Osteoporosis Flashcards

1
Q

What does the term ‘osteoporosis’ mean?

A

Chronic, progressive thinning of the bone (porous bone)

The term originates from the Greek roots ‘osteo-‘ meaning bone and ‘-porosis’ meaning porous.

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2
Q

What is characterized by decreased bone mineral density (BMD)?

A

Osteoporosis

This condition leads to bone fragility and an increased risk of fracture.

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3
Q

How is osteoporosis diagnosed?

A

Conventionally by dual x-ray absorptiometry (DXA scan)

A T-Score lower than -2.5 on a DXA scan indicates osteoporosis.

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4
Q

What T-Score indicates osteoporosis on a DXA scan?

A

Lower than -2.5

This score reflects a significant decrease in bone mineral density.

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5
Q

Fill in the blank: Osteoporosis is characterized by _____ bone mineral density.

A

decreased

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6
Q

True or False: Osteoporosis leads to increased bone strength.

A

False

Osteoporosis leads to bone fragility.

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7
Q

What does ‘BMD’ stand for?

A

Bone mineral density

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8
Q

What is the Greek root for ‘bone’ in osteoporosis?

A

osteo-

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9
Q

What is the Greek root meaning ‘porous’ in osteoporosis?

A

-porosis

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10
Q

What is a major risk factor for osteoporosis related to age?

A

Increasing age - over 30 years of age, ability to retain calcium lowers

This indicates that the risk of osteoporosis increases as individuals age, particularly after 30.

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11
Q

What hormonal change in women contributes to osteoporosis post-menopause?

A

Estrogen would normally suppress osteoclast activity, reducing bone breakdown

After menopause, estrogen levels drop, leading to increased osteoclast activity and bone loss.

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12
Q

List three dietary factors that can contribute to osteoporosis risk.

A
  • High acid-forming diet (high in sugars and proteins)
  • Low in minerals
  • Excess sodium, caffeine, fizzy drinks

A poor diet lacking in essential minerals and high in harmful substances can increase the risk of osteoporosis.

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13
Q

What is a significant medication risk factor for osteoporosis?

A

Long-term corticosteroid therapy (> six months)

Corticosteroids can interfere with bone health and increase the likelihood of developing osteoporosis.

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14
Q

Name two gastrointestinal diseases that can increase the risk of osteoporosis.

A
  • Liver disease
  • Malabsorption syndromes

These conditions can affect nutrient absorption, including calcium, which is essential for bone health.

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15
Q

True or False: Low stomach acidity can assist in the absorption of calcium.

A

False

Low stomach acidity hinders the ionization of calcium, making absorption less effective.

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16
Q

What is a genetic risk factor for osteoporosis?

A

Family history

Genetics play a significant role in determining an individual’s risk for osteoporosis.

17
Q

What lifestyle factor increases the risk of osteoporosis?

A

Sedentary lifestyle

Lack of physical activity can contribute to decreased bone density.

18
Q

Name one endocrine pathology that is a risk factor for osteoporosis.

A

Cushing’s Syndrome

Other endocrine issues like hyperparathyroidism and hyperthyroidism also increase risk.

19
Q

What is a consequence of low body weight regarding osteoporosis?

A

Increased risk

Low body weight is associated with lower bone mineral density.

20
Q

How does high alcohol consumption affect osteoporosis risk?

A

Increases risk

Excessive alcohol intake can lead to bone loss.

21
Q

What lifestyle habit, besides alcohol use, can increase osteoporosis risk?

A

Smoking

Smoking is linked to reduced bone density.

22
Q

What type of environmental factors can contribute to osteoporosis?

A

Toxins (heavy metals)

Exposure to certain toxins can adversely affect bone health.

23
Q

What is a common characteristic of osteoporosis in its early stages?

A

Asymptomatic until the bone has reached critical thinness

Fractures can occur spontaneously with minor trauma.

24
Q

Which areas of the body are commonly affected by osteoporosis fractures?

A

Spine and hips

Fractures in these areas can lead to significant complications.

25
What are some signs and symptoms of osteoporosis?
* Focal pain * Kyphotic posture * Loss of height * Pain aggravated by prolonged sitting, standing, or bending * Pain relieved by lying on side with hips and knees flexed
26
What is the allopathic treatment for osteoporosis?
Bisphosphonates (alendronic acid) ## Footnote Can cause muscle & joint pains, fractures, oesophagitis, and gastritis. HRT is also used.
27
What are some natural treatments for osteoporosis?
* Healthy alkaline diet * No caffeine or alcohol * Calcium and magnesium * Increase vitamin D3 and K2 * Weight-bearing exercise * Herbs (hormone balancing) * Avoid toxins
28
Fill in the blank: Osteoporosis is asymptomatic until the bone has reached _______.
critical thinness
29
True or False: Osteoporosis can cause pain that is aggravated by bending.
True
30
What posture is commonly associated with osteoporosis?
Kyphotic posture