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    Osteoporosis

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    Muhamadiah
    Osteoporosis is a disease characterized by low bone mass and increased fracture risk. It is assessed using bone mineral density (BMD) testing. Prevalence of osteoporosis in the US is high, affecting over 10 million Americans. Risk factors include heredity, thinness, smoking, falls, and hyperthyroidism. Calcium and vitamin D intake through foods like dairy products are essential for building peak bone mass and preserving bone density with age.

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    Osteoporosis

    Uploaded by

    Muhamadiah
    199 views26 pages
    Osteoporosis is a disease characterized by low bone mass and increased fracture risk. It is assessed using bone mineral density (BMD) testing. Prevalence of osteoporosis in the US is high, affecting over 10 million Americans. Risk factors include heredity, thinness, smoking, falls, and hyperthyroidism. Calcium and vitamin D intake through foods like dairy products are essential for building peak bone mass and preserving bone density with age.

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    3. OSTEOPOROSIS.ppt

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    Osteoporosis is a disease characterized by low bone mass and increased fracture risk. It is assessed using bone mineral density (BMD) testing. Prevalence of osteoporosis in the US is high, affecting over 10 million Americans. Risk factors include heredity, thinness, smoking, falls, and hyperthyroidism. Calcium and vitamin D intake through foods like dairy products are essential for building peak bone mass and preserving bone density with age.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    199 views26 pages

    Osteoporosis

    Uploaded by

    Muhamadiah
    Osteoporosis is a disease characterized by low bone mass and increased fracture risk. It is assessed using bone mineral density (BMD) testing. Prevalence of osteoporosis in the US is high, affecting over 10 million Americans. Risk factors include heredity, thinness, smoking, falls, and hyperthyroidism. Calcium and vitamin D intake through foods like dairy products are essential for building peak bone mass and preserving bone density with age.

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    OSTEOPOROSIS

    Dr. Aslis Wirda Hayati, SP, M.Si


    WHAT ?
    Osteoporosis : low mass of bone that leads
    to bone fragility and enhanced fracture risk.
    Assessment : Bone Mineral Density (BMD)
    – Normal : BMD > -1 Sd
    – Low bone mass (osteopenia) -2.5<BMD<-1 Sd
    – Osteoporosis : BMD < -2.5 Sd
    PREVALENCE IN US
    Third National Health and Nutrition
    Examination Survey : after menopause
    women with osteoporosis were 21%
    (white), 16% (Spanish), 10% (black); and
    38% had low bone mass.
    Osteoporosis : 8.0 million women and 2.1
    million men
    Osteopenia : 15.4 million women and 3.1
    million man
    HIP FRACTURES
    Probabilities : 14% for white women, 5-6%
    white men, 6% black women, and 3%
    black men
    Heredity accounts for 50% of the variability
    in peak bone mass
    Study of Osteoporotic Fractures : a
    maternal history of a hip fracture doubled
    the risk of hip fracture
    HIP FRACTURES

    Weight was a strong predictor of bone


    mass; thinness increased hip fracture risk
    severalfold
    Smoking is a strong determinant of hip
    fracture
    Other risk factors : poor general health,
    falling in the past year, & hyperthyroidism
    DIET
    Diet is known to influence health
    Calcium and vitamin D essential to support
    bone growth (children and adolescents)
    and help preserve bone mass (adults)
    Calcium absorption efficiency declines
    with age, the decline is rapid after age 60
    Blood levels of 25-hydroxy vitamin D also
    decline with age (age-related decline in
    skin production of vitamin D)
    DIET

    Study : daily oral doses of 1800 IU of


    vitamin D2 given in the winter, older men
    aged 65-73 years had a significantly
    smaller increase in mean blood 25(OH)D
    concentration than did younger men aged
    22-28 years (19.5 vs 37 nmol/L, p = .027)
    SEASON

    Skin production of vitamin D, catalyzed by


    exposure to ultraviolet B radiation, is a
    major source of the vitamin
    Mean 25(OH)D levels were higher in
    summer and fall; lower in winter and
    spring
    Bone Mineral Density

    During the period of most rapid growth


    (children, adolescents, and young adults)
    >200 mg calcium is deposited in the
    skeleton each day
    There was a positive role of supplemental
    calcium in the preservation of bone mass
    in postmenopausal women
    KALSIUM DALAM TUBUH

    TUBUH MANUSIA : 1200 g Ca


    99% TERDAPAT DI KERANGKA
    EKSKRESI :
    URIN : 100 – 250 mg
    KERINGAT : 15 mg
    FECES
    ABSORPSI KALSIUM

    PADA ANAK-ANAK : 75%


    PADA DEWASA : 20 – 40%
    PENGHAMBAT ABSORPSI :
    FITAT
    SERAT
    KONSUMSI KALSIUM DI AS

    RATA-RATA KONSUMSI : 743 mg


    DEWASA : 530 mg
    12 – 18 th : 1179 mg
    REKOMENDASI : 800 - 1200 mg
    KONTRIBUTOR :
    DAIRY PRODUCT : 55% (440 mg)
    SAYURAN HIJAU
    Di Indonesia kontribusi susu : 23 mg Ca
    KONSUMSI SUSU
    1970 1.82 KG/KPT/TH
    1980 4.36 KG
    1990 3.44 KG
    2000 6.50 KG
    PERLU 30 TH + 4.68 KG
    AS (100 L) 600 TH
    MALAYSIA (20 L) 120 TH
    KONSUMSI SUSU (liter/kap/th)

