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Midlife
and Beyond
Osteoporosis
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Are
you at risk for osteoporosis?
Find out
how strong your bones are with a bone density screen of your
heel. The
test is quick, safe (no x-ray), and painless and the measurement will help
your physician assess your risk of osteoporosis. Individual
counseling will be provided with information on how to keep
your bones strong and healthy. Call
1-888-6 ASK OSF (1-888-627-5673) for your appointment at one of the following
locations.
- OSF
Medical Group - Morton
- Glen
Avenue Outpatient Center - 4911 N. Executive Drive - Peoria
- Saint
Clare Family Health Center - Washington
Please note: Registration is required and participants
can register by calling the ASK OSF number above. A bare
ankle is also required, so please avoid wearing pantyhose if
possible. Cost is $20.00, and can be paid at the time of
the screening. Thank you.

Adolescent
Bone Health by Suneela Vegunta, M.D.
Osteoporosis
is a disease that starts when youre young
and impacts you as you age in
life. Investing in bone health at a young age will certainly
be rewarding during later years. Bone
grows linearly during early adolescence. It grows both linearly
and significantly increases in
density (mass) during late adolescence. Peak bone mass is reached
sometime between late teens and age 35. In some bones, (like
the radius), rapid growth is completed by late teens. It is crucial
that children get a diet rich in calcium and vitamin
D during this period.
Eighty percent
of American children do not get their required daily allowance
(RDA) of
calcium. The reasons for this are many fold. They can be as
common as food fads or lactose
intolerance. Eating disorders like anorexia, bulimia, reduced
calorie intake, purging, using
laxatives and induced vomiting are also some reasons. Excessive
alcohol or caffeine intake and
delayed puberty are other risk factors.
Progressive
moderate exercise, especially weight bearing and resistance
training
improves bone mass. Examples of weight bearing exercise are
walking, jogging, basketball,
soccer, dancing, skiing, aerobic dancing, gymnastics and stair
climbing. Resistance exercise
includes weight training and vigorous water exercises. Adequate
calcium is necessary for
optimal effects from exercise, but moderation is the key. Some
young female athletes who
exercise excessively (e.g., running more than five hours per
week), lose their body fat and have
menstrual irregularities. This leads to conditions similar
to menopause. This increases the risk
for osteoporosis and stress fractures.
In order
to ensure that children reach their peak bone mass I recommend
the following:
- Promote
a physically active lifestyle including participation in a
variety of sports and
recreational activities;
- For girls,
avoid excessive exercise and/or reduction in body fat, which
can result in
menstrual irregularities;
- Teach
children about proper body mechanics and encourage good posture;
- Ensure
that they get adequate calcium and vitamin D in the diet
(see table below). If
they are unable to take a high calcium diet, encourage
taking supplements;
- Discourage
excessive caffeine or alcohol intake and cigarette smoking.
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Recommended
Daily Calcium Intake |
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Population |
Group
Calcium (mg) |
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Children
1-10 years |
800 1,200 |
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Children
11-24 years |
1,200 1,500 |
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Men
and Women 25-64 years |
1,000 |
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Pregnant/Lactating
Women |
1,200 |
Postmenopausal
Women with Hormone Replacement Therapy (HRT) |
1,000 |
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Postmenopausal
Women without HRT |
1,500 |
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Men
and Women 65+ |
1,500 |
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