For more information about the author, click to view their website: Healthcare Network
As we age, remaining mobile is important to maintaining independence. While bone loss is a normal part of growing older, one in two women and up to one in four men over the age of 50 will break a bone due to osteoporosis. Osteoporosis is often referred to as a “women’s disease” because it disproportionally affects women, especially those who have gone through menopause. The Bone Health & Osteoporosis Foundation, formally known as the National Osteoporosis Foundation, estimates that in the United States, about 2 million men have osteoporosis compared to 8 million women. And approximately 44 million Americans have low bone density, placing them at increased risk for eventually developing osteoporosis.
It is a disease that weakens the bones increasing bone fragility and fractures. For years, the disease can progress, slowly lowering bone density without any symptoms. Often the first indication of osteoporosis is when a bone has already broken. The most common areas for fractures to occur are the hip, wrist and spine. Bone breaks can lead to chronic pain, impaired movement and long-term problems.
Throughout our lifetime, our bones go through countless cycles of breaking down old bone tissue and replacing it with new, stronger ones. In developing children, bone is replaced at a faster rate than it is removed until “peak bone mass,” or the point when bones have reached their maximum strength occurs.
Over time, more bone is lost than is built. For women, there is a dramatic decrease in bone density during and after menopause. The Office on Women’s Health states that some women lose up to 25% of bone mass in the first 10 years after menopause. This is caused by the reduction of estrogen, which is a key regulator of bone metabolism, the cycle of bone growth and resorption.
Women’s small frames and bodies also put them at higher risk. Smaller and lighter bones mean lower bone mass to start with. When bone loss begins, which will naturally occur with age, women with small frames are more likely to be at below-average bone density levels even before menopause.
Other risk factors can include not getting enough calcium and vitamin D, having eating disorders or health conditions like diabetes, taking certain medications and being Asian or white.
Calcium has many benefits to your muscles, nerves, teeth, hormones and of course, your bones. It is not something your body can create naturally, therefore it’s important to get enough of it in the foods you consume and/or from supplements. The majority of the calcium in your body can be found in your bones, and when you do not have enough calcium, your body will take it from your bones, causing them to become brittle and weaken over time.
Vitamin D is also important in preventing osteoporosis. Vitamin D allows your body to absorb and regulate calcium more effectively. Luckily, the sun is one of the best sources of vitamin D. Other sources of vitamin D include foods like salmon, tuna, eggs and cheese as well as supplements. Even though vitamin D seems widely available, a shocking number of Americans are deficient. Be sure to make a conscious effort to safely spend more time in the sun and consume foods high in vitamin D!
Resistance training and weight-bearing workouts can strengthen your bones and muscles while improving your balance, coordination and flexibility. Together these can reduce your chances of fractures or broken bones. Try exercises such as walking, climbing stairs and dancing. You can also utilize free weights and resistance bands. Start small and work your way up to having a consistent workout routine.
There are a variety of ways in which smoking can affect bone health, both directly and indirectly. Studies have linked smoking with bone turnover imbalance and lower bone mass. And nicotine has been known to attach to osteoblasts (cells that build new bone) and kill them.
Excessive drinking can hinder bone development and formation. There have been links between heavy alcohol consumption, slow bone turnover and low bone density. Along with its negative impact on bones, it can increase the risk of falls and injuries.
Osteoporosis will often not show symptoms until the disease has advanced. Ask if you are at high risk for developing osteoporosis and what steps and medications, if necessary, you should take to prevent or manage it. A bone density test, called a DEXA scan, is available to help you and your doctor assess if you show signs of significant bone loss. This test is recommended for older adults, so talk to your doctor if it makes sense for you.
When it comes to health, your actions today can have a big impact on the way you feel tomorrow. To ensure you are healthy, strong and thriving in your older years, take steps to be proactive about your health. Keep in mind aging can look and feel different for everyone. If you suspect something is wrong, don’t hesitate to talk to your trusted primary care provider. You and your care team can work together to form a care plan to address your health concerns and goals. Remember, an early diagnosis can mean a better health outcome.
About the Author
Dr. Reinier Ramirez is the medical director of adult medicine for Healthcare Network. Celebrating 45 years of caring for the community, Healthcare Network is a medical and dental home for children, adults and seniors. For more information, visit HealthcareSWFL.org or to make an appointment, call 239.658.3000.
