-- 3676 - Phone: 202-- 223-- 0344 - - Toll free: 800-- 624-- BONE - - TTY: 202-- 466-- 4315 - - Fax: 202-- 293-- 2356 - - Email: NIAMSBoneInfo@mail.nih.gov Web site: www.bones.nih.gov The information in this fact sheet was summarized in easy-to-read format from information in a more detailed NIAMS publication. To order the Osteoporosis Handout on Health full-text version, please contact NIAMS using the contact information above. To view the complete text or to order online, visit www.niams.nih.gov. 4
  • 5. What Is Osteoporosis? Fast Facts: An Easy-to-Read Series of Publications for the Public For Your Information This fact sheet may contain information about medications used to treat the health condition discussed here. When this fact sheet was printed, we included the most up-to-date (accurate) information available. Occasionally, new information on medication is released. For updates and for any questions about any medications you are taking, please contact the U.S. Food and Drug Administration toll free at 888-- INFO-- FDA (888-- 463-- 6332) or visit its Web - - - - site at www.fda.gov. 5