Osteoporosis Awareness and Prevention Month | 05/01/2009 12:00 pm
National Osteoporosis Month Urges Moms to Talk to Daughters About Bone Health

For Osteoporosis Awareness and Prevention Month, the National Osteoporosis Foundation has a new theme — A Gift from Mothers to Daughters — and hopes to break the cycle of generations of women suffering from this disease.
"Bone health is a family issue, particularly as genetics and heredity are among the key factors that influence a person’s risk of developing osteoporosis," said Robert Recker, MD, president of the National Osteoporosis Foundation. "However, there are many lifestyle choices that families can make to help build strong bones and prevent osteoporosis later in life."
Throughout the month of May, the National Osteoporosis Foundation will be hosting events that address the disease, which affects more than eight million women in the United States.
"An estimated one in two women age 50 and older will break a bone from osteoporosis in their remaining lifetime," said Leo Schargorodski, executive director of NOF. "Our goal is to provide parents information about bone health and osteoporosis prevention, so they can not only protect themselves, but also influence the next generation to make lifelong bone health a family tradition."
If not prevented or if left untreated, osteoporosis can progress painlessly until a bone breaks, typically in the hip, spine and wrist.
For more information about A Gift from Mothers to Daughters, visit nof.org.























18 Reader Comments (so far…) Sign In or Register to comment
My mother suffers from osteoporosis in addition to her Parkinson’s. She complains bitterly that no one ever told her that she was developing the osteoporosis, but how could they when she didn’t see a physician for a period of over 25 years? Did I mention the fact that she is a nurse?!
Her three daughters get regular checkups, keep calcium in our diets and do plenty of weight-bearing exercise, and we are committed to seeing that her five granddaughters do the same.
My closest friend will be having hip replacement a week from today. Not only does she have osteoporosis, but she has what is called Avascular Osteo Necrosis—in other words, no blood going into the hip bone and now it is dead. She has lost 2" of height at the age of 63, is very little and fine-boned, and has always hated the thought of drinking milk.
We need to remember to drink or put calcium into our bodies, and we should teach our daughters to get in the habit of it, and you don’t have to get fat. Not only that, but weight bearing exercises are critical to preserve good healthy bones.
And, get a bone density every other year. I came up with pre-osteoporosis years ago and took Fosamax and reversed the symptons.
Diana,
You are absolutely right. In addition to dairy products (milk, yogurt, cheese), other sources of calcium are leafy green vegetables (broccoli, collards, kale, spinach), fruits (oranges), legumes (black beans, baked beans, peas, tofu, peanuts, tofu), salmon, sardines, almonds, blackstrap molasses, and fortified foods.
http://www.keepkidshealthy.com/nutrition/calcium_non_dairy.html
Diana, so many words of wisdom about this from you. I thank you. My cousin is a nurse. ( dialysis) She has always told us to talk to our doctors and tell them what we need, want, are concerned about. Too often people expect their nurses and doctors to be mind readers. Remembering that advice, when I went for my annual Well Woman check up two years ago, I asked my doctor to look at a small sore that was having trouble healing. It was skin cancer. I never saw that coming!
Thanks for the bone density test advice. I’m going to call my mom and aunts about that!
AND … Vitamin D and fiber, Diana. And, yes, osteoporosis does exist in males, as well, in high numbers.
It’s not just calcium intake, either. And, the osteoporosis drugs are causing osteonecrosis in many patients, so there is no one answer, regardless of how an NGO views the condition. Presently, there is great concern about Americans (and other civilized nations residents) getting enough Vitamin D. Without the D, calcium cannot be absorbed, nor without enough fiber. Additionally, a high percentage of people with osteoporosis have a genetic link (or no link as it may be). In fact, most calcium preparations have some Vitamin D in them, and also the very necessary Magnesium, too; rarely enough Vitamin D, though.
I just went through an osteonecrosis diagnosis (in the mandible), and the first thing that 3 consultants asked me was, "Are you on any of the osteoporosis drugs?" No, I’m not, thank goodness. But, I would personally try nutritional and resistance aquatic therapy first before taking them, after what I just learn, read, researched, etc. (mine was due to an undiagnosed thyroid crisis brought about by an error in my RX since last summer [yes at times I thought I was slowly dying]).
If someone is drinking or eating fat free dairy, it must be remembered that calcium cannot be absorbed without at least 2% butterfat at the same time. So, take in at least 2% milk, cottage cheese, etc. AND, be sure to get a bone scan for osteoposis at the age of 50, or much earlier if anyone in your family has it, and do not forget to have show up for the repeats your doctor orders, as time goes by.
