維骨力 不是吃骨鬆的 S-dimensional and not to eat the bone-song

維骨力 不是吃骨鬆的 ●王子康建議骨鬆高危險群，即使是已經超過35歲保存骨本期，也可從預防做起： 1.一定要多運動：運動不是為了讓骨頭強健，而是增加自己的協調性和平衡感、較不容易跌倒；就算仍不小心跌倒，至少出手快，來得及用手撐住身體，骨質疏鬆之下，頂多手部骨折，打石膏即可恢復，不至於讓狀況更糟。 2.可穿防骨折褲：有一種流行的褲子，股骨兩側有厚軟墊，骨鬆的高危險群建議穿著，只是天氣若太熱，有些人難以接受。 ３.關節炎和骨鬆是兩碼子事：由於骨質疏鬆症來得無聲無息，不少老人家誤以為退化性關節炎就是「骨頭不好」，以為關節痛跟骨質疏鬆有關，只要多喝大骨湯，吃些跟「骨」有關的產品，就能改善病情。 王子康特別提醒：有人因為怕骨鬆，天天吃「維骨力」，當發生意外求診時，還不解的問「為什麼？我有補充鈣啊」！王子康說，維骨力真正的作用，其實是用來修補軟骨的，對防止關節炎有效，但含鈣有限。 台北振興醫院骨科主治醫師曾國峰說，退化性關節炎跟骨鬆雖無關，「但有時候，這兩種疾病卻有著反向關係」。他說，不愛運動的人雖較不易為退化性關節炎所苦，但骨頭卻是「用進廢退」，適度運動可以減緩骨質流失，「最好在其中找到平衡點」。（劉惠敏） 2008-11-02 S-dimensional and not to eat the bone-song ● Prince, Culture and Sport recommends that high-risk bone-song, even more than the current 35-year-old to preserve bone, or from the start with prevention: 1. Must take more exercise: Movement is not to let the bones strong, but increased their sense of balance and coordination, less easy to fall; not care even if it fell, shot at least soon, with their hands in time to support the body of osteoporosis , At the most hand fracture, a cast will be able to resume, will not allow the situation worse. 2. Fractures can be anti-wear trousers: There is a popular pants, thick padded on both sides of the femur, the bone of the song wearing a high-risk proposal, but if the weather is too hot, some people difficult to accept. 3. Arthritis and osteoporosis are two completely different things: as a result of osteoporosis is more quietly, many people think that osteoarthritis is the "good bones" that the joint pain with osteoporosis, as long as the big drink Soup and eat with the "bone"-related products, will be able to improve the condition. Prince, Culture and Sport to remind: Some people are afraid of loose bone, eat every day "s peacekeeping", when the accident occurred when patients, but also could not understand the question "Why? I have added calcium ah!" Prince, Culture and Sport said that the s-dimensional real role is to repair the cartilage, on the effective prevention of arthritis, calcium limited. Taipei Hospital attending physician to revive the country have said that the peak, degenerative arthritis, although calcaneus song has nothing to do, "but sometimes, these two diseases, there is a reverse relationship." He said that people who do not love sports, although less for the suffering from degenerative arthritis, bone, but it is "disuse", moderate exercise can slow bone loss, "in which to find the best balance." (LIU Hui-min) 2008-11-02 View more information, see the World Journal reported that e-ePaper

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男人 怎麼也會骨鬆？How men will loose bone?

