Function Introduction Endocrine Channel of Medical World provides academic information, expert interviews, latest guidelines, typical cases in the field of endocrinology for endocrinologists, general practitioners and general internists nationwide, and provides endocrine science knowledge. Medical World is a comprehensive professional life all-media for medical doctors nationwide, serving medical doctors’ professional life and promoting medical industry development is our purpose. He Tao, Zhang Chao, Department of Orthopedics, Renji Hospital “We once admitted such an old grandmother, and we were saddened by her personal experience. After a careful physical examination, laboratory tests and X-ray examination, she was clearly diagnosed with osteoporosis and osteoporotic fracture of the left femoral neck. What surprised us even more was that before that, this old man had already had two fractures, one in 2002, due to an accidental fall and sitting on her buttocks, which resulted in a compression fracture of the lumbar spine, and just last year, also due to an accidental fall, she broke her right leg and had surgery outside the hospital, and this was already her third fracture. When we asked her if she knew she had severe osteoporosis and if she had been treated accordingly, she surprisingly told us, “Doctor, I’m usually in good health, and I don’t take any medicine.” Fortunately, after surgery, she was able to get out of bed and walk again. However, due to the lack of awareness of osteoporosis disease and not receiving regular treatment before the fracture occurred, she also paid a tragic price for this. With the aging process of society, the incidence of osteoporosis is on the rise, but many people are not very concerned about it, which leads to more harm. The incidence of osteoporosis in the elderly is high, with 200 million osteoporosis patients worldwide, and more women than men. China’s elderly people are the first in the world, with 70 million osteoporosis patients, which is expected to increase to 221 million by 2050, when more than half of the world’s osteoporotic fractures will occur in Asia, the vast majority in China. Because of the decrease in bone strength and stiffness, minor violence, falls, and even bumps and coughs in a car can cause fractures. The common sites are spinal vertebrae, wrist (distal radius) and hip (femoral neck) fractures. After fractures of the spine and lower limbs in the elderly, prolonged bed rest can induce a variety of complications, such as bedsores, urinary stones, cerebral thrombosis, and crushing pneumonia, which can seriously affect health and threaten life. How to beat osteoporosis? Life and living should be careful. Diet should be reasonable! Eat foods rich in calcium (to strengthen bones) and vitamin D (to promote calcium absorption), such as cauliflower, chestnuts, clams, dark green vegetables, oats, sesame seeds, shrimp, sardines with bones, soybeans, tofu and wheat germ. Limited intake of almonds, asparagus, beets, cashews and spinach, which contain high amounts of oxalic acid, which inhibits the body’s absorption of calcium. Avoid fermented foods because yeast has a high phosphorus content, and when eaten inside the body, phosphorus will “compete” with calcium and be absorbed by the body. Smoke, drink and coffee! Smoking can affect the formation of bone peaks, excessive alcohol consumption is not conducive to bone metabolism, drinking strong coffee will increase urinary calcium excretion and affect the body’s absorption of calcium, excessive salt intake and excessive protein will also increase calcium loss. Exercise properly! Exercise can promote the body’s metabolism. Exercising outdoors and receiving the right amount of sunlight are beneficial to the absorption of calcium. The muscle contraction and direct pull on the bones during exercise will help increase bone density. Therefore, proper exercise is also very beneficial to prevent osteoporosis. Exercise methods include tai chi, radio exercises, weighted jogging, etc.