Diana, you only need 2% so it that is taken in a small glass of milk, it’ll help digestion. I have acquired a taste for goat milk, and goat cheeses (lovely stuff from Spain), and they’re delicious in soups, etc., too. I will check on butterfat contents of foods - do you recall the Adele Davis books of yore by any chance? I think I still have them. She was absolutely on target with everything we’re dealing with today, like Rachel Carson!
Olive Oil, the high quality, is perfect for salads/breads, and the lower quality for cooking, and canola, too. Might check into the Omega Diet book by Dr. Simipoulous - I adore her, have experience with her at NIH, and she has put together th finest book on the of the world’s healthiest communities in which to live, Cypress (her homeland).
Yes, tons of veggies, and fruits, beans, lentils, grains, etc. Do you swim?
Diana, I’ve read a ton of papers (scientific incl nutrition) and nothing is mentioning "absorption" other than in fetal rats! In my 4 years of nutrition and diet therapy in college, we were told 2% min. butterfat; however, milk is not processed the same way now, and I am reading that a tendency for the higher fat content milk causes rancidity that inhibits calcium absorption like rancid fats, period - which does make sense; however, I would tent (from what I’ve read and I do it) stick to organic milk products, only.
This is an excellent website - I’ve read the whole darned thing - and may order the book, too (I certainly should for what it gave me): http://tinyurl.com/cfo6ca (believe me it’s far too long to enter here). Credible source, too.
Are you getting enough roughage, and fiber, Diana? It’s all part of the metabolism of fats/cholesterol; however, I am very familiar with the cellular problem associated with elevated cholesterol and was present at the first presentation when that "cell wall defect" was presented by a Noble Laureate. Some people’s cell walls lack a receptor for cholesterol; hence it is not absorbed and carried out (metabolized) of the body; it circulates in the blood vessels (to put it simply). So, there are several components responsible for high LDL, beside eating high fat foods.
Stress is another! And it’s very dangerous - because "stress chemicals" can cause damage to the heart muscle, resulting in an MI (myo [muscle] cardial [heart] infarct [trauma]) = myocardial infarct. That’s why taking CoQ10 after the age of 60 is beneficial - the hormone we once had released in the the heart muscle ceases being produced, so that’s replaced and adding the L-Carnitine with it, helps too. And, don’t forget to take Omega 3 each day, as a capsul or in flax seeds/oil/capsules, plus eat the fish!
I focus on getting 2000-3000 U of Vit.D each day (try it at least for now), and 1400-1500 of Calcium; magnesium, too. The nation’s top bone & mineral specialist advised me (when parathyroid cancer was found and those calcium-metabolizing glands had to be removed) to merely use TUMS Calcium since it’s the most readily absorbed. I’d bet on his advise any day, and to pay attention to "elemental calcium" in any preparation - in many it’s drastically reduced from what appears on the label as most easily seen.
If you read on in the link, to daily intake of food groups, Chapter 11, I think, and look at the required weekly intake of beans, lentils, and yellow vegetables, fruits, grains, etc. for our age groups, you may be shocked. I appreciate the weekly intake, frankly, because I can target better with that approach, in my purchasing, preparation, and cooking, etc.
For example, I save all veggie scraps in a closed container in my freezer, including onion skins (for color too), and make broth from them when I have about 6 cups. I merely steep them in about 2-3 qts. of water, with fresh celery leaves, and garlic cloves (whole), for about 5 hours, then I drain them, puree the veggie contents, and add it back to the broth, then put it into small Mason jars for freezing, and a couple in the refrigerator. These are quick uses making rices, pasta, soups, etc. I can then toss the left over roughage into my garden beds. ;-))
I’ll alternate making a broth from organic chicken, too - that is delicious! But, overall, anything to increase roughage. Baking Cannellini, white Northern, Chick Peas, and other beans (after sauteing onions, etc. in olive oil) makes a far firmer bean that is better tasting and has more fiber that those cooked in water in crock pots, or saucepans, too. They are then simply to add to salads, and soups, etc. quickly.
Hugs.
Before calcium-enriched, lactaid-free, low cal milk, I bemoaned the fact that I couldn’t drink much milk because I would get an upset stomach. Now with that product available, I don’t have a problem at all. And, living alone preparing veggies was a chore but there are so many fresh-frozen veggies and some in sauce that I have more choices than ever. There really isn’t any excuse these days for not preparing heathy foods. There is so much available with easy preparation that if a person can go to a fast food restaurant they can also go to a grocery store and pick up something that can be cooked in a microwave. And, the calories and sodium content along with any vitamin statistics are right on the package. How easy could it be.
