OSTEOPOROSIS: THE TRUTH
An epidemic of osteoporosis is probably not a hot topic for most people, especially in 2022.
I think it is important to analyze what we are "told" about osteoporosis and what the facts are.
The obsession of the Western world with osteoporosis is not evidence-based.
A 2015 paper in the Journal of Internal Medicine explains that most osteoporotic fractures are caused by falls or lifestyle factors, not what we call osteoporosis.
Widespread disputes in this paper include a medical culture of mistaken pathology, ineffective screening, and unproven treatment.
Mistaken Pathophysiology: most fracture patients who have fallen do not have osteoporosis.
The reason people fall is due to age-related physical decline.
Ineffective Screening: current prediction tools will not identify most of those who will have a fall.
Unsafe and Unproven Treatment: drugs used to treat osteoporosis are associated with an increase in adverse events. There are many concerns about the efficacy of preventive clinical vertebral fracture drugs.
It is clear that the main cause of fractures is falling, not low bone mineral density.
We have a huge problem with over-diagnosis and overtreatment when it comes to osteoporosis. Many older people are tricked into thinking they should have the same bone density as 30-year-olds. That's just not the case. We have a natural thinning and a reduction in density as we age. Conventional medicine creates a diagnosis from poor screening, and then medicates normal bone density variations, which increase diagnostic numbers. Even when none should be found. This of course benefits the pharmaceutical industry.
Symptom-free, healthy people are told they have a disease when they do not. Then we see side effects from these medications. Side effects that include premature mortality.
The factual statistics are available. The older you get, the more often you fall, and the older you become, the less dense your bones become. It is easy to manipulate these facts to read that the cause of more falls and fractures is lower bone density.
The keys to reducing the likelihood of a fall and avoiding a fracture are much simpler and more logical.
Current medical scans of bone density do not help diagnose full skeletal density, nor determine bone strength, function, or quality of soft tissue. These DXA scans examine two aspects, bone mineral density and surrounding soft tissue, not with brilliant accuracy. What would be required to make a proper assessment would be bone density, lean soft tissue, fat and bone marrow. But, we don't do that.
Drugs such as Fosamax can help increase bone mineral density, but they do not improve bone strength and quality. Evidence shows that antiresorptive drugs such as Fosamax can cause bone degeneration and increase the likelihood of breast cancer.
We also have meta-analysis studies that show no supporting evidence for the use of pharmacological treatment for osteoporosis. Why are we still sold on this?
Yet another example of drug companies profiting at the expense of public health.
Take bone health into your own hands.
Move your body, eat well, practice mindful movements such as yoga.
These preventive measures reduce the risk of fall and fracture.
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All the best.
Simon Brazier. Dip HN, NNCP