男人 怎麼也會骨鬆？ 【劉惠敏】骨鬆造成的骨折多發生於腕關節、脊椎以及髖骨關節，女性、尤其更年期的女性容易罹患骨鬆，台北書田診所復健科主任潘筱萍說，門診就看到因骨鬆而骨折的媽媽們，受了傷還是必須料理家事，「看得很心疼」。 不過，以為骨質疏鬆症是女性的專利，可就大錯特錯了，男性也多難逃骨質流失。以上面的陳爺爺為例，由Ｘ光看來，可見陳爺爺的脊椎骨，一節壓著一節擠在一起，因此也愈來愈彎曲。醫師告訴他，原來他變矮的真正禍首是骨質疏鬆，幾次不經意的摔跤、挫撞，造成一些大小骨折，嚴重影響行動能力、生活品質。 台大醫院骨科教授侯勝茂也遇到不少男性患者，不少人聽到自己罹患骨質疏鬆症時還感到不解，「這是男人也會生的病喔？」台大醫院骨科教授侯勝茂說，一般人輕忽骨質疏鬆症的風險，侯勝茂提醒，雖然女性罹患骨鬆比率高於男性，而因骨鬆引起的髖部骨折，1年內死亡率男性約為22%，高於女性的15%。 2008-11-02 How men will loose bone? LIU Hui-min】 【bone fractures caused by the pine occur in the wrist, spine and hip joints, women, especially menopausal women more prone to suffer from osteoporosis, the Taipei Book Tian, director of rehabilitation clinics Sheau-Ping Pan said that the patient can see and as a result of bone-song Fractures of the mothers, must be injured or family care, "look very distressed." However, that osteoporosis is a woman of the patent, may mistake the men have more bone loss can not escape. Above the Chan to Grandpa, for example, by the X-ray view, shows that Chen's grandfather spine, a Crimping a crowded together, and therefore more and more curved. Doctors told him that he Bianai the real culprit is osteoporosis, a few casual wrestling, hit down, resulting in a number of large and small fracture, severe impact on operational capacity, quality of life. National Taiwan University Hospital, Professor Hou Sheng-mao also encountered a number of male patients, many people hear their own suffering from osteoporosis were puzzled, "This is also a man of Health's disease Oh?" National Taiwan University Hospital, Professor Hou Sheng-mao said that most people overlook the risk of osteoporosis, Hou Sheng-mao reminded that although the percentage of women suffer from osteoporosis than men, and as a result of osteoporosis caused by hip fractures, 1 year mortality rate for men is about 22% higher than women 15%. 2008-11-02 View more information, see the World Journal reported that e-ePaper

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女性50至55歲 骨鬆警戒期Women 50-55 years old loose bone alert period

女性50至55歲 骨鬆警戒期 ●要如何預防骨質疏鬆所造成的骨折？醫師說一定要早期預防、不忽略治療、追蹤，也要避免跌到。 中華民國骨質疏鬆症學會理事長、林口長庚醫院副院長宋永魁說，人人都應該多認識骨質疏鬆，及早開始預防，人體骨質含量35歲前後達到顛峰，過了40歲，骨質即以每年1%至2%的速度流失，女性大約在50至55歲，邁入骨質疏鬆症警戒期，男性則是在65至70歲。 台北書田診所復健科主任潘筱萍說，高危險群要注意早期預防，包括體重過輕、成年後經常骨折或是父母有骨質疏鬆者，長期使用類固醇、抽菸、喝酒或有副甲狀腺功能亢進等特殊病史，都是高危險群。 建議平時就留意身體狀況，定期做骨質密度檢查，由於早期骨鬆並無明顯的疼痛不適，因此當檢查出骨鬆時，必須持續治療、運動、追蹤，千萬不可放任不管。 潘筱萍建議，要避免跌倒，就得注意哪些原因是容易造成跌倒。 老人家特別容易跌倒，原因有內在及外在因素，內在因素包括體力差或特殊筋骨關節病變、反應較慢、平衡功能失常，老人家的感覺能力也較差，視力、聽力大不如前，肢體等身體部位的「本體覺」也減弱。 分析外在因素，三分之一的跌倒發生在居家環境，特別是廚浴樓梯、濕滑或不平地面、昏暗空間、光差大，不過外出時也得小心不熟悉的新環境，或是照明差、有移動物體、不平路面等問題。（劉惠敏） 2008-11-02 Women 50-55 years old loose bone alert period ● How to prevent osteoporosis caused by the fracture? Doctors say that early prevention must not lose sight of treatment, follow-up, but also to avoid fall. Republic of China Osteoporosis Society chairman, Chang Gung Memorial Hospital, vice president of the Song Fukui said that everyone should know more about osteoporosis, as soon as possible to prevent the beginning of human bone content before and after the 35-year-old reached the top, over a 40-year-old, that is, bone at an annual 1 % To 2% of the rate of loss, some women in the 50-55 years of age, osteoporosis into the alert, while men in the 65-70 years old. Taipei book Tian, director of rehabilitation clinics Sheau-Ping Pan said that the high-risk groups should pay attention to early prevention, including weight, regular adult fractures or osteoporosis parents, long-term use of steroids, smoking, drinking or parathyroid function Hyperthyroidism, and other special medical history, are at high risk. Usually pay attention to the recommendations on health, bone density screening done on a regular basis, as the early song, there is no clear bone pain does not apply, so check when a loose bone, the treatment must be continued, sports, track and never has done absolutely nothing. Sheau-Ping Pan suggested that to avoid a fall, you'll have to pay attention to what the reasons are easy to cause a fall. The elderly are particularly vulnerable to falls, due to internal and external factors and internal factors such as poor physical or special bones joint disease, a slower response, the balance dysfunction, the elderly feel less ability, vision, hearing has been watered down, physically, and other body parts "Ontological sleep," also weakened. Analysis of external factors, one-third of the fall occurred in the home environment, in particular, kitchen and bath stairs, slippery or uneven ground, dark space, poor light, but be careful when they go out are not familiar with the new environment, or the lighting Poor, moving objects, uneven pavement. (LIU Hui-min) 2008-11-02 View more information, see the World Journal reported that e-ePaper

