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

F1 returns to Abu Dhabi this weekend for the usual season-finale at the Yas Marina Circuit. Max Verstappen won the inaugural Las Vegas Grand Prix last week for his 18th victory of a record-breaking season. The Dutchman has now won six races in a row since Carlos Sainz’s victory in Singapore in September. Charles Leclerc finished second in Vegas after a terrific last-lap overtake on Sergio Perez, who despite dropping down to third place still sealed second in the world championship for Red Bull’s first-ever one-two finish in a Formula 1 season. Lewis Hamilton is still chasing his first win in nearly two years as Mercedes look to stave off Ferrari in the battle for second place in the constructors’ championship. Toto Wolff’s team are four points clear ahead of the final grand prix of the season. Follow live updates from the Abu Dhabi Grand Prix with The Independent Read More Lewis Hamilton takes aim at Christian Horner: ‘He’s stirring things!’ Lewis Hamilton and Max Verstappen to miss first practice in Abu Dhabi Mick Schumacher returns to racing with Alpine in 2024

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Whoopi Goldberg has hit back at previous criticism of her infamous outfit choice during the ‘90s. During an interview with Page Six Style at the Fashion Group International Night of Stars gala, Goldberg spoke candidly about her look at the 1993 Oscars: A purple and green bejeweled jumpsuit paired with a puffy, long purple jacket with a bright green interior. She completed the outfit with green earrings and heels, and dark purple lipstick. Goldberg went on to recall that when she was hit with backlash for the bold look, she was stung by the criticism. “Everyone hated [it],” she said. “It hurt my feelings, I’m not going to lie. It hurt my feelings.” The View host also confessed that the response to the outfit would go on to affect the way she dressed. “It kept me from dressing up for a very long time,” she said. “You have to remember, in those days, they would say things and you’d think, ‘Do I really look that ridiculous?’” However, she still opened up about the inspiration behind the outfit, specifying that it came from the iconic I Love Lucy sitcom and its lead, the late Lucille Ball. “Lucy would always come out in these great ensembles,” Goldberg said. “And I thought, I would like to wear that! And green is not a color I would normally wear; let me try it.” When asked if she still stands by her decision to wear the bold look at the 1993 Oscars, she simply said: “Absolutely.” Over the years, Goldberg has gone on to embrace her own sense of style, launching her own clothing line, Dubgee, in 2019. Speaking to InStyle about the brand – which sells a range of stretchy jeans and hoodies – she shared her candid thoughts about fashion, expressing that people shouldn’t let their age determine what types of clothes they wear. “People will always say to somebody young, ‘Oh, you’re dressing so old,’ and they will say to an older woman, ‘Oh, you’re dressing too young,’” she told the publication in 2019. “The clothes that we made, you could be 21 and wear it, you could be 65 and wear it, you could be whatever age you are and look good in it. And feel good in it. You’re not too old to wear anything that makes you happy. That’s the key. The only important voice, ever, is your own.” In July of this year, the Sister Act star also made headlines for her shoe choice on The View: A pair of clear platforms with decapitated heads of Barbie dolls in them. Although she wore the heels to celebrate the highly-anticipated premiere of Barbie, she told Page Six Style that she’s actually had these “crazy” shoes for quite some time. “Someone sent them to me and I thought, what are these?! It was about three years before Barbie. I did Barbiecore first!” she said, referring to the fashion trend where people have been showing off their looks inspired by the Mattel doll. Read More Whoopi Goldberg calls out Rachel Bilson for comments about men’s sexual partners Victoria’s Secret ditches feminist makeover after sales slump Black magic: Go back to black this season with the catwalk-inspired trend

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