October 20 marks World Osteoporosis Day – but despite being a relatively common condition, many people are unaware they’re at risk. According to Age UK, osteoporosis – which is associated with weakened bones and often referred to as a ‘silent disease’, as symptoms can creep up on people – affects approximately three million people in the UK. Yet, many only find out they have it when they break a bone. “[Osteoporosis] is a condition characterised by weakened bones, making them more prone to fractures,” explains Dr Zulqarnain Shah, a medical director at SSP Health. “It occurs when the body loses too much bone or makes too little bone, or both. Diagnosis of osteoporosis typically involves a combination of medical history, physical examination, and specialised tests, such as bone mineral density scans,” Shah adds. Could I be at risk of osteoporosis? According to Age UK, around half of women over 50, and around one in nine men in the same age group, will experience a fracture due to osteoporosis. However, several risk factors contribute to the development of the condition, meaning some people may be more likely to get it. “These include menopause, low calcium and vitamin D intake during younger years, family history, a sedentary lifestyle, smoking, excessive alcohol consumption, and certain medications,” explains Shah. “While it may not be possible to prevent all cases of osteoporosis, adopting a healthy lifestyle with regular weight-bearing exercise, a balanced diet rich in calcium and vitamin D, and avoiding smoking and excessive alcohol intake can help reduce the risk.” Being aware of osteoporosis can be particularly important if you have a family history. “A family history of osteoporosis or fragility fractures can indicate an increased risk,” explains Dr Elise Dallas, GP at The London General Practice. Other things that increase risk include having a history of “rheumatoid arthritis, low levels of oestrogen due to early menopause, anorexia nervosa or Turner’s syndrome, hyperthyroidism, parathyroid disease, Crohn’s and coeliac disease, and conditions that cause long periods of immobility”, adds Dallas. What are the symptoms of osteoporosis? When you have osteoporosis, you may suffer from “increased fracture risk, height loss, and chronic pain”, says Shah. “Fractures associated with osteoporosis are known as ‘fragility fractures’, which can occur with minimal impact. Fractures commonly occur in the spine, hip, and wrist, and can lead to significant pain, disability, and reduced quality of life,” he explains. Are there any early warning signs? Shah says: “Early signs of osteoporosis may not be apparent until a fracture occurs. However, a precursor condition called osteopenia may be detected through scans before the onset of full-blown osteoporosis.” Osteopenia is where the density of the bones decreases, but not thoroughly enough to be classed as osteoporosis. There are no real symptoms however, so it can only be detected with scans. The good news is, lifestyle measures and sometimes treatment can help prevent it getting worse. How is osteoporosis treated? Treatment for osteoporosis is mostly aimed at “strengthening bones and preventing fractures”, says Shah. “This typically involves a combination of lifestyle modifications, such as exercise and dietary changes, along with medication. “Medications may include calcium, vitamin D and bisphosphonates, hormone therapy for postmenopausal women, selective oestrogen receptor modulators (SERMs), and other options. “SERMS help manage the way oestrogen interacts with your body and has a similar impact on osteoporosis as hormone replacement therapy, to help mitigate the impacts of hormones on osteoporosis,” Shah explains. “Regular monitoring and adherence to treatment plans can help slow down or stop the progression of osteoporosis. A bone density scan – also known as a DEXA scan – can help monitor the progress of a condition and may be done at three to five-year intervals to assess progress. “Once a patient has been on bisphosphonates for five years, they may go on a ‘pill holiday’ for a couple of years, though the benefits of taking bisphosphonates continue long after the medication is stopped.” Getting support and advice to manage any pain and mobility challenges and reduce the risk of falls and injuries can also be very important for people living with osteoporosis, along with finding ways to stay active. If you are worried about your bones and osteoporosis risk you can reach out to charities like the Royal Osteoporosis Society and find out about your risk level. Read More How to support a child with a stammer From colourful gowns to drones, these wedding trends are set take over 2024 Call The Midwife ‘should come with a health warning’ Halloween: 10 wicked ways to kit out your haunted house Black magic: Go back to black this season with the catwalk-inspired trend How to prep your home for when the clocks go back

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Emmanuel Macron has been accused of “ toxic masculinity” after downing a bottle of beer in 17 seconds. Footage shows Mr Macron being handed a bottle of Corona in the Toulouse changing room after the rugby union club beat La Rochelle at the Stade de France in Paris over the weekend. The president had watched the match, the French Top 14 final, from the VIP enclosure. Being urged to down the drink in one, Mr Macron drains the bottle to cheering from the players and coaching staff, many with their phones out to capture the moment. The president then slams the empty bottle on the counter. But the act was met with criticism by opposition politicians. "Toxic masculinity in political leadership in one image," tweeted Sandrine Rousseau, an MP for the Green party. Ms Rousseau’s tweet prompted a reply from an MP within Mr Macron's own party, Jean-Rene Cazeneuve, who said: "A president who is sharing in the joy of 23 players and taking part in their traditions. That's all.” Bernard Basset from the charity Association Addictions France told BFMTV that the "president has a responsibility as a role model in terms of setting a healthy example for behaviour". He added: "In this case, he's associating sport, parties and the consumption of alcohol in a context of virile peer-pressure where everyone drinks a bit too much.” Mr Macron has a knack for associating himself with France's sports teams, having given a pep talk to the members of the men's national football team in their dressing room after they lost the World Cup final to Argentina in Qatar late last year. The beer-drinking stunt may be aimed at Mr Macron presenting himself as a man of the people. He could certainly do with a bump in the polls, with his popularity having been hit by the passage of a law increasing the retirement law earlier this year – a move that sparked mass protests across a number of cities. The president is a staunch supporter of the French wine industry, having once claimed that he regularly drank a glass of wine and lunch and also had another in the evening. He has also previously blocked attempts by public health authorities to promote "dry January" – which sees people starting the year alcohol-free. The Liberation newspaper sought to remind Mr Macron of some of his previous thoughts on drinking, from a visit to an agricultural fair in 2018. "There is a public health scourge which is young people binge-drinking on spirits or beer, but it's not with wine," it reported him as saying. Read More Europe defense ministers are holding talks in Paris on how to better defend the continent's airspace Only seven Tories back Boris Johnson as Commons votes that he lied to parliament Privileges chair shames Rees-Mogg after revealing Rishi backed her for Partygate inquiry Europe defense ministers are holding talks in Paris on how to better defend the continent's airspace New Chinese premier starts 1st trip abroad to Germany and France UN steps up criticism of IMF and World Bank, the other pillars of the post-World War II global order

CHICAGO--(BUSINESS WIRE)--Aug 30, 2023--

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