Have You Started Your Winter Skincare Routine? Follow These 11 Steps for Supple Skin this Season Most of us know how important it is to protect our skin from the suns damaging rays in the summer. But did you also know its important to have a winter game plan to keep your skin moisturized and glowing? In fact, the American Academy of Dermatology (AAD) designates November Healthy Skin Month to educate and empower people of all ages to learn how to take great care of their skin. Its the bodys largest organ, after all and everybodys got it! Read on for some skin-loving actions you can take this month and all season long. 1. Protect your skin from the sun if youre going to go outside. Yes, even in winter! Keep those summer habits alive and slather on sunscreen with an SPF of 30 or higher and dont forget to cover up with protective clothing and a broad-brimmed hat. UVA and UVB rays are alive and well all winter long and they can still cause damage to your skin, raise your risk for skin cancer and contribute to premature aging. 2. Avoid tanning beds. You may be tempted to keep your sun-kissed look going all winter long courtesy of a tanning bed, but resist. Research shows that UV rays from tanning beds can increase your risk for skin cancer and could age your skin, resulting in more wrinkles. 3. Learn the ABCDEs of skin cancer. There are certain changes to your moles, birthmarks and skin that may be cause for concern. Known as the ABCDEs, if you notice these signs, the National Institute on Aging recommends making an appointment with your primary care provider or a dermatologist to make sure its not an indication of cancer: Asymmetry (i.e. one half of the spot looks different from the other half) Borders are irregular Color changes or it has more than one color Diameter is larger than a pencil eraser Evolving; meaning it in size, shape, symptoms (such as itching or tenderness), surface (especially if its bleeding), or shades of color 4. Moisturize, moisturize, moisturize. Winter brings colder temperatures and drier air, and your skin may need a little extra TLC to feel its best. To avoid or treat dry, itchy skin, the AAD suggests applying moisturizer right after you step out of the shower, so it can lock in the extra moisture. Further, the AAD recommends using an ointment or cream instead of lotion, because those products tend to be less irritating and more effective when dealing with dry skin. Just make sure the items you select are gentle and fragrance-free, otherwise they may feel a little harsh, especially if your skin is cracked or chapped. 5. Dont neglect your lips. The cold weather, the dry air, the wind and the sun can all wreak havoc on your skin and cause your lips to chap. Use a non-irritating lip balm or lip moisturizer to seal moisture into your smile. 6. When you shower or bathe, opt for warm water, not hot. It sounds counterintuitive and a little less enjoyable. Who doesnt love a hot shower when its freezing cold out? But in truth, hot water will only further dry your skin, because it may strip off natural oils you need to retain moisture. 7. Consider using a humidifier. Winter air tends to be dry, and when the heater kicks on in your home, its even more so. A humidifier returns some of that moisture to the air, and your skin may thank you for it. 8. Quit smoking. Have you ever met a 40-year-old heavy smoker who looked much older? Thats because tobacco isnt doing the skin or other systems in the body any favors. According to the American Osteopathic College of Dermatology, the long-term effects of smoking may include dry skin, uneven pigmentation, bags around the eyes, sagging around the jaw and deepening wrinkles and furrows on the face. If you need help quitting tobacco, talk to your doctor or reach out to the American Lung Associations Tobacco Quitline. 9. Make healthy food choices. What you eat and drink impacts the way your body functions, and research has shown that if youre not getting the right nutrients your skin may show it. Strive to eat a healthy diet, filled with whole foods, antioxidants and fiber. Make a habit of consuming lots of lean proteins, fresh fruits, vegetables and whole grains. And dont forget to drink lots of water. Proper hydration may also help your skin look and feel better. 10. Find ways to manage your stress. Stress can worm its way through our entire physical being and cause disruptions in surprising ways. According to the AAD, stress can affect the way our skin appears by increasing inflammation, slowing down the wound-healing process and potentially interfering with skin conditions. Because our glands produce more oil when were stressed, people with acne experience breakouts, and people with psoriasis and eczema may have flare-ups. To help regulate your system, try different stress management endeavors, such as exercise, meditation, mindfulness, yoga and deep breathing. When you find one you like, make a daily practice of it. 11. Get your zzzzzs. When you sleep, your body can focus its energy on repairing different systems, including your skin. Research has shown that people who arent getting enough sleep on the regular may show earlier signs of aging, experience diminished skin barrier functions and feel less satisfied with their appearance. Aim for seven to nine hours a night to get the biggest benefits from sleeping. Itchy, uncomfortable skin isnt a winter requirement. By making a few simple changes to your routine in the fall, you can help put moisture back where it belongs, quickly, before things get uncomfortable. If youve made the changes above, however, and you find that you still have some skin concerns, schedule an appointment with your primary care doctor or a dermatologist today. They can address any possible skin conditions and offer personalized advice to help keep you feeling healthy and radiant in every season. To learn more about Medicare or Health insurance in our area in Alabama, contact Blue Cross Blue Shield of Alabama at 251-344-2115