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破骨細胞>成骨細胞 就會骨鬆Osteoclasts> osteoblasts will be bone-song

破骨細胞>成骨細胞 就會骨鬆 【陳惠惠】人的骨頭終其一生都在汰舊換新，這樣的工作，靠的是「成骨」、「破骨」兩種細胞通力合作，一旦失衡，破骨細胞的活性大於成骨細胞時，就會導致骨頭中的鈣流失，就是所謂「骨質疏鬆」。 台北振興醫院骨科主治醫師曾國峰說，隨著老化，成骨細胞的數量、活性都會跟著下降，骨骼的外部堅硬緻密的「皮質骨」會由厚變薄，內部的「海綿骨」空隙也會增多。 台灣馬偕醫院骨科主治醫師張定國說，停經後婦女缺乏女性荷爾蒙，少了動情激素刺激，成骨細胞活性下降，連帶影響對破骨細胞的調控，加速骨質流失速度。男性雖也有更年期困擾，但骨質疏鬆情況不如女性嚴重。 雖然成骨細胞負責造骨，少了破骨細胞，還是無法汰舊換新。曾國峰說，成骨細胞一方獨大，破骨細胞失靈，無法吸附老舊、壞掉的骨頭時，骨頭會變得硬而脆，「一旦碰到外力，就像磁器受到撞擊，應聲碎裂」。 俗稱「大理石寶寶」的骨質石化症，就是極端之例，X光片中骨頭常呈全白影像，醫師說，嚴重的骨質疏鬆症患者，因為長期、高劑量使用破骨抑制劑，也有骨頭壞死的風險。 2008-11-02 Osteoclasts> osteoblasts will be bone-song Chen Huihui】 【human bones in their lives replacement, so that the work on the "osteoblasts" and "bone-breaking," the two cells together, once out of balance, Activity of osteoclasts is greater than osteoblasts Cells, it will lead to the loss of calcium in the bones, the so-called "osteoporosis." Taipei Hospital attending physician to revive the country have said that the peak, with the aging, the number of osteoblasts, the activity will follow the decline in bone density of the external hard "cortical" by thinning thick, in-house as a "sponge bone" The gap will increase. Taiwan's Mackay Memorial Hospital orthopedic physician Zhang Ting-kuo, said that the lack of post-menopausal women, estrogen, the less estrogen to stimulate, decrease the activity of osteoblasts, the spill-over effects on the regulation of osteoclasts, to accelerate the rate of bone loss. Although men are also troubled by menopause, osteoporosis, but the situation of women as serious. Although the osteoblasts responsible for building bone, short of osteoclasts, or can not be eliminated over a new leaf. Zeng Feng said that the osteoblasts dominance of one party, the failure of osteoclasts, the absorption can not be old, broken bones, the bones become brittle and hard, "once the forces encountered, as demagnetizer by the impact, answered broken Crack. " Known as the "marble baby," the petrochemical bone disease, is the extreme of cases, X-ray film bone Chang Cheng-wide white images, physicians say, serious osteoporosis patients because the long-term, high-dose use of inhibitors of bone-breaking as well as bone necrosis Risks. 2008-11-02 View more information, see the World Journal reported that e-ePaper

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補充鈣，你吃對了嗎？Calcium supplement, you eat right?

