Osteoporosis

Osteoporosis is a disease in which bone weakening increases the risk of a broken bone. It is the most common reason for a broken bone among the elderly.

Treatment For Vitamin D Deficiency

Treatment For Vitamin D Deficiency Read More »

Understanding the importance of vitamin D for health at any age is crucial. Since low levels of vitamin D are common, it is important to know how to treat it. We will discuss various ways to improve health through sunlight exposure, proper nutrition, and the use of vitamin D supplements as part of the treatment for vitamin D deficiency. Additionally, we will explore how individual characteristics can influence the success of achieving healthy vitamin D levels, as well as determine safe dosages for its maintenance. This article was last reviewed by Svetlana Baloban, Healsens, on October 24, 2020. This article was last modified on 29 October 2020. Let us start with how we define vitamin D deficiency. In summary, a deficiency occurs when the serum 25-hydroxyvitamin D level is less than 20 ng/ml (50 nmol/L). If your serum 25-hydroxyvitamin D level is between 20 and 30 ng/ml (50 to 75 nmol/liter), then we are talking about vitamin D insufficiency. Values of less than 10 ng/ml refer to severe vitamin D deficiency. We will analyze the approach to treat this deficiency separately. Treatment for vitamin D deficiency Sunbathing Sunbathing, mentioned in the article about the influence of vitamin D on health, is an excellent way to compensate for vitamin D deficiency. Sunlight (ultraviolet) promotes the formation of about a dozen beneficial compounds, including not only vitamin D but also nitric oxide (NO5), which is beneficial for reducing blood pressure, cardiovascular diseases, and metabolic syndrome. The skin contains significant reserves of nitric oxide, which, when exposed to ultraviolet light, can be converted into NO and enter the systemic circulation. Studies on humans show that this process can cause dilation of arterial vessels and reduction in blood pressure. IN THIS ARTICLE 1 Treatment for vitamin D deficiency 2 Vitamin D Deficiency Treatment Using Supplements 3 Maintenance Dose of Vitamin D 4 Monitoring Vitamin D Levels RELATED ARTICLES It is also noted that the impact of ultraviolet radiation can suppress clinical symptoms of multiple sclerosis independently of vitamin D synthesis . Sunlight is also beneficial for maintaining healthy erectile function. However, it is worth remembering that UV radiation remains a proven carcinogen. What to do in this situation? It is recommended to consider the option of “healthy sun exposure”, when you are in the sun during the safest times – before 10 in the morning and after 4 in the evening. It is important to remember that sunscreen with a sun protection factor of 30 can reduce vitamin D synthesis in the skin. Additionally, people with naturally dark skin have built-in sun protection and require at least three to five times longer exposure to produce the same amount of vitamin D. Choose the safest times for sunbathing without sunscreen. Food Another way to increase the level of vitamin D in the body is through the consumption of food products. Very few foods naturally contain or are enriched with vitamin D. However, in combination with sunbathing, food products can also be beneficial. Pay attention to foods such as fatty fish (salmon, mackerel, tuna), egg yolks, cheese, liver, and vitamin D-fortified dairy products and cereals – they can become a good source of this vitamin. In addition to sunbathing, in case of vitamin D deficiency (especially at critical levels when the level of 25(OH)D is less than 20 ng/ml), it is advisable to take vitamin D in the form of supplements. It is worth noting that the increase in the level of 25(OH)D when taking vitamin D supplements is highly individual. In the next chapter, we will delve into the issue of vitamin D dosages through supplements recommended at present. Vitamin D Deficiency Treatment Using Supplements Vitamin D deficiency is defined when the level of 25(OH)D is below 20 ng/mL. It is important to realize that unprotected sun exposure is the primary source of vitamin D for both children and adults. Vitamin D synthesized in the skin can remain in the blood at least twice as long as vitamin D obtained from external sources. However, if opportunities for sunbathing are unavailable, considering vitamin D supplementation becomes advisable. The amount of vitamin D needed to treat deficiency largely depends on the degree of deficiency and key risk factors. Let’s delve into clinical recommendations for treating vitamin D deficiency using supplements. Research findings indicate a rate of increase in the level of 25(OH)D in serum of approximately 0.4 ng/mL/μg/day. This means that intake of 100 IU/day of vitamin D increases the level of 25(OH)D in serum by less than 1 ng/mL. For instance, if your level of 25(OH)D in serum is 15 ng/mL, an additional daily intake of about 1500 IU of vitamin D2 or vitamin D3 is required to achieve and maintain a level of 30 ng/mL. However, to achieve a similar increase in the level of 25(OH)D in serum among individuals with obesity, two to three times more vitamin D is required. Vitamin D can be taken on an empty stomach or with meals, and dietary fats are not required. Taken three times a year, weekly, or daily, vitamin D can be effective in maintaining the level of 25(OH)D in serum for both children and adults. » Discover everything about what your cholesterol results mean. How much vitamin D should I take if I’m deficient? So, the amount of vitamin D needed to treat a deficiency depends largely on the degree of the deficiency and the underlying risk factors. Initial supplementation with Vitamin D3 for 8 weeks, either 6,000 IU daily or 50,000 IU weekly, can be considered. When the vitamin level exceeds 30 ng/ml, the daily maintenance dose will be 1500 to 2000 IU. If after 8 weeks your level of 25(OH)D in the blood has not increased, it is recommended to undergo testing for celiac disease or hidden cystic fibrosis. Higher-risk adults may require higher starting doses of vitamin D3. These people include African Americans, Hispanics, people with obesity, chronic illness, and taking certain medications. Typically, your doctor may prescribe 10,000 IU of vitamin per day. For such people,

osteoporosis

What Is Osteoporosis?

