Hip Fracture Prevention

Hi I’m Margaret Martin. Today on MelioGuide
we’re going to be discussing retirement planning and your bones. We’ve all been told to start
planning for our retirement in our twenties. And whether that be for a trip to Europe or
golf in Florida, or doing some extra gardening, but mainly for preventing a hip fracture.
Planning in our early twenties becomes very important. Following a bone healthy diet and
regular, vigorous exercise becomes a very important part of having the type of retirement
that you want. Hip fractures and spinal fractures are much
more common than you may think. In Canada and the US, more women over the age of 70
will suffer a fracture than breast cancer, stroke and heart disease combined. It is estimated
that one in four women and one in eight men have osteoporosis. Hip fractures are very
common in individuals with osteoporosis. Nine out of ten hip fractures are the result of
osteoporosis. Not only are they one of the most costly type of fractures, in terms of
health care dollars, but they’re also very costly in terms of quality of life. Hip fractures are one of the most devastating
of all fractures, in that one in five women and one in three men die within one year.
Fifty percent require ongoing assisted living in some type of institution. And only a quarter
of individuals who suffer hip fractures actually return to independent living. And having said
that, it’s usually never to the level of independence that they had prior to the hip fracture. Another type of fracture that’s very common
is spinal fractures. Although less devastating, they’re much more common than hip fractures.
Over a five year period of time the incidence of death is nearly as high as with hip fractures
as it is with spinal fractures. And if we look at the vertebral bodies in the slide
on the left, in this x-ray shown here on the slide, you’ll see the height of the vertebral
body here. It’s a nice height. Where if you look at vertebral body above, it’s about have
the size of the vertebral body below. The other ones that seem a little bit smaller
are starting to get compressed, but this is what we call a spinal fracture. They are also
referred to as compression fractures. It’s where the spine starts to compress in on itself
because of the level of trabecular bone that starts to collapse. And although some of these
are silent fractures – almost half of them occur silently – with some of them, you might
experience a little bit of back pain, but then usually that resolves with time. Some spinal fractures can be very painful,
but most spinal fractures, it’s not the one fracture that makes you lose quality of life.
It’s the recurrence of fracture after fracture after fracture. So if you have one spinal
fracture, the chances of having a second and third are much higher. And we’ll have a tutorial dedicated to just
spinal fractures. So hope this has been helpful, I hope that you can make good nutrition and
bone building exercises part of your lifestyle so that you can have the type of retirement
you’re planning for today. That’s all for this session, I’ll see you next time on MelioGuide.

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