Proper understanding and treatment of osteoporosis Osteoporosis has become a serious public health problem. About 200 million women worldwide suffer from osteoporosis, and one third of women over the age of 50 suffer from osteoporotic fractures. As a result, the United Nations designated 2000-2010 as the “Decade of Bone and Joint” to mobilize the world to pay more attention to bone and joint diseases that cause severe pain, disability and death in the elderly. However, due to some one-sided propaganda and half-understanding of osteoporosis, there are many misunderstandings in the prevention and treatment of osteoporosis, which affects the effectiveness of prevention and treatment. Many people know that they need to prevent and control osteoporosis when they get older, but they one-sidedly think that osteoporosis is a lack of calcium in the bones, so they just need to supplement calcium. Even some doctors think so. In fact, the prevention and treatment of osteoporosis cannot be solved by simply taking calcium supplements. Osteoporosis is a common disease in postmenopausal women and the elderly. Osteoporosis is the loss of the organic matrix of the bones and the calcium salts therein to the outside, causing the bone mass to decrease, the bones to become lax and more brittle, and no longer capable of withstanding the body load generated by daily activities. Because bone loss is systemic, patients with osteoporosis are susceptible to fractures in any part of the body. In postmenopausal women with osteoporosis, fractures in the spinal region and above the wrist are more likely to occur. Second, in older patients with osteoporosis, the hip is the most common site of fracture. Ninety percent of fractures in osteoporosis are caused by postmenopausal osteoporosis and senile osteoporosis. Treating osteoporosis to prevent fractures is not the end of simply taking calcium supplements. Myth 1: Osteoporosis is a calcium deficiency, so you only need to supplement calcium? The prevention and treatment of osteoporosis generally requires a balanced diet rich in calcium, sunshine and physical exercise, and medication to prevent and treat osteoporosis, mainly drugs that inhibit bone resorption such as sodium allantoin, estrogen and calcitonin. At the same time, it is also recommended to supplement adequate amounts of calcium and vitamin D. Myth 2: Calcium supplementation means taking calcium tablets? Some patients who visit osteoporosis clinics often think that they are prescribed calcium pills to eat. Clinicians often encounter the question: “What kind of calcium tablets do you take? The truth is that it is not that simple, and of course calcium supplementation should be achieved through diet as much as possible. Foods that are rich in calcium are: dairy, fish, meat, beans and some seafood. First of all, dairy products. “One milliliter of milk contains one milligram of calcium, and a bottle of 227 milliliters of milk contains 227 milligrams of calcium; while one kilogram of ribs with one kilogram of water, cooked in a pressure cooker for one hour, there are actually only ten milligrams of calcium in bone broth, mostly fat. Maybe some people will have diarrhea after drinking milk and are not used to drinking milk. In this case you can eat some snacks first, or you can replace them with sour milk and other dairy products. It is worth noting that eating too much salt can also cause calcium loss. If the dietary intake of calcium is not enough, you should change the dietary structure, eat calcium-rich foods and avoid partial diet. China’s Ministry of Health recently published the “Survey on the Nutrition and Health Status of Chinese Residents”, pointing out that “the national average daily calcium intake in urban and rural areas is 391 mg, which is equivalent to 41% of the recommended amount.” Therefore, it is necessary to take about 600 mg of calcium per day. The shortfall in dietary calcium intake is supplemented by calcium supplements. The recommended source of calcium is mainly calcium carbonate, which is high in calcium content and solubility, less rich in action, and inexpensive. Myth three fracture patients are in the patients do not know the disease Statistics show that about one-third of women between the ages of 60 and 70 have osteoporosis, increasing to two-thirds over the age of 80. Most of these postmenopausal women with osteoporosis go untreated. However, most fractures are not treated concurrently with osteoporosis, and even some physicians lack the awareness to do so. The most common fracture in osteoporosis is a vertebral compression fracture. Many people think that this is caused by external factors such as improper force, but in fact, before the fracture, the bone mass of the spine has been gradually lost, the internal bone trabeculae of the vertebral body become thin, fracture, hole fracture increase, lax vertebral body is like a beam hollowed out by white ants, can not withstand the wind and rain, the slightest external force, such as in the moment of lifting something or bending down to hold a child, the vertebrae collapse at once, each vertebral body to the front compression 1 mm, can This can lead to forward cervical tilt, shortening of height and even hunchback.