What Is Osteoporosis? Read More »

Osteoporosis literally means porous bone. As bones become more porous and fragile, the risk of fracture increases significantly. Surprisingly, while osteoporosis is much more common than other chronic diseases, it tends to receive less public attention, although the effects of certain fractures can lead to disability and death. The situation is aggravated by the fact that bone loss occurs silently and progressively. Often there are no symptoms until the first fracture occurs. Therefore, it is important to understand the reasons for the development and progression of this disease, as well as ways to prevent it. This article was last reviewed by Svetlana Baloban, Healsens, on June 20, 2020. This article was last modified on 10 June 2020. What causes osteoporosis Our bones are living tissue, and they are constantly changing. From the moment of birth to adulthood, they develop and strengthen. As we age, some of our bone cells begin to dissolve the bone matrix (resorption), while new bone cells deposit the osteoid, thus forming new bone tissue. This process is known as remodeling. So when we are young, this crumbling-building process remains in balance and the bones remain strong. However, around the age of 30, bone mass stops growing. And if the body doesn’t get enough calcium, it will take calcium from the bones. And as a rule, already at the age of 40-50, more bone may be lost than formed, which leads to fractures. Until recently, it was believed that osteoporosis affects mainly postmenopausal women and elderly men. The results of recent research, however, indicate that osteoporosis may occur in people older than 40 as well as in youths. IN THIS ARTICLE 1 What causes osteoporosis 2 Osteoporosis risk factors 3 What can you do to prevent osteoporosis? 4 Exercises to prevent osteoporosis RELATED ARTICLES Around the world, 1 in 3 women and 1 in 5 men aged fifty years and over are at risk of an osteoporotic fracture. In fact, an osteoporotic fracture is estimated to occur every 3 seconds. That’s a lot, isn’t it? The most common fractures associated with osteoporosis occur in one’s hip, spine, and wrist. So, hip fracture is associated with serious disability and excess mortality. Women who have sustained a hip fracture have a 10-20% higher mortality than would be expected for their age. The worldwide annual incidence of hip fracture is approximately 1.7 million. On the other hand, hip fractures are difficult to overlook, whereas spinal fractures may remain undiagnosed. This is because they might be painless. But even if the pain is present, the person may not know that it is caused by a fracture. And if untreated, the risk of a second fracture is extremely high. So, without treatment as many as one in five women with a spinal fracture will sustain a second fracture within twelve months. Osteoporosis risk factors Understanding the risks of developing osteoporosis is very important since there are no external signs of the development of this disease. That is why doctors often recommend an examination, even though you may not have any complaints. It’s also important to understand that when we talk about risk factors, we mean everything that increases your chance of getting sick. In addition, it is worth remembering that the presence of such risks, even several of them, does not mean that you will definitely have osteoporosis. Only laboratory test results can indicate the development of this disease. Speaking of risk factors, we are talking about unchanging events (age, gender) and those that you can influence. Let’s take a closer look at each group individually. Fixed risk factors Although fixed risk factors cannot be changed, it is better to know about them so that measures can be taken to reduce the loss of minerals in bones. Fixed risk factors also include so called “secondary risk factors” – these are disorders and medications that weaken the bones. These risks include: If you find yourself having one or more risks, then you should not think that nothing can be done about it. There are currently strategies that can reduce their impact. Modifiable risks Most variable risk factors directly affect bone biology and lead to a decrease in bone mineral density. However, there are also risks that increase the risk of fracture, regardless of their effect on the bone itself. So, we will consider all these risks: So, in relation to variable risks, appropriate actions can be taken. Do you know your personal risk factors for osteoporosis? Take the IOF Osteoporosis Risk Awareness Test in a minute. This risk test is not a diagnostic tool: only a doctor can diagnose osteoporosis. What can you do to prevent osteoporosis? There are many ways that can help maintain healthy bones and avoid premature bone loss. Making simple changes to the diet, enough exercise and giving up bad habits will not only help prevent osteoporosis, but also improve overall well-being. Let’s look at these factors to better understand how they affect the development of the disease. Diet A lot of studies showed that the typical diet does not cover the demand for nutrients, vitamins, and minerals. Firstly, especially important is the deficiency of calcium and vitamin D because it can promote a reduction in bone mineral density. Also talking about a healthy diet, you need to intake a sufficient amount of protein. So, calcium and protein are two key nutrients for bone health. The amount of calcium you need every day depends on your age and sex. In order to determine whether its consumption complies with the norm, you can use the calcium calculator from the International Osteoporosis Foundation. The calculator takes into account calcium intake from food and supplements. The result is compared with a reference, taking into account your gender and age. In addition, the ratio of calcium to phosphorus is important for bone health. The presence of phosphates in food products (stabilizers, anticaking agents, emulsifiers and pH stabilizers) increases phosphorus concentrations in the diet. This leads to the acidification of bodily tissues and intensified parathyroid activity. Parathyroid glands produce parathormone which

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