Managing Arthritis Pain in Cold Weather: Tips for SeniorsAs the winter months approach, many seniors find that their arthritis pain intensifies. The drop in temperature and changes in barometric pressure can lead to increased joint pain, stiffness, and discomfort, making daily activities more challenging. However, with a few lifestyle adjustments, you can help manage arthritis in cold weather and stay comfortable during winter. Why Does Cold Weather Affect Arthritis?If you suffer from arthritis, you may notice that your symptoms worsen when winter weather arrives. Although the exact reason is not fully understood, several factors contribute to this phenomenon. One key factor is the change in barometric pressurethe weight of the air pressing down on the body. When barometric pressure drops, it can cause joints, especially those affected by arthritis, to expand slightly, leading to achy joints and increased joint pain.Cold weather can also cause muscles to stiffen, restricting blood flow to joints and making it harder to stay limber. This reduced circulation can lead to joint pain and stiffness, particularly in the hands, knees, and hips. Tips to Manage Arthritis Pain in Cold WeatherWhen cold weather sets in, managing arthritis can become more challenging, especially for seniors. By incorporating specific strategies into your daily routine, you can ease the discomfort of arthritis and stay mobile. Here are some practical ways to help you manage arthritis pain and stay active during the winter months: Stay WarmOne of the most effective ways to reduce arthritis pain in the cold is to stay warm. Dress in layers, especially when going outdoors, and pay attention to your hands, feet, and joints. Wearing thermal clothing, gloves, and warm socks can help keep these vulnerable areas insulated. At home, use heating pads or warm blankets to soothe sore joints and muscles. Heating pads are especially helpful in improving blood flow to painful areas, which can reduce joint pain and stiffness. A warm bath or shower can also work wonders to loosen stiff joints. Stay ActiveWhile it might be tempting to stay indoors and rest during the winter months, staying physically active is essential for managing arthritis pain. Regular physical activity helps to maintain joint mobility, reduce stiffness, and increase flexibility. The Centers for Disease Control and Prevention (CDC) recommends that older adults aim for at least 150 minutes of moderately intense physical activity each week. This can be broken down into manageable chunks, such as 30 minutes of exercise five days a week. For people with arthritis, low-impact activities like walking, swimming, or cycling are excellent options. Even gentle stretching and yoga can help alleviate pain and keep joints moving. In addition to aerobic exercise, strength training sessions are important for improving joint support and muscle strength. These sessions, which can be done two to three times per week, should target the muscles around your achy joints to provide better stability and reduce the strain on your joints. Get Your Daily Dose of SunshineDuring the winter, we tend to spend more time indoors, leading to reduced exposure to sunlight and lower levels of vitamin D, often called the sunshine vitamin. Low vitamin D levels can worsen arthritis symptoms and lead to weakened bones. If you live in an area with limited sunshine during the winter months, consider taking a vitamin D supplement or eating foods rich in vitamin D, such as fatty fish, fortified dairy products, and eggs. Always check with your doctor before starting any new supplements. Use Heat TherapyAs mentioned earlier, applying heat can provide relief for achy joints during the cold weather. In addition to using heating pads, consider trying paraffin wax baths for hand pain or taking a warm bath to help relax tight muscles. For people with rheumatoid arthritis, these methods can be particularly beneficial in easing joint discomfort. However, be mindful not to apply heat for too long or use it on inflamed areas, as this may exacerbate swelling. If your joints are swollen, cold therapy, like using an ice pack, may be a better option. Stay Hydrated and Eat WellProper hydration is often overlooked during the winter months, but staying hydrated helps keep your joints lubricated and can reduce stiffness. Drink plenty of water throughout the day, and limit your intake of caffeine and alcohol, as these can dehydrate you. Eating a balanced diet that includes anti-inflammatory foods, such as leafy greens, nuts, and fatty fish, can also help reduce arthritis pain. Foods rich in omega-3 fatty acids, for example, can help fight inflammation and improve joint function. Embrace the Cold with ConfidenceManaging arthritis pain in the cold weather can be challenging, but by taking proactive steps, you can reduce discomfort and maintain your quality of life. Remember to stay warm, stay active, and incorporate strategies like heat therapy and proper nutrition into your routine. With these adjustments, the winter season can be more manageable for people with arthritis.If youre struggling with your arthritis symptoms, be sure to consult with a healthcare provider. They can offer personalized advice to help you stay comfortable during the winter months and beyond. VIPcare doctors in Alabama cater to the unique needs of seniors who are 65+. Our primary care approach is to help you get and stay healthy is focused on preventive care and managing chronic conditions. Contact VIPcare at 251-257-2886 to find your location and make an appointment.
