Osteoporosis And Its Relationship With Sedentary Lifestyle

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Osteoporosis and its relationship with sedentary lifestyle

In 1940, the DR. Fuller Allbright noticed that many of his patients who had weak bones problems and fractures were elderly women, so it related the decrease in estrogen with the abnormal loss of bone. In this way, I correctly identify osteoporosis.

Historical background

The term osteoporosis was introduced in France at the beginning of 1820 as a description of the pathological state of the bone, and made an entrance to the English medical vocabulary only in the twentieth century.

In its modern sense the word is approximately 60 years old;Due to Albright (who conceptualized this disease for the first time) and his collaborators, it began to capture the care of the medical community in the 40s, but today it seems that almost 100 years of their previous history were forgotten were. 

The study of osteoporosis in past populations offers a valuable analysis of patterns and the prevalence of the disease both in the past and in the present. The first cases seem to be linked to the origin of humanity in the garden of Eden.  Extensive studies have been conducted with archaeological material of the Sudanese Nubia, North America and the American Arctic and a lower number of studies have also examined the skeletons of populations in Europe. Paleopathologists have discussed several factors that they consider to influence the maintenance of bone mass in past populations.

Prevalence of osteoporotic hip fracture

Bone loss (related to age in both genres, and the highest loss in women is observed in young age) does not reflect the osteoporosis pattern that is presented today. Thus, the bone loss picture in the archaeological registry is clearly different from the osteoporotic pattern associated with aging and menopause that occurs clinically today. The general absence of fragility fractures in the archaeological registry could indicate that the factors that compromise bone quality in osteoporosis today were not present, or somehow they were foreseen, in past populations.  

Although the etiology of the disease in past populations may not be determined definitively, the prevalence and general patterns of pathology in the past can open a light on evolution and the biocultural aspects of the disease.

Osteoporosis is a disease characterized by the deterioration of bone tissue and loss of bone strength. The condition can progress over time and make the bone become more and more porous and weak, and that it breaks more easily.

Throughout life people who lead a sedentary life, over the years there are greater possibilities of suffering from osteoporosis, performing a daily physical activity, such as the simple fact of walking offers opportunities to have stronger bones.

In almost everyone, people spend more and more time in a sedentary way, during the time they have free are often sitting, either in front of the computer or any other device, for example: watching TV or video games. We must also emphasize that many of our works have become more inactive over time, long days sitting on a desk in front of a computer, the way to transport ourselves from one place to another does not help us, since we have many transport facilitiesAnd a low cost, for example: buses, trolls, taxis, etc.

Problems caused by sedentary lifestyle

• Burns less calorie
• Loss of muscle mass and resistance, for not using their muscles
• The bones weaken and lose their mineral content
• Your metabolism can be affected
• Bad circulation in the blood

This disease worldwide affects postmenopausal women, constitutes a high risk of fractures and a deterioration of quality of life. Food is important since the lack of nutrients such as calcium and vitamin D, as well as excess or deficit in protein consumption and a sedentary lifestyle could interfere with calcium balance and harm the health of bone metabolism. (Díaz y Collaborators, 2018)

The high prevalence of this disease has social, economic and nutritional consequences and therefore, a deterioration of patient’s quality of life. For this reason, it is important.

Osteoporosis is the most common bone mineral disease in population over 50, which increases from menopause proportionally to age, becoming up to more than 50% in women over 70 years of age, with whichIncreases the possibility of fractures which affects the quality of life, functional independence, costs of care and increase in patient mortality.

Diagnosis and treatment of osteoporosis

The Health Professional will identify recommendations constituted with the best available scientific evidence, on prevention, diagnosis and treatment of osteoporosis in postmenopausal women, constituting an instrument of help to improve the standards of quality of care, provide efficient use of resources and limitThe medical, social and economic impact of osteoporosis on postmenopausal women.

Osteoporosis is a serious, chronic, progressive and clinically silent disease, whose most direct clinical consequence is the increase in the incidence of fractures. Osteoporosis causes more than 1.3 million fractures in the world. It is chronic, noncommissible disease, more prevalent throughout the world, especially in people who lead a sedentary life.

All relevant aspects about osteoporosis will be announced, it is a pathology that not only affects older women being a problem even where men and young people of our age are affected, leading to serious consequences with the passing of time, technicallyIt will be based on demonstrating the consequences and types of this pathology showing how the human body can degenerate having a great impact at the physical level, with the importance of informing about the factors of this disease, compression on this pathology will improve fundamental knowledge in interventionWith attitudes and skills to consolidate the issue in question. Since it can be described as a silent disease but that with verifying the symptoms and thanks to the exams it can be diagnosed and initiated a treatment, this pathology is affected by factors such as climate since a loss of vitamin D where it lacksThe sun in Nordic climates and many more factors that imply a small but important change in the health of each patient, also in how health can be improved and by understanding to determine stages such as the assessment, observation, treatment and evaluation of this pathologyOsteoporosis.

The incidence of osteoporosis is greater in women than in men, because in men the bone mass is greater, to the absence of an equivalent of menopause, to a lower tendency to fall and to a shorter life expectancy.

Diagnosis

In patients with clinical suspicion of osteoporosis given by risk factors, it is recommended to carry out bone densitometry by DXA with column and hip measurement.

The DXA (bone densitometry), is simple and fast. It is also the most used method to diagnose osteoporosis, use a small dose of ionizing radiation to produce images inside the body, usually the lower part of the column (lumbar) and hips, to measure bone loss.

The criterion to define and diagnose osteoporosis in postmenopausal women is the finding of a T-Score less than or equal to −2.5 in the lumbar column, femoral neck, hip or radio. The finding of a T-Score between −1.0 and −2.5 in lumbar column, femoral neck, hip or radio is considered osteopenia 2.38-40. The radius should only be considered when the column or the femoral neck or the hip are not interpretable. If the mentioned sites of interest are interpretable, the routine radius should not be measured. (Medina and Collaborators, 2018).

Menopause is the most important risk condition for this disease, estrogenic deprivation is a lack of brake on the action of osteoclasts and this entails an accelerated and disproportionate loss of trabecular bone (high bone remodeling). The risk is the higher the early age of menopause, and much more intense when hormonal deprivation is abrupt, as in surgical menopause.

conclusion

The main problems presented by sedentary people is the loss of muscle mass and resistance, for not using their muscles, which leads to the bones to weaken and have a poor circulation in the blood and their metabolism can be affected

Osteoporosis is a prevalent pathology that entails morbidity and mortality in post -menopausal patients. Its diagnosis based on medical history and bone densitometry along with new therapies available, have proven to reduce the risk of fracture.

It is essential that the gynecologist, being the main woman’s treating in her post menopause, knows the indications for the diagnosis and treatment of osteoporosis in this group of women. We propose an algorithm for the choice of treatment is post -menopausal osteoporosis

It is also important to be derived in a timely manner to those patients in which secondary causes are suspected or have a bad response to treatment.

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