osteoporosis prevention

Did you know that every 12 years, our skeletons undergo a complete transformation? 

Osteoporosis, a condition where bones become fragile, significantly increases the risk of fractures from minor incidents, often without any noticeable symptoms. Worldwide, it affects one in three women and one in five men over fifty, leading to pain, potential disability and loss of independence.

In today’s episode, Jonathan, Tim and Cyrus ask the question: How can understanding osteoporosis and implementing targeted lifestyle changes enhance bone health and reduce the risk of fractures?

Cyrus Cooper is a Professor of Rheumatology at the University of Southampton, where he is also the Director of the MRC Lifecourse Epidemiology Unit and Vice-Dean of Medicine. In addition, he’s a Professor of Musculoskeletal Science at the Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences at the University of Oxford.

Tim Spector is one of the world’s top 100 most-cited scientists, a professor of epidemiology, and scientific Co-Founder at ZOE. Tim trained originally in rheumatology and epidemiology. 

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Timecodes

00:00 Introduction

01:21 Quickfire questions

03:08 What is osteoporosis?

06:10 Why might our bones become more fragile as we age?

08:10 Your skeleton renews itself all the time

10:30 Does menopause cause osteoporosis?

12:48 What's it like living with osteoporosis?

15:16 How common is osteoporosis in males?

16:04 What are the symptoms of osteoporosis and at what age should you get checked?

21:40 Some chilling statistics about osteoporosis

23:10 Common myths about the effects of calcium and vitamin D on osteoporosis

27:50 What is the latest science on vitamin D supplementation?

34:10 Can vitamin D and calcium ensure children’s bone density is healthy?

34:55 Osteoporosis treatment options, including new drugs    

37:20 The impacts of HRT on bone density

39:30 What are the downsides to some of these treatments?

43:00 Does physical activity help to prevent fractures?

44:30 Lifestyle impacts: diet and nutrition

49:40 Can exercise make your bones stronger?

55:20 Ideal exercises to prevent osteoporosis

57:10 Cyrus and Tim’s top 3 actions to improve bone health

59:10 Summary

Mentioned in today's episode:

• Accumulation of risk factors associated with poor bone health in older adults, published in Archives of Osteoporosis

Relevant studies:

• Influence of vitamin D supplementation on bone mineral content, bone turnover markers and fracture risk, published in Journal of Bone and Mineral Research
• <a href="https://onlinelibrary.wiley.com/doi/10.1002/jbm4.10651"...

This week, Dr Louise speaks to Italian Menopause Society president Dr Marco Gambacciani.

Early in his career Dr Marco specialised in reproductive endocrinology. He became interested in the occurrence of cardiovascular disease and osteoporosis during the menopause, and his menopause clinic was the first in Italy to have a bone density scanner. On a personal level, Dr Marco saw the devastating effects of osteoporosis first-hand after his grandmother was diagnosed with the condition. Dr Marco also shares his frustrations on the lack of understanding of how hormones can affect women’s cardiovascular health. On a more hopeful note, he is urging the Italian government to make menopause clinics available all over Italy.                                                              Finally, Dr Marco shares the three reasons why he believes women should consider HRT when they're younger:

1. To improve quality of life. By reducing menopause symptoms, you improve quality of life and you help prevent chronic diseases.
2. To help improve your performance at work – why should a woman have to lose opportunities just because she's having flushes or not sleeping well?
3. It’s important for women to maintain the possibility of an enjoyable sex life ­ – low oestrogen levels can lead to low sexual desire or painful sex.

Follow Dr Marco on Instagram @m.gambacciani

This World Menopause Month, help us start the most menopause conversations – ever. Everyone’s menopause is individual and to help others understand and manage their menopause, we must break taboos, educate and start the conversation.

How to get involved

1. Have a conversation about the menopause
2. Log your conversation on the balance website
3. Share that you’ve got involved by tagging us on social media, using the hashtag #PauseToTalk