補充鈣，你吃對了嗎？ 【陳惠惠】如果你已做過骨質密度檢測，確定自己是骨質疏鬆患者，醫生可能開給你什麼藥？ 猛吞維骨力？狂吃軟骨素？或任何跟「骨」字扯得上邊的產品，都拿來「顧筋骨」？醫師說，骨頭要好，關鍵就是30歲前存足骨本，一旦骨質疏鬆，除了吃藥治療，還要補充鈣片。 骨鬆兩種藥 破骨與造骨 骨質疏鬆症的用藥治療，近年已有長足的進步，現階段用來治療骨質疏鬆的藥物可分成兩大類，以往的藥物主要為「破骨抑制劑」，最近則有「造骨促進劑」供民眾選擇。 台灣馬偕醫院骨科主治醫師張定國說，目前較常用的是破骨抑制劑，至於造骨促進劑雖可快速提升骨質密度，但價格相對昂貴。 除了吃藥，骨鬆患者還要吃鈣片、飲食多攝取含鈣食物，「鈣質才是骨頭主要成分。」 台北振興醫院骨科主治醫師曾國峰說，沒有原料，不管怎麼調控造骨或破骨細胞都沒用。 骨鬆補鈣片 天然未必好 市面上鈣片成分頗多，像是碳酸鈣、磷酸鈣、檸檬酸鈣、乳酸鈣跟葡萄酸鈣等，甚至還有珊瑚鈣、牡蠣鈣等，民眾往往不知何選擇。「不見得天然的最好。」曾國峰說，標榜萃取自生物的鈣，很可能有重金屬汙染的疑慮，化學合成鈣的品質反而較穩定。 元素鈣含量 吸收的關鍵 「一般成年人只要飲食均衡，不須特別補充鈣片。」張定國說，人體對鈣片的吸收率只有一到兩成，適當的維他命D可以促進鈣的吸收，選購時，可考慮額外添加維他命D的鈣片。 另外，據曾國峰觀察，很多民眾只見包裝上標示，每顆碳酸鈣含量1000毫克，以為只要吞1顆，就可以攝取1000毫克的鈣，那可就錯了。 「選購時，不光是看總劑量，還要注意元素鈣含量。」曾國峰說，很多人只知道吃鈣片，卻不曉得吃進多少鈣，鈣片裡，可以被吸收利用的就是「元素鈣」。 例如，1000毫克碳酸鈣裡，元素鈣的含量通常只有400毫克。 體質大不同 好壞無絕對 骨科醫師眼裡，鈣片沒有絕對好壞。曾國峰舉例，像檸檬酸鈣、乳酸鈣跟葡萄酸鈣的元素鈣比率雖相對低，但吸收度較好，葡萄酸鈣則較少用。 鈣片分為藥品級及食品級，若醫師建議使用藥品級鈣片，可參考藥品使用說明書，上面有寫明元素鈣含量。 他建議，除了看元素鈣含量高低，還要視個人身體狀況，有些鈣片元素鈣含量雖高，但下肚後卻易便秘、脹氣，還是要找出最適合自己的鈣片。 2008-11-02 Calcium supplement, you eat right? Chen Huihui】 【If you already have bone density tests to identify themselves as patients with osteoporosis, doctors may be open to you what drugs? Meng-dimensional s swallow? Kuangchi chondroitin? Or with any "bones" of the above products, too, are used to "taking care of the bones"? Doctors said the bones better, the key is to keep the former 30-year-old bone of the foot, once osteoporosis, in addition to medication treatment, but also added calcium. Song of bone-breaking two drugs made of bone and bone Osteoporosis drug treatment, in recent years has come a long way, at this stage for the treatment of osteoporosis drugs can be divided into two major categories, the main drugs in the past as "inhibitors of bone-breaking," recently "bone-made accelerator" For the people to choose. Taiwan's Mackay Memorial Hospital orthopedic physician Zhang Ting-kuo, said that the break is more commonly used inhibitors of bone, bone promoter As for the building, although able to enhance rapid bone density, but the price is relatively expensive. In addition to medication, patients with osteoporosis should also eat calcium, dietary calcium intake of more food, "calcium is the main component of bone." Taipei Hospital attending physician to revive the country have said that the peak, there is no material, no matter how regulation of osteoclasts, or bone building cells, with no one. Calcium bone natural pine may not be good Calcium on the market quite a lot of components, such as calcium carbonate, calcium phosphate, calcium citrate, calcium lactate with grapes such as calcium, and even coral calcium, and calcium oysters, people often do not know what to choose. "Natural is not necessarily the best." Tsang-feng said that the extract itself from the biological calcium, is likely to have doubts about the heavy-metal contamination, chemical synthesis of calcium-quality but more stable. Elements of the absorption of calcium content key "As long as most adults eat a balanced diet, not requiring special calcium supplement." Zhang Ting-kuo, said that the body's absorption of calcium was only 1-2 as the appropriate vitamin D may promote the absorption of calcium, purchase, may wish to consider adding an additional Vitamin D of calcium. In addition, according to Zeng Feng, observed that many people saw marked on the packaging, each 1,000 mg of calcium carbonate content in the belief that once a swallow, you can intake of 1,000 milligrams of calcium, it may be wrong. "Buy, not just look at the total dose, but also pay attention to calcium content elements." Tsang-feng said that many people only know that eating calcium does not know how much to eat into the calcium, calcium, can be used to absorb that "Elements of calcium." For example, 1,000 mg of calcium carbonate, calcium content elements are usually only 400 mg. Great physique is absolutely no different from good or bad Orthopedic physician's eyes, calcium there is no absolute good or bad. Zeng Feng, for example, such as calcium citrate, calcium lactate with calcium grape elements, although relatively low ratio of calcium, but a good degree of absorption, calcium grapes are used less. Calcium into drugs and food-grade class, if doctors recommend the use of calcium-class drugs, the use of drugs can refer to the prospectus, it has been stated clearly above elements calcium content. He suggested that, in addition to look at elements of high and low calcium content, but also as the individual physical condition, and some elements of calcium, although the high calcium content, but Xia Du Yi after constipation, flatulence, or to identify the most suitable for their calcium. 2008-11-02 View more information, see the World Journal reported that e-ePaper

