Patient Education

Women: 45+
Learn to protect your bones and keep your independence.

Inside Pamphlet
Osteoporosis What is osteoporosis? How common is osteoporosis? Who is at risk? How is osteoporosis diagnosed? How to prevent osteoporosis? Do I need treatment for osteoporosis? Other important measures

Osteoporosis and Treatment
What is Osteoporosis?
Osteoporosis is a condition that affects bone strength. Bone is made of collagen fibers and minerals. It is a living tissue and contains cells that make, mold, and resorb bone. Initially, as you grow, bone formation exceeds bone resorption. But, as you get older, this reverses and, after about the age of 45, you start to lose a certain amount of bone material. Your bones become less dense and less strong. The amount of bone loss can vary. If you have a lot of bone loss then you have osteoporosis. If you have osteoporosis, your bones can break more easily than normal, especially if you have an injury such as a fall. If you have a milder
Normal Bone Bone with Osteoporosis

1

Bisphosphonates What are bisphosphonates? When are bisphosphonates usually prescribed? How well/quickly do bisphosphonates work? What is the usual length of treatment? What are the possible side effects?

4

degree of bone loss, this is known as osteopenia.

1

without any symptoms. the following may occur: A bone fracture after a minor injury such as a fall Loss of height. or had. Who is at risk of osteoporosis? While all men and women have some risk of developing osteoporosis as they become older. 2 - . Estrogen is a hormone and helps to protect against bone loss. after a certain amount of bone loss. However. about 2 in 100 women have osteoporosis. you will usually be referred for a DEXA scan to look for signs of osteoporosis. The following may also lead to excessive bone loss and will increase your risk of developing osteoporosis. This rises to 1 in 4 women at the age of 80. especially after menopause when their estrogen levels fall. certain medical conditions that causes poor mobility How is osteoporosis diagnosed? Osteoporosis usually develops slowly over several years.Lorem Ipsum Dolor [Issue] :: [Date] How common is osteoporosis? Women lose bone material more rapidly than men. If you are thought to have sustained a fracture due to osteoporosis. osteoporosis is first diagnosed when you break a bone after a minor bump or fall. women are more at risk than men. At the age of 50. you can still take steps to reduce your risk of further fractures. persistent back pain and a stooping (bent forward) posture - Usually. If you: Are a woman and had your menopause before the age of 45 Have already had a bone fracture after a minor fall Have a strong family history of osteoporosis Have a body mass index (BMI) 19 or less Are a woman whose periods have stopped for six months to a year before menopause Are a smoker or heavy drinker Lack calcium or vitamin D Have never taken regular exercise or have led a sedentary lifestyle Have. Even after a fracture has occurred.

Are your vision and hearing as good as possible? Beware of going out in icy weather 3 . Food and Diet For the adult over age 50. etc.which takes in account all your risk factors. running. other treatments may be suggested depending on your age. such as brisk walking. making people. recent findings on the long-term health risks of HRT have relegated the use of HRT to women who have had an early menopause. you drink more than 3 units of alcohol daily. Also. Additionally. not smoking and lower alcohol levels as described earlier. bone density measurements and how many other risk Additional Information While treatments are available for osteoporosis. bone density. and health status . it is not recommended for women with a family history of these conditions. Therefore. bone loss. Check your home for hazards such as uneven. even if you currently have osteoporosis. muscle strengthening exercises such as lifting weights is important to increase tone and improve balance. wires. Hormone Replacement Therapy (HRT) HRT contains estrogen and was widely used to prevent osteoporosis. or slippery floors. you doctor will be able to determine whether or not treatment is recommended in your case. lifestyle factors are bone loss worse. You should also take precautions to prevents yourself from falling and breaking a bone. Smoking and Drinking osteoporosis? If you have osteoporosis without a fragility fracture.000mg per day and a daily vitamin D intake of 800IU per day. age. it is recommended to have a daily calcium intake of at least 1. muscle make every effort to stop. Therefore. They include weight-bearing exercise.Lorem Ipsum Dolor Issue [#] :: [Date] How can I prevent osteoporosis? Do I need treatment for The following actions can help prevent. rugs. Exercise The pulling and tugging on the bones by your muscles during exercise help to stimulate bonemaking cells and strengthens your bones. You should aim for at least 30 minutes of moderate exercise or physical activity at least 5 times per week.to determine your risk of a fragility fracture. This involves exercise where your feet and legs bear your body’s weight. However. or slow down. you should try to important in treating osteoporosis. medications will not restore all lost bone and may not be recommended for all Chemicals from tobacco can get into your bloodstream and can affect your bones. If bisphosphonates are not suitable or tolerated. The bisphosphonate drug alendronate is usually suggested first. If you smoke. There is a small increased risk of breast cancer and cardiovascular disease with long-term HRT use. dancing. They may use a special risk calculator . If you have been diagnosed with osteoporosis and have already had a fragility fracture. aerobics. treatment is usually recommended to help prevent further fracture. it is recommended to cut down any alcohol intake if strengthening exercise.

T.. 11 Aug. and many women show reductions in remodeling that are comparable to healthy premenopausal women.uk/health/bisphosphonates. [Issue] :: [Date] What is the treatment like? Only your doctor can prescribe the right kind of bisphosphonate and the correct treatment for you. However.co. as a rule of thumb. When are bisphosphonates prescribed? Bisphosphonates are usually prescribed for people who: Have osteoporosis and have already had a bone fracture or break Have low bone density (osteopenia or osteoporosis) and may be at risk of fracture What are the side effects? Most of the side effects of bisphosphonate treatment are very mild. Dempster. 2011. and David W. many experts agree that bisphosphonates should be taken over the span of a few years (5 or more.uk/health/osteoporosis-leaflet Khosla.7 (2012): 2272282.co. 02 Oct. John P. "Bisphosphonates. Web Whitehall. Most patients taking bisphosphonates show a reduction in bone remodeling.Lorem Ipsum Dolor Osteoporosis & Bisphosphonates What are bisphosphonates? Bisphosphonates are commonly used in the treatment of osteoporosis. an increase in bone density does not occur for 612 months after the first dose. C. http://www.uk.co. Do bisphosphonates start working right away? It usually takes several months of treatment for bisphosphonates to work. February 2). Sundeep. These medications may be administered in pill form or intravenously. and Tidy. They may even help to restore bone in some cases. Bilezikian. (2012..patient. "Benefits and Risks of Bisphosphonate Therapy for Osteoporosis. J. 4 . although some prescriptions may extend to the end of your life). http://www. They bind to bone and limit its reabsorption." Patient. Generally. Benefits and Risks of Bisphosphonate Therapy for Osteoporosis. Kenny. References: Cox. thereby slowing down the rate at which you lose bone mass. Web. Jenny. Osteoporosis." The Journal of Clinical Endocrinology & Metabolism 97. 2013. Side effects may include: Heartburn Difficulty or painful swallowing Chest pain Nausea Indigestion Mild inflammation Oesophageal ulcers Osteonecrosis of the jaw (very rare) Are bisphosphonates effective? Research indicates that bisphosphonates help to reduce the fracture risk for many patients with osteoporosis.patient.