Misconceptions to be aware of in the prevention and treatment of osteoporosis

  We are not strangers to osteoporosis, but if asked how to prevent and treat osteoporosis, there may be many people who cannot answer, or are vague, or even have many misconceptions. Here is a summary of some common misconceptions: Misconception 1: Prevention of osteoporosis only requires simple calcium supplementation can be.  Calcium deficiency is not the only factor in the occurrence of osteoporosis, so it is not possible to simply supplement calcium. The loss of bone calcium is related to the height of the bone peak in youth, and the more calcium supplementation is not the better. It is best for middle-aged and elderly people to take calcium supplements once a night before going to bed to offset the low blood calcium at night. If you take calcium supplements along with vitamin D, it is better to prevent osteoporosis. Also reasonable diet and exercise are important.  Myth 2: Osteoporosis has nothing to do with young people.  If you neglect exercise in your youth, often picky or dieting, unbalanced diet structure, resulting in low dietary calcium intake and thin body, and also have bad habits such as smoking and drinking, it is not easy to achieve the ideal peak bone quantity and quality, it will give osteoporosis a chance to invade young people, especially young women. Therefore, prevention of osteoporosis should be started early so that the ideal peak bone mass can be obtained at a young age.  Myth 3: Sex hormone supplementation to prevent and treat osteoporosis predisposes to cancer.  For osteoporosis patients who also have menopausal symptoms, they can be reasonably treated with estrogen replacement therapy under the guidance of doctors. The principle of estrogen use is low-dose and short-term, with the main purpose of improving menopausal symptoms, and they should be followed up regularly during the treatment process. As long as the uterus, breast and ovaries are checked once every six months for lesions, estrogen therapy is still relatively safe. If the osteoporotic patient has no menopausal symptoms, then estrogen supplementation is not advocated.  Myth 4: With osteoporosis, fractures are likely to occur, so it is better to be still than to move.  Maintaining a normal amount of bone calcium and bone density requires constant exercise stimulation, and lack of exercise can cause decalcification and osteoporosis. Osteoporosis can occur in patients who are bedridden for a long time or have fractures fixed. Bone loss is accelerated by reduced exercise and inattention to physical activity. Therefore, physical exercise has a positive effect on the prevention of osteoporosis. In addition, if you do not pay attention to physical exercise and osteoporosis occurs, muscle strength will also be reduced, and the stimulation of bones will be further reduced. This will not only speed up the development of osteoporosis, but also affect the flexibility of joints and make it easy to fall and cause fractures.  Myth 5: Excessive calcium supplementation will lead to kidney stones.  Calcium supplementation and kidney stones are not necessarily related. The occurrence of kidney stones is influenced by multiple factors such as genetics, environment, nutrition and urinary calcium concentration. Currently, the recommended dose of regular calcium supplementation (about 600 mg of calcium) does not increase the risk of kidney stones and is safe.  Myth 6: Osteoporosis is a minor disease and treatment need not be trivial.  Osteoporosis is not just a pain in the back and legs, but once a fragility fracture occurs, especially hip fractures in elderly patients, resulting in long-term bed rest and high mortality.  Myth 7: Rely on self-perception to discover osteoporosis.  Most patients with osteoporosis do not have abnormal sensations or feel insignificant at the initial stage, so do not wait until you find yourself with back pain or fractures before seeking medical treatment. High-risk groups should go to the hospital regularly for bone density checkups regardless of symptoms to help understand your bone density changes, early detection and timely treatment.