    NEGARA 2004 2005 2006


    INDIA 43,7 44,2 44,9
    MALAYSIA 25,3 25,0 25,0
    THAILAND 23,6 24,9 25,1
    SINGAPURA 19,9 20,3 20,8
    FILIPINA 11,7 11,3 11,0
    VIETNAM 6,4 7,6 8,5
    INDONESIA 5,8 6,8 7,7
    Konsumsi Susu Cair (Putih) & Bubuk
    Tahun 2004 (juta liter)

    NEGARA CAIR BUBUK


    USA 22.350 58
    INDIA 42.001 936
    CINA 6.345 1951
    THAILAND 514 69
    VIETNAM 58 41
    INDONESIA 62 283
    Konsumsi Susu Cair (Flavoured) & Bubuk
    Tahun 2004 (juta liter)

    NEGARA CAIR BUBUK

    USA 1863 0
    INDIA 273 1
    CINA 996 2.022
    THAILAND 375 176
    VIETNAM 107 37
    INDONESIA 157 192
    PERSEN KONSUMSI SUSU CAIR VS BUBUK

    NEGARA PERSEN
    USA 99.7
    INDIA 97.4
    CINA 80.8
    THAILAND 75.5
    VIETNAM 70.9
    INDONESIA 11.7
    KONSUMSI GIZI HEWANI
    (2002)
    KOMODITAS PER PER PER
    TH HARI MINGGU
    SUSU 7.05 19 CC ½ GELAS
    KG
    TELUR 11 g 1 BUTIR
    4.04
    DAGING KG 16 g 2
    POTONG
    5.75
    KONSUMSI SUSU DI JAWA
    (2002)
    (KG/KAPITA/TH)
    PROPINSI KONSUMSI SUSU
    DKI JAKARTA 22.3
    JABAR 7.0
    JATIM 5.0
    JATENG 3.6
    DIY 1.7
    INDONESIA 7.1

    SEBARAN KONSUMSI SUSU : TIDAK MERATA


    KONTRIBUSI 1 GELAS SUSU

    GIZI JUMLAH
    ENERGI (kkal) 153
    PROTEIN (g) 8
    LEMAK (g) 9
    KALSIUM (mg) 358
    SUSU DAN KOLESTEROL

    PANGAN KOLESTEROL (mg)


    SUSU (1 gelas) 32
    DAGING (1 ptg) 54
    TELUR (1 butir) 252
    KANDUNGAN GIZI
    PRODUK KALORI PROTEIN LEMAK
    (kkal) (g) (g)
    SUSU SAPI 61 3,2 3,5
    YOGHURT 52 3,3 2,5
    KEJU 326 22,8 20,3
    ES KRIM 207 4,0 12,5
    MILK HABITS

    MENGAPA BERHENTI MINUM SUSU ?


    SUDAH BERUSIA 5 TH
    PRIORITAS : ANAK YANG LEBIH MUDA

    IRONIS : BAPAK MEROKOK !


    UNICEF WEST JAVA (1998):
    UANG ROKOK SEHARI = 1 L SUSU
    = 3,5 btr TELUR
    LACTOSE INTOLERANCE
    AKTIVITAS LAKTASE RENDAH:
    - BS KULIT BERWARNA (60%)
    - BS KULIT PUTIH (35%)

    USIA BAYI & ANAK-ANAK LAKTASE TINGGI


    USIA DEWASA LAKTASE TURUN
    HASIL RISET : 1-2 CANGKIR SUSU TIDAK MASALAH
    EKSPOSE SUSU SEJAK USIA DINI - DEWASA

    PERLU
    OSTEOPOROSIS
    PEAK BONE MASS USIA 25 TH

    PERHATIKAN INTAKE Ca (MINUM SUSU)

    KEHILANGAN Ca OSTEOPOROSIS
    - MENOPAUSE
    - KONSUMSI PROTEIN TINGGI
    - GULA
    - KOPI
    - GARAM
    - MEROKOK
    SUSU MEMBANTU TUBUH
    ISTIRAHAT
    • SUSU KAYA TRIPTOFAN
    • MELATONIN JAM ALAMIAH BAGI TUBUH
    * HASIL DARI KELENJAR PINEAL
    * DIKELUARKAN MALAM HARI
    * OPTIMAL BILA ADA TRIPTOFAN
    * MEMBUAT TUBUH INGIN ISTIRAHAT
    SUSU MALAM HARI TIDUR NYENYAK

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