Such good advice in the postings. I’ve been lucky and have followed the family tendency to not get osteoporosis or its predecessor, osteopenia. However, my very close friend has spent the last two years battling this.
It started with a lung infection that resulted in an autoimmune inflammatory condition for which she was prescribed the wonder drug, Prednisone. After months of treatment she was weaned off. She had a Dexa-Scan and it was obvious she needed help, So she went on Boniva for a while. Then she went for some dental work - a couple tooth implants. Long story short, she had ONJ, osteonecrosis of the jaw [dead bone]. She ate baby food for two years.
Here’s the key: get those bone scans every two years or more and if you are going to take bisphosphonates [Boniva, Fosamax, Forte, etc.] GET YOUR DENTAL WORK DONE BEFORE TAKING THOSE MEDS. Women who have taken cancer medication have also reported ONJ.
Two years ago she was finally feeling somewhat ok and resumed her yoga. While coming "down" from her headstand she heard something crack in her back. She fractured a vertebrae and was operated on immediately [verterbroplasty]. No one bothered to tell her she needed to do CORE exercises in order to strengthen the back muscles so that they would help prevent any other fractures which seem to happen after you’ve fractured one vertebra. So her back was weak. She fractured another vertebra 8 months later.
DO NOT STAND ON YOUR HEAD.
DO BACK STRENGTHENING EXERCISES [CORE EXERCISES].
The whole thing could have been avoided if she knew about the Bone Scans, had gone to the dentist before going on bisphosphanates, and had she eaten a good diet and exercised her back.
Learn from my friend’s experiences.
Andrea, it was the bisphosphonates that caused the osteonecrosis, and the steroid lowered her immunity. Hopefully, she was not put on it less than 2 years after her illness, to boot!
Sad and I’m sorry that happened to her, but someone didn’t tell her the truth. Dental work isn’t just the teeth; osteonecrosis of the jaw (diagnosed by a bone biopsy in the jaw) reveals the status, not the cause.
In some cases, it can develop after an extraction, and those undergoing implants are at risk - the bone takes a very long time to heal after an extraction, sometimes 2 years or more (that’s why any good DDS will do anything to not extract a tooth).
However, the FDA alerted all doctors to talk to their patients if they were on this osteoporosis group of drugs, last year! http://www.fda.gov/cder/drug/infopage/bisphosphonates/default.htm I would suggest that your friend report her health history to FDA, on their website. There is a link for patients to report side effects, et al on any drugs, equipment, foods, etc. Eeryone should do that, and cross our fingers that the new administration turns FDA around, or out. Frankly, I’d be more than delighted if all drugs would just have to be tested before giving them to humans.
If anyone’s doctor did not fully inform them about these possible side effects, clearly, I’d find another doctor, fast.
Hi, C Jay,
Yes, it was indeed the Boniva [bisphosphanates] that caused the bone density to suffer. She was put on it less than 6 months after she finished Imuran and Pred.
She had someone well-regarded in the area doing the implant and he never said a word about bisphosphanates. Nada. [And they knew even back then that there was a problem.] The her husband found an MD/DDS at UCLA dental school but [my opinion] they did nothing except watch and see. Probably that was all that they should have done at the time, but she was in a lot of pain. While they were getting alerts about bisphosphanates, they themselves [at that time] had never seen an actual case caused by Boniva. This was several years ago [4?]. In any case, I helped her file the FDA report. Whether anyone paid attention to it or not is unknown.
I’m lucky to have a network of MD friends and was led to a doctor on the east coast who did a number of clinical trials and was testing hyperbaric chambers as a means of resolving ONJ. While she didn’t take him up on his offer to fly her cross country three times in several months to participate in his clinical trial, he did refer her to another dentist not that far from where she lives so that she could have the approprate dental work done. He’s been a godsend.
The pharmaceutical’s written clinical trial results and known adverse effects should be reviewed by potential consumers very skeptically if they are on several medications. Trial protocols almost never include patients who are taking multiple drugs. I absolutely agree about taking the time to file the FDA adverse reaction reports.
Again, if anyone is considering taking bisphonates get all your dental work done BEFORE you start taking the drug.
Thanks for the confirmation, C Jay. Tell me, is there some new guideline that says that bisphosphanates should not be used within 2 years of a major illness? No one ever said anything to her about it when she was put on it.