HRVATSKI | ENGLISH

Osteoporosis

Osteoporosis is a bone disease that occurs due to decomposition of the bones and insufficient intake of calcium. Indicates porous or fragile bones, which are losing calcium, which gives them strength and stiffness. Occurs in one of the three women and at one of 12 men, and the average will increase by around 10% per each year (age).

DIAGNOSTICS

  • Medical examination
  • densitometry, X-ray, BTC
  • Lab test

The goal of treatment is to prevent fractures, stabilization and increased bone mass, remove the symptoms of fractures and deformities , improvement and preservation of functional abilities.
 

DIGITAL DENZITOMETRY LEXXOS – DMS Test done in 1,5 sec

  • MEDICATION THERAPY - selection of drugs: Hormon suplement treatment, Alendronat, Risendronat, Etidronat, Reloksifen, PTH, Kalcitonin, Kalcitriol
  • PHYSICAL THERAPY  – special individual programs and organized fitness program
  • SUPLEMENT - VTM test
  • FALL PREVENTION PROGRAM FOR ELDERLY PERSONS 

Persons with osteoporosis belong to a group of high risk of fall and fractures, which can be minimised with this program. The program is based on finding risk factors and improving locomotor system and overoll well-being .

DENSITOMETRY IS JUSTIFIED IN CASES OF HIGH RISK FACTORS
Hereditary or by constitution

  • female gender, pettite contitution
  • late menopause,  early menopause
  • previous fractures 
  • family predisposition
  • older age

Way of life

  • long term smoking, excessive enjoyment of alcohol, coffee
  • low intake of milk and calcium
  • inactivity, lack of sun exposure, repeated falls, lack of estrogen, barren, too small body weight (BMI < 19)
  • extremely unsettled cycles
  • excessive physical activity (with amenorea)
     

Medications

  • excessive / too small dose thyroid hormone
  • long treatment with corticosteroids (more than 7.5 mg per day for more than 6 months)
  • anticoagulant (heparin), lithium, antikonvulzioni
  • chemotherapy (ca. breast or lymphoma), cyclosporin
  • agonist or antagonists, which relieve hormones gonadotropin, antacidi (wearing phosphates or containing aluminum), fenotijazinski derivatives, some of Diuretic
     

 Some diseases with a high risk for osteoporosis 

  • akromegalija, adrenal gland atrophy and Addison's disease, Cushing's disease
  • ankylosante spondylitis, rheumatoid arthritis
  • chronic obstructive lung disease, Sarkoidoza 
  • idiopatic skoliosis, Osteogenesis Imperfecta
  • gastrectomy, malapsorcijski syndrom
  • endometriosis, primary or sec. hipogonadizam, amenorea or oligomenorea
  • hemokromatosis, hemophilia, leukemia and lymphoma
  • hyperparatireoidism, hypofosfatasis
  • Insulin dependent diabetes
  • multiple sclerosis, neurological disorders 
  • digestion disorders, parenteral nutrition 
  • liver disease (especially primary biliary cirrhosis)
  • talasemija, tireotoksikoze, perniciozna anemia

FOOD IN OSTEOPOROSIS PREVENTION

Reduce quantity and calorie value meal and increase their number, eat less quantity, but on several occasions. Substitute red meat with white meat, fish and poultry, but reduce the total amount of meat and meat products.

Take less salt and salted foods. increase the intake of milk and dairy products because they are the best source of quality protein, calcium, phosphorus and vitamin D. Eat lots of fruits and vegetables and some nuts every day.

Fruit, vegetables, cereals and milk should be the main food nutrition. Avoid sugar, caffeine, refreshing sparkling beverages and alcohol, because they contribute to bone loss. Drink lots of liquids.

Avoid animal fat and prepare food in olive oil. Pay attention to the preparation of food - vitamins and minerals are very sensitive to light, heat, water and air.

CALCIUM (mg / 100g)
DRIED PARSLEY 1467   RED PEPPER (SWEET) 134
POPPY SEEDS 1460   FRESH LEMON PEEL 134
SESAME SEEDS 783   WALNUTS 129
DRIED LEMON PEEL 765   SPINACH 126
DRIED CELERY 645   SUNFLOWER SEEDS 116
DRIED ROSE HIP  (WITHOUT SEEDS) 310   CHIKPEAS 110
CAROB FLOUR 279   HORSRADISH 105
TEKSTURED SOY 270   MILK PRODUCTS 100 - 850
CASHEW NUTS 267   MARIATED OLIVES 96
DRIED RED ONION 257   DRIED APRICOT 82
FRESH  ROSE HIP 257   DRIED LENTIL 79
ALMONDS 252   DRIED FAVA BEANS 74
PARSLEY 245   DRIED WHEAT GERMS 69
DRIED PIGNOLO BEANS 233   KOHLRABI  ROOT 68
HASELNUTS 226   CELERIAC 68
SOY (REGULAR) 225   GREEN SALAD 65
SAVOY CABBAGE 212   LEEK 65
GREEN SOY 197   RYE 64
DRIED FIGS 193   DATE AND CHERRY(FRESH) 63
ONION 181   PEANUTS AND YELLOW DRIED PEA 59
FRES ORANGE PEEL 161   FRENCH BEANS 57
PISTACCIO 138   ENDIVIA 54
PUMPKIN SEEDS 135   FIGS AND OAT MEAL 54
DRIED BEANS 135   PARSNIP 51
To compare:100 ml of cow milk have got less than 110 mg of calcium