Dr. Bray Links

Wednesday, January 6, 2016

Many Women Overtreated With Osteoporosis Medication

Two thirds of women receiving medication for osteoporosis potentially did not need treatment, according to a retrospective cohort study published online January 4 in JAMA Internal Medicine. In fact, half of these women with possibly inappropriate prescriptions were younger and without risk factors that would have indicated screening, found Joshua J. Fenton, MD, MPH, from the University of California Davis Medical Center in Sacramento, and colleagues.

"In our population, nearly one-third of the women had non-main-site osteoporosis, which was disproportionately attributable to lateral lumbar spine osteoporosis," the authors write. "These results suggest that either physicians are unaware of International Society for Clinical Densitometry guidelines that lateral lumbar spine bone mineral density should not be used for osteoporosis diagnosis or they assume that osteoporosis observed at any site warrants treatment."

The researchers analyzed electronic health records and radiology records of 6150 women, aged 40 to 85 years, who underwent dual-energy X-ray absorptiometry (DXA) screening for osteoporosis in the University of California Davis health system between January 2006 and December 2011. None of the women had received treatment before their DXA screening as far back as 2002, but 31.1% of them received new osteoporosis drug treatment during the study window. About one in five women (20.4%) had at least one osteoporosis risk factor: body mass index of 20 kg/m2or greater, glucocorticoid use, possible secondary osteoporosis, previous high-risk fracture, rheumatoid arthritis, or alcohol abuse. However, 60.1% of the women who underwent DXA screening were between ages 40 and 64 years and lacked any osteoporosis risk factors.



The main causes of osteoporosis include:

  • Inactivity
  • Aging
  • Hormonal imbalances
  • Long-term use of certain medications
  • Steroid use
  • Low vitamin D levels
  • Emotional stress
  • Nutritional deficiencies
  • The good news is there are osteoporosis natural treatments that are highly effective and an osteoporosis diet that can boost bone density.

The Osteoporosis Diet Foods To Include

  • Raw cultured dairy – Kefir, amasai, yogurt, and raw cheese contain calcium, magnesium, vitamin K, phosphorus, and vitamin D rich foods all of which are vital for building strong bones.
  • Wild-caught fish – Osteoporosis may be related to chronic inflammation. Omega-3 fats help reduce inflammation.
  • Sea vegetables – These vegetables are high in critical minerals for bone formation and calcium. Try to include nori, wakame, agar, or kombu in your diet.
  • Green leafy vegetables – Bones need Vitamin K and calcium to stay strong and green leafy vegetables are full of these.
  • Alkaline foods – Osteoporosis may be related to an acidic body environment, so eat plenty of fruits and vegetables in order to promote a more alkaline environment.

Foods That Cause Osteoporosis

  • Alcohol  – Increases inflammation that can lead to more calcium being leached from bones.
  • Sweetened beverages – The high phosphorus content found in soda can remove calcium from bones. Sugar also increases inflammation.
  • Sugar  – Increases inflammation which can make osteoporosis worse.
  • Processed, red meat – A high intake of sodium and red meat may result in bone loss.
  • Caffeine – Excessive caffeine intake can result in bone loss.

Osteoporosis Natural Treatments

  • Two other vital things to consider to improve bone density are weight training exercise and getting plenty of sunshine.
  • Weight train 3x a week for 30 minutes and get 20 minutes of sunshine on our skin daily.
  • Also, standing on vibration platforms 5-20 minutes daily may improve bone density.


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