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骨鬆→骨折 感脅老命Osteoporosis→ bone fractures flu death threats

骨鬆→骨折 感脅老命 身體若像海砂屋 蹲馬桶 抱孫子 也要小心 一般人脊椎是直的。【圖：潘筱萍醫師提供】 陳爺爺脊椎骨呈彎曲壓迫狀態。【圖：潘筱萍醫師提供】 【劉惠敏】何謂骨質疏鬆症（Osteoporosis）? 國際骨質疏鬆基金會（IOF）說明在字面上的意義就是「多孔的骨頭」（porous bone），世界衛生組織（WHO）定義：因骨量減少、或骨密度降低，而使骨骼微細結構發生破壞的疾病，惡化的結果將導致骨骼脆弱，並使骨折的危險性明顯增高。世界衛生組織也提出警告，隨著人類壽命延長，骨質疏鬆症已成為全球僅次於心血管疾病，威脅健康的第二重大流行病。 本月20日是世界骨鬆日，世界骨質疏鬆症基金會（IOF）將今年主題訂立為「戰勝骨折」（Beat the Break：Know and reduce your osteoporosis risk），強調預防骨折、認知個人骨鬆危險因子對於降低骨鬆風險的重要性。 骨質疏鬆症可以說是「沉默的殺手」，多數人發生骨折後才發現嚴重骨質疏鬆，有些患者動了手術、裝上人工髖關節，也未必能恢復行動能力… 舉步維艱 奶奶髖關節變形 案例一：70多歲的陳奶奶，年紀愈大腰就愈彎，最近已經彎到50、60度了，陳奶奶不僅經常腰痠背痛，行動也愈來愈困難，幾乎舉步維艱，沒走幾步就唉唉叫。 家人帶她去看醫師，發現她已經有嚴重的骨質疏鬆，脊椎和髖骨關節更不知什麼時候曾經發生骨折，大腿髖關節處，也都變形了。 上個廁所 阿嬤脊椎骨折 案例二：72歲王阿嬤本來只是腰痠背痛，有一天，她正準備蹲馬桶，才一彎下腰就覺得背部劇痛，就醫診斷後發現是脊椎骨折，原因是骨質疏鬆所致。 原來王阿嬤一直有嚴重的骨質疏鬆，但她一直以為年紀大了腰痠背痛，是正常的老人病，沒想骨質疏鬆讓身體變成「海砂屋」，脆弱到不可思議。 愈長愈矮 老船員骨鬆啦 案例三：86歲的陳爺爺，年輕時是位瀟灑、壯碩的船員，本來身高有176公分，沒想到年齡增長，身高卻「倒縮」了近20公分，背愈來愈駝、腰愈來愈彎。 陳爺爺直覺認為當年在船上摔了個大跤所造成的，最近幾年行動能力也愈來愈差，幾乎無法正常久站或走路，就醫發現有骨質疏鬆症，他一開始不願相信，沒有聽過男人也會骨鬆。 孫子掙扎 奶奶胸痛骨折 案例四：75歲的王奶奶，有個小孫子難得回家一趟，白白嫩嫩胖嘟嘟的，她忍不住抱起來親一下，這時睡著的小孫子醒過來，翻身掙扎一下，王奶奶突然胸部一陣劇痛，痛到差點昏過去，送醫檢查結果，沒想到竟因抱了一下小孫子，竟然脊椎骨折。 緊急煞車 骨鬆導致骨折 案例五：66歲的張先生坐公車時，沒抓緊把手，一個緊急煞車，他身體往前俯再往後靠回椅背，忽然覺得胸口好痛，痛到很難呼吸，趕快求助鄰座協助，送醫檢查才知是骨折，也是骨鬆惹的禍。 咳嗽一下 離譜到也骨折 上述幾種輕微的骨頭壓力就造成骨折的案例，都是因為骨質疏鬆症。台灣新竹醫院骨科主任王子康說，他還看過不少更離譜的狀況，根本只是咳嗽一下，或者稍微負重，就背痛難忍而緊急就醫，可見骨質疏鬆的可怕。 由於骨鬆是「無聲無息」的出現，多數人發生骨折等症狀才驚覺，台大醫院骨科教授侯勝茂說，「更可惜的是，發現後就得長期依賴輪椅。」 有些脊椎出問題、背痛的患者，還可以用背架支撐，但是髖骨關節骨折之後，就算動手術、裝上人工髖關節，也不一定能恢復行動能力。 長者骨折機率 比中風高 中華民國骨質疏鬆症學會理事長宋永魁表示，根據2005年衛生署國民健康局「國人骨質疏鬆盛行率 」調查，65歲以上罹患骨質疏鬆人口達49萬，約佔21.12%。宋永魁說，長者發生骨折機率比合併中風、心臟病發作以及乳癌來得高，因骨質疏鬆症發生骨折的機率約為腦中風的2到4倍。 宋永魁說明，不少骨鬆患者會多次骨折，又因為骨鬆服藥不一定能明顯展現服藥效果，例如降高血壓藥可從血壓數值看出效果，因此骨鬆服藥遵從率不佳，也容易再次骨折。 2008-10-24 Osteoporosis→ bone fractures flu death threats If the body like a squat toilet Haisha Wu Bao Sunzi have to be careful Most people is the spine straight. Sony: Sheau-Ping Pan physicians to provide】 Chen grandfather spine was bent state oppression. Sony: Sheau-Ping Pan physicians to provide】 LIU Hui-min】 【What is osteoporosis (Osteoporosis)? Of the International Osteoporosis Foundation (IOF) that literally meaning "porous bone" (porous bone), the World Health Organization (WHO) definition: as a result of reduced bone mass, or To lower bone mineral density, thus preventing the destruction of bone micro-structure of the disease, the results will lead to the deterioration of bone fragility and fracture risk of significantly increased. The World Health Organization has warned that the As human life expectancy, osteoporosis has become the world second only to cardiovascular disease, the second major threat