โ Scribed by Nancy E. Lane
No coin nor oath required. For personal study only.
Osteoporosis currently affects 25 million people in the United States, and as the baby boomers enter their fifties, this bone-weakening disease is poised to strike millions more. Because of this disease, many older people will suffer from a bone fracture at some point , and far too many of these fractures will result in permanent disability.The good news is that this devastating "silent epidemic" is entirely preventable, and in The Osteoporosis Book, readers of all ages will find everything they need to know to slow, stop, and even reverse the bone loss that causes this crippling disease. Written by Dr. Nancy E. Lane, a leading investigator and clinician in the field of osteoporosis, it is an indispensable guide to the exciting medical breakthroughs that have taken place in the past few years--in bone density measurement, in estrogen therapy, and in our knowledge of the bone cycle--that now allow doctors to predict who is at risk and to monitor these individuals in their fifties, before a fracture occurs. Readers learn to evaluate--and whenever possible, eliminate--the risk factors in their own lives. "What vitamins should I take? Is hormone replacement therapy right for me? And what about exercise?" The answers are here. And for those already affected by osteoporosis, Dr. Lane provides the most effective and up-to-date medical and practical advice available anywhere for coping with its aches and pains and safeguarding against further deterioration.Impeccably researched and reassuringly accessible, The Osteoporosis Book empowers readers to make informed healthcare choices that will enhance the quality of their lives for decades to come. It has been endorsed by the National Osteoporosis Foundation.
0195142381......Page 1
CONTENTS......Page 8
FOREWORD......Page 14
WHY IS THIS BOOK IMPORTANT?......Page 16
Why Write a Book on Osteoporosis?......Page 20
What Is Osteoporosis?......Page 21
Topics in This Book......Page 22
Part I: Understanding Osteoporosis......Page 24
How Do We Gain and Lose Bone Throughout Life?......Page 26
How Does Age Affect Your Bones?......Page 27
Is the Bone Life Cycle Different in Women and Men?......Page 28
What Happens in Menopause?......Page 30
What Happens as We Age? Type I and Type II Osteoporosis......Page 32
Medical Conditions That Can Cause Osteoporosis......Page 33
How Does the Body Maintain Its Calcium Level?......Page 34
Summary......Page 35
Age, Sex, and Race......Page 36
Family History and Reproductive Factors......Page 37
Body Type......Page 38
Lifestyle Factors......Page 39
Drags That Cause Osteoporosis......Page 44
Summary......Page 49
How Is Osteoporosis Detected?......Page 50
Techniques for Measuring Bone Mass......Page 51
How Do We Measure Bone Loss and Gain Over Time?......Page 57
Can Blood Tests Diagnose Osteoporosis?......Page 58
Cases......Page 60
Summary......Page 64
Risk Factors in Elderly Persons......Page 65
The Biomechanics of Falling......Page 66
Hip Fractures......Page 69
Vertebral Fractures......Page 70
Forearm Fractures......Page 72
Summary......Page 73
5. Do Men Get Osteoporosis?......Page 75
Risk Factors......Page 76
Idiopathic or Age-Related Osteoporosis in Men......Page 77
How Do We Prevent Osteoporosis in Men?......Page 78
Summary......Page 79
Part II: Prevention and Treatment of Osteoporosis......Page 82
How Do Hormones Prevent or Treat Osteoporosis?......Page 84
How Long Must I Stay on HRT?......Page 85
Are There Other Risks and Benefits of HRT?......Page 86
Estrogen Therapy and the Management of Menopause......Page 89
The Many Types of Estrogen Therapy......Page 91
Tamoxifen and Raloxifene: Estrogen Lookalikes, Agonists, and Antagonists (Selective Estrogen Receptor Modulator [SERMs])......Page 94
How Are Phytoestrogens Different from HRT Medications?......Page 95
Summary......Page 96
Cases......Page 97
Calcium......Page 103
Bisphosphonates......Page 109
Calcitonin......Page 114
When Is a Bisphosphonate Preferable to Calcitonin?......Page 116
Summary......Page 117
Cases......Page 118
The Role of Vitamin D in Maintaining Healthy Bone......Page 131
Vitamin D and Skeletal Development......Page 134
The Genetics of Osteoporosis......Page 135
Summary......Page 136
Exercise and Bone Mass......Page 137
Exercise in Women of Childbearing Age......Page 138
Exercise in Women with Osteoporosis......Page 141
Importance of the Type of Exercise Performed......Page 142
Special Problems of the Female Athlete......Page 144
Summary......Page 151
Cases......Page 152
10. Bone-Building Agents: Are There Any "Magic Bullets"?......Page 154
Fluoride......Page 155
Parathyroid Hormone Fragments......Page 156
Summary......Page 158
Calcium and Vitamin D Intake......Page 159
Drugs......Page 160
Cases......Page 163
The Osteoporotic Fracture: Treating Acute Pain......Page 171
The Osteoporotic Fracture: Treating Chronic Pain......Page 174
Preventing Falls......Page 181
The Quality of Life After an Osteoporotic Fracture......Page 182
Summary......Page 186
Cases......Page 187
APPENDIX......Page 194
BIBLIOGRAPHY......Page 198
B......Page 212
C......Page 214
E......Page 215
F......Page 216
H......Page 217
M......Page 219
P......Page 220
S......Page 221
V......Page 222
Y......Page 223
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