The Importance of Vaccinations for Frail AdultsAs a trusted home health partner, we understand the critical role that vaccinations play in safeguarding the health of frail adults. During National Immunization Awareness Month this August, we emphasize the importance of immunizations in preventing severe illnesses and complications, particularly among vulnerable populations.The Role of Vaccinations in Frail AdultsVaccinations are a cornerstone of preventive healthcare, particularly for frail adults who are at a higher risk of complications from infectious diseases. Immunizations help to: Prevent Disease: Vaccines prevent diseases such as influenza, pneumonia, and shingles, which can be particularly severe in older and frail adults. Reduce Hospitalizations: Immunizations reduce the incidence of hospitalizations due to vaccine-preventable diseases, decreasing the burden on healthcare systems and improving patient outcomes. Enhance Quality of Life: By preventing disease, vaccines help maintain the quality of life for frail adults, allowing them to remain more independent and active. Community Immunity: Vaccinating frail adults contributes to herd immunity, protecting those who are unable to be vaccinated due to medical conditions. Key Statistics on the Impact of Vaccinations Influenza: Each year, influenza vaccination prevents an estimated 3.2 million medical visits and 79,000 hospitalizations among adults aged 65 and older (Centers for Disease Control and Prevention [CDC], 2020). Pneumococcal Disease: Vaccination against pneumococcal disease has been shown to reduce the risk of invasive pneumococcal disease by 60-70% in older adults (Jackson et al., 2003). Shingles: The shingles vaccine reduces the incidence of shingles by 51% and postherpetic neuralgia by 67% in adults aged 60 years and older (Oxman et al., 2005). Our Commitment to Vaccine Education and RemindersAs your partner in home health care, we are committed to working collaboratively with you to ensure that your patients are well-informed about the importance of vaccinations. Our services include: Educational Outreach: Providing patients with information on the benefits of vaccines and addressing any concerns or misconceptions they may have. Personalized Vaccine Schedules: Assisting in the creation of personalized vaccine schedules tailored to each patients health status and medical history. Timely Reminders: Sending reminders for upcoming vaccinations to ensure patients receive their immunizations on schedule. Coordination with Healthcare Providers: Collaborating with healthcare providers to ensure seamless vaccine administration and follow-up care. By partnering with us, you can enhance your patients health and wellbeing through comprehensive vaccination education and support. Together, we can make a significant impact in preventing disease and improving health outcomes for frail adults.For more information on how we can support your patients immunization needs, please contact us.ReferencesCenters for Disease Control and Prevention. (2020). Estimated influenza illnesses, medical visits, hospitalizations, and deaths in the United States 20192020 influenza season. Retrieved from https://www.cdc.gov/flu/about/burden/2019-2020.htmlJackson, L. A., Neuzil, K. M., Yu, O., Benson, P., Barlow, W. E., Adams, A. L., & Thompson, R. S. (2003). Effectiveness of pneumococcal polysaccharide vaccine in older adults. New England Journal of Medicine, 348(18), 1747-1755. https://doi.org/10.1056/NEJMoa022678Oxman, M. N., Levin, M. J., Johnson, G. R., Schmader, K. E., Straus, S. E., Gelb, L. D., & Shingles Prevention Study Group. (2005). A vaccine to prevent herpes zoster and postherpetic neuralgia in older adults. New England Journal of Medicine, 352(22), 2271-2284. https://doi.org/10.1056/NEJMoa051016
