N&W 4 Flashcards
How widespread is osteoporosis
10 million americans affected 80% are women
half of all women 50 and up will fracture the three most common fracture placees in thier lifetime
Why is osteoporosis a growing health care problem in America
aging population /baby boomers
What sites are the most common for fractures
wrist
spine
hip
why are fractures dangerous
amoung the elderly 25% of hip fracture ppl die within a year
Why is osteoporosis seen in women more than men and in whites more than blacks
blacks and men have 30% (men) 10%(blacks) more bone mass than whites and women
what are uncontrollable risks for osteoporosis
age
family history
caucasian
menopause
What are major dietary risk factors
underweight low calorie over long period of time poor vit d high sodium intake excessive protien intake inadequate vit k, soy, flouride,boron, potassium or magnesium
What are other risk factors for osteoporosis
lack of sufficient exercise
smoking
alcohol
How do sodas influence bone health
phosphoric acid in soda requires buffering high levels of phosphate in the diet caused high fecal loss of ca
Is milk the answer to brittle bones or increase the risk?
no and no
people who consume calcium and high protien mainly from dairy products have higher incidences of hip fractures
whatis the mechanism for why protein and salt have a negative effect on bone density
sulfur containing amino acids
what role does protien play in bone health
excess protein is not good for bone health it increases urinary excretion of calcium 10g of protien 10g of calcium lost
What is the effect of soy and its isoflavones
improves bone minerals density, promote bone formation
isoflavones like genstien act like estrogen and bind to estrogen receptors in bone tissue
What is the status of bone in vegetarians and vegans
vegetarians have less urinary ca excretion and less risk factors
vegans are at a higher risk of fractures
What is the role of vitamin d in bone health
required for ca absorbtion and utilization also stregnthens muscles so risk of falls lower 20%
what effect is played by boron
postmenopausal women taking 3mg/day excreted about 20% less calcium a day
why is the first 5-7 years after menopause the most critical time for a womens skeleton
bone loss 3% a year
after 1% a year
Are all calcium supplements safe
no dolomite and oyster have lead
what effect does excersize have on bone health
helps slow the rate of bone loss
what role does vit k, potassium, and magnesium have in bone health
helps with metabolism of osteocalcium in the bone
potasium and magnesium are alkaline residue which does not dissolve bone
how does the body maintain the blood level of calcium in a narrow window
pth, calcitriol raise levels
calcitonin lowers levels
How do the calcium supplements compare for content and bioavailability
there is little difference carbonate and citrate are the most available forms
Are those calcium supplemetns effective in preventing bone health
yes reduced bone loss in menopausal women who had low calcium intakes who took 500 mg of calcium a day in women with high calcium intake no change was seen
Name some good plant sources of calcium
green veggies
beets
beans
What characteristics are seen in some of the most happy cities in the world
1/2 the workers bike to work
open space, public gardens, recreational activities
What is more important excersize good nutrition
their both important
what is price tag for inactivity
affects the function of the brain, heart, blood vessels, gi tract, increased mortality, higher anxiety and depression
high risk of cvd and cancer
how does excesize assist with brian function
protects effect cognitive decline
may restore memory
fit ppl have sharper brains
better relational memory bigger hippocampus
Of what value is strength training and after 50
improves physical and mental health
lower risk of diseases
joint flexibility and reduces pain
after age of 50 you loose 6% of muscle mass w/ a 10-15% loss of strength
What are the benefits of regular excersise for cv system
lowers resting heart rate higher cardia output improves rythmn lower risk of blood clots lower ldl higher hdl lower bp lower trigylceride