Question

Mrs. L is a 63-year-old woman who reports constant back pain. Further inquiry into her medical history revealed that over the past 3 years, she has suffered from fractures of her femur and wrist after minor falls. She experienced menopause at age 49. Mrs. L has a secretarial job, drives to work, and she “does not have time for exercise.” She reports that she consumes 8 to 10 cups of coffee a day and has been a smoker most of her adult life. She has not seen her physician recently nor had a recommended bone density test because of the time and cost involved. 1.How could osteoporosis have been prevented in Mrs. L?

Answer 1

Osteoporosis is a very common symptoms seen in a post menopausal lady as the lack of estrogen and disbalance of hormone causes an increased risk of loss of bone mass

Excessive intake of caffeine along with menopause also act synergistically causing an increased risk of loss of bone mass which could have been prevented by increased intake of milk or calcium rather than coffee

Smoking causes end capillary constriction resulting in decreased bome healing and decreased supply of calcium to replenish the lost calcium thus furthur increasing the risk of osteoporosis.

Sedentary life causes a decreased use of miscle and bone subsequently favouring disuse atrophy and decrease in bone mass leading to osteoporosis