to the health epidemic. On the 20th of this month is the world's bone-song, World Osteoporosis Foundation (IOF) will make this year's theme as "fracture to overcome" (Beat the Break: Know and reduce your osteoporosis risk), to emphasize the prevention of fractures, and personal awareness of risk of osteoporosis Factor in lowering the risk of osteoporosis. Osteoporosis can be described as the "silent killer", the majority found that a serious fracture after osteoporosis, and some patients underwent surgery, fitted with artificial hip joint, it may not be able to restore operational capacity ... Grandma difficult hip deformation Case I: 70-year-old grandmother Chen, the greater the age, the more back bends, has recently been to turn 50, 60 degrees, and grandmother Chen not only the regular backaches, and also more and more difficult, almost difficult, not Ai Ai called on a few steps away. To see her family doctor, she found that there had been serious osteoporosis, the spine and hip joints do not know even when there has been fractured thigh hip, are a distortion. On a toilet Spine Fractures grandmother Case II: The 72-year-old woman, Wang had back pain is just one day, she is preparing to squat toilets, only a bent felt pain in his back, for medical treatment after the diagnosis of spinal fractures found to be due to osteoporosis caused. Wang originally grandmother has been a serious osteoporosis, but she always thought that old back pain, it is normal for elderly patients, osteoporosis thought the body into a "Haisha Wu", vulnerable to the unthinkable. The longer the old dwarf, the more you loose bone crew Case III: 86-year-old grandfather Chen, a young man is a chic, the burly crew, there have been 176 centimeters tall, did not expect that age, but is "shrinking back," nearly 20 centimeters, more and more of a camel back, back, the more To bend more. Chen intuition that the grandfather was on board crashed in a big wrestle caused by the last few years has the operational capacity is getting worse, almost not stand or walk for a long time, found medical treatment of osteoporosis, he do not want to believe that the very beginning, there is no Men also heard of osteoporosis. Grandson grandmother struggling chest fracture Four cases: 75-year-old grandmother Wang, a grandson rare trip home, in vain Nennen plump, she could not help but have some pro-up, this time sleeping grandson to wake up, turn over about struggling, Grandma Wang, a sudden chest pain, the pain almost fainted in the past, hospital examination, did not expect was due to hold a small grandchildren about, even spinal