Healthcare Network is dedicated to providing high-quality, accessible healthcare to everyone in Collier County, regardless of job, income, or insurance status. Our comprehensive services include children's care, pediatric convenient care, family care, women's care, senior care, dental care, behavioral health, pharmacy, and specialty services.As Southwest Floridas premier patient-centered medical and dental home, our providers work collaboratively as a care team to deliver the highest level of coordinated care for patients of all ages. Since 1977, our private, not-for-profit model has been effective in meeting the healthcare needs of the community. We rely on philanthropic support to ensure we continue to achieve our vision of a community where every person has access to affordable and appropriate healthcare.Healthcare Network is committed to delivering culturally competent care, addressing health disparities, and supporting the overall wellness of our patients. Join us on our mission to make healthcare more accessible and to create a healthier community for all.All Locations:1265 Creekside Pkwy. #206, Naples 34108 1090 6th Ave N. Naples 34102 1845 Veterans Park Dr., Naples 34109 5450 YMCA Rd. #102, Naples 34109 6350 Davis Blvd. #1001, Naples 34104 1749 Heritage Trl. #801 Naples 34104 2355 Stanford Ct., Naples 34112 1454 Madison Ave. W., Immokalee 34142 1441 Heritage Blvd., Immokalee 34142 508 N. 9th St. #142, Immokalee 34142 12655 Collier Blvd. Naples 34116
Healthcare Network is dedicated to providing high-quality, accessible healthcare to everyone in Collier County, regardless of job, income, or insurance status. Our comprehensive services include children's care, pediatric convenient care, family care, women's care, senior care, dental care, behavioral health, pharmacy, and specialty services.As Southwest Floridas premier patient-centered medical and dental home, our providers work collaboratively as a care team to deliver the highest level of coordinated care for patients of all ages. Since 1977, our private, not-for-profit model has been effective in meeting the healthcare needs of the community. We rely on philanthropic support to ensure we continue to achieve our vision of a community where every person has access to affordable and appropriate healthcare.Healthcare Network is committed to delivering culturally competent care, addressing health disparities, and supporting the overall wellness of our patients. Join us on our mission to make healthcare more accessible and to create a healthier community for all.All Locations:1265 Creekside Pkwy. #206, Naples 34108 1090 6th Ave N. Naples 34102 1845 Veterans Park Dr., Naples 34109 5450 YMCA Rd. #102, Naples 34109 6350 Davis Blvd. #1001, Naples 34104 1749 Heritage Trl. #801 Naples 34104 2355 Stanford Ct., Naples 34112 1454 Madison Ave. W., Immokalee 34142 1441 Heritage Blvd., Immokalee 34142 508 N. 9th St. #142, Immokalee 34142 12655 Collier Blvd. Naples 34116
Healthcare Network is dedicated to providing high-quality, accessible healthcare to everyone in Collier County, regardless of job, income, or insurance status. Our comprehensive services include children's care, pediatric convenient care, family care, women's care, senior care, dental care, behavioral health, pharmacy, and specialty services.As Southwest Floridas premier patient-centered medical and dental home, our providers work collaboratively as a care team to deliver the highest level of coordinated care for patients of all ages. Since 1977, our private, not-for-profit model has been effective in meeting the healthcare needs of the community. We rely on philanthropic support to ensure we continue to achieve our vision of a community where every person has access to affordable and appropriate healthcare.Healthcare Network is committed to delivering culturally competent care, addressing health disparities, and supporting the overall wellness of our patients. Join us on our mission to make healthcare more accessible and to create a healthier community for all.All Locations:1265 Creekside Pkwy. #206, Naples 34108 1090 6th Ave N. Naples 34102 1845 Veterans Park Dr., Naples 34109 5450 YMCA Rd. #102, Naples 34109 6350 Davis Blvd. #1001, Naples 34104 1749 Heritage Trl. #801 Naples 34104 2355 Stanford Ct., Naples 34112 1454 Madison Ave. W., Immokalee 34142 1441 Heritage Blvd., Immokalee 34142 508 N. 9th St. #142, Immokalee 34142 12655 Collier Blvd. Naples 34116