Osteoporosis Risks, Detection and Treatment Options

While osteoporosis is more common in adults over the age of 60, it can also affect younger individuals as well. In fact, according to the Bone Health & Osteoporosis Foundation (BHOF), 50% of women and up to 25% of men in the U.S. over the age of 50 will break a bone due to osteoporosis. Here is what you should know.

Osteoporosis, called a “silent” disease, weakens your bones with no warning signs until a fracture occurs. Around 10 million Americans who are 50 or older have osteoporosis, and an additional 44 million have osteopenia (lower than normal bone density) – 80% of whom are women.

By the time most individuals reach their late 30’s, they gradually start losing some of their bone mass. For women, the biggest decline happens in the five to seven years following menopause, when estrogen levels—important for maintaining bone strength—drop sharply. Bone loss for men occurs much more gradually but, by age 70, osteoporosis is as common in men as it is in women.

To help you determine your risk of osteoporosis, the International Osteoporosis Foundation has a quick, online test you can take at RiskCheck.Osteoporosis.Foundation.

Bone Checkup

According to BHOF, women over 65 and men over 70 should have a dual energy X-ray absorptiometry (DXA) scan, which is a painless measurement of the calcium in your bones. Those at high risk should start around age 50. Factors that support early screening include a family history of osteoporosis, a broken bone after age 50, vitamin D deficiency, smoking, rheumatoid arthritis or use of medications that can weaken bones, such as steroid prednisone and certain antidepressants. Most bone density tests are covered by health insurance companies, including Medicare, and are done in hospital radiology departments, private radiology practices and stand-alone clinics.

Bone-Builders

If your bone scan finds that you have osteopenia but have a low to moderate 10-year fracture risk, lifestyle measures are usually the best course of action. Three important things you can do to boost your bone health include:

Get enough calcium and vitamin D: Calcium helps keep bones strong, and vitamin D helps us absorb calcium. Women over 50 and men over 70 need at least 1,200 mg of calcium per day from foods like dairy, canned sardines, kale, and fortified orange juice. All adults should get between 600 to 800 international units (IU) of vitamin D daily. Since this amount is not often obtained from just food, it is recommended to have your levels checked to see if you need a supplement.

Exercise: Low impact weight-bearing exercises, like walking, and strength training with light weights or resistant bands several times a week can help build bone strength, as well as improve balance and muscle strength.

Do not smoke: Women who smoke a pack of cigarettes per day as adults have less dense bones at menopause.

Osteoporosis Meds

If your bone density test finds that you have osteoporosis, your doctor will probably recommend medications. The first line of treatment is usually bisphosphonates such as alendronate (Binosto and Fosamax), risedronate (Actonel and Atelvia), and ibandronate (Boniva). These oral or injectable drugs slow the breakdown of bone but will not build it back.

For severe osteoporosis your doctor may prescribe an anabolic: teriparatide (Forteo), abaloparatide (Tymlos), or romosozumab (Evenity). These are typically given as daily or monthly injections, and increase the amount and strength of bones.

Savvy Living is written by Jim Miller, a regular contributor to the NBC Today Show and author of "The Savvy Living” book. Any links in this article are offered as a service and there is no endorsement of any product. These articles are offered as a helpful and informative service to our friends and may not always reflect this organization’s official position on some topics. Jim invites you to send your senior questions to: Savvy Living, P.O. Box 5443, Norman, OK 73070.