fractures. Emergency brake loose bone fractures result in Five cases: 66-year-old Mr. Zhang bus, did not grasp the handle, and an emergency brake, his body lean back to back to back re-Qian Fu, Hao Tong suddenly felt chest, pain that is difficult to breathe, sitting next to him for help as soon as possible Assistance, hospital examination found a bone fracture, bone is also a song blame. You have to cough out fracture Some of these minor bone fractures caused by pressure on the case, because of osteoporosis. Hsinchu, Taiwan director of the Orthopedic Hospital Prince, Culture and Sport said that he also read a lot more out of the situation, it is just like a cough or a little weight on severe back pain and emergency medical treatment, osteoporosis can be seen terrible. As the bone song is "silent", such as fractures occurred in the majority of people realize that the symptoms, a professor of orthopedics at National Taiwan University Hospital Sheng-Mou Hou said, "Unfortunately, the discovery would have to rely on a wheelchair." Some spinal problems, back pain patients, can also be used to support aircraft back, but hip joint fracture, even if an operation, fitted with artificial hip joints, may not be able to restore operational capacity. Elderly stroke higher than the risk of fracture Republic of China Osteoporosis Society, chairman of Song Fukui said, according to the Department of Health in 2005 of the National Health Council, "Chinese prevalence of osteoporosis" survey, over 65 years of age suffer from osteoporosis has a population of 490,000, accounting for 21.12 percent. Song Kui said that the fracture occurred in the elderly than the combined rate of stroke, heart attack and breast cancer is more, as a result of osteoporosis fracture probability of stroke is about 2-4 times. Song Kui that a lot of loose bone fractures in patients with multiple times, as pine bone medication may not be able to show clearly taking effect, such as high blood pressure lowering drugs can be seen from the effects of blood pressure values, the bone-song rate drugs to comply with the poor, but also easy again Fractures. 2008-10-24 View more information, see the World Journal reported that e-ePaper

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男人 怎麼也會骨鬆？How men will osteoporosis?

男人 怎麼也會骨鬆？ 【劉惠敏）】骨鬆造成的骨折多發生於腕關節、脊椎以及髖骨關節，女性、尤其更年期的女性容易罹患骨鬆，台北書田診所復健科主任潘筱萍說，門診就看到因骨鬆而骨折的媽媽們，受了傷還是必須料理家事，「看得很心疼」。 不過，以為骨質疏鬆症是女性的專利，可就大錯特錯了，男性也多難逃骨質流失。以上面的陳爺爺為例，由Ｘ光看來，可見陳爺爺的脊椎骨，一節壓著一節擠在一起，因此也愈來愈彎曲。醫師告訴他，原來他變矮的真正禍首是骨質疏鬆，幾次不經意的摔跤、挫撞，造成一些大小骨折，嚴重影響行動能力、生活品質。 台大醫院骨科教授侯勝茂也遇到不少男性患者，不少人聽到自己罹患骨質疏鬆症時還感到不解，「這是男人也會生的病喔？」台大醫院骨科教授侯勝茂說，一般人輕忽骨質疏鬆症的風險，侯勝