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Health Promotion for your Bones
Care Providers

What Providers should know about Osteoporosis to guide their Clients

-IDENTIFY those who are at risk:

            -broken bone after minor bump

            -long term oral corticosteroids (+5mg/day >3 mos.)

            -menopause or removed ovaries prior to age 45

            -Women w/ hx of missed periods (anorexia)

            -men with low testosterone

-men and women with conditions such as: malabsorption syndrome, hyperparathyroidism, prolonged immobilization

-Women whose mothers have broken their hip

-DIET recommendations:

            -many clients will know that calcium absorption is necessary, but there are more factors that just calcium consumption that a provider may need to explain to his/her clients. 

            -Dairy sources are best because the body absorbs the calcium from mild products easily (bioavailability)absorbed easier than sources like spinach etc…b/c other compounds attach themselves and block the Ca absorption

            -Foods such as meats, grain, rice and pasta increase acidity in body, the body will pull Ca from bones and blood to neutralize the acidity.  Fruits and Veggies reduce the acidity in the body, therefore preventing the body from depleting its Ca supply.

            -Milk has other Micronutrients (zinc, Vit B complex, and phosphorus) also necessary for bone health.

            -Vit D is necessary to Ca Absorption.  **15 min/day in the summer of sun exposure to face and arms provides enough Vit. D for the year!  (sun=bad?  Also available in small quantities in some cereals and fish)

            -Give them their other options!  See chart


-ANSWER touchy questions:

            -Increased knowledge of the public through media and internet could produce some questions that a health care provider should be prepared to answer:

                        -Dairy consumption associated with Breast cancer, ovarian cancer or type 1 diabetes??—no consistent evidence/findings are not difinative

                        -High Ca intake shows slight increases in the risk of Prostate Ca and risk of Parkinson’s disease in men (findings are not definitive)

                        -Mild can lead to a reduced risk for colorectal Cancer

                        -No strong evidence that links high dietary calcium intake with an increased risk of kidney stones



            -Bone density scans are not for everyone.  People with other degenerative processes such as osteoarthritis can make the bone appear denser than it actually is when is it scanned—fx the accuracy of the results

            -Presence of previous fractures in the spine can effect results (DXA)

            -Scans might be repeated in 2-5 years to determines if later treatment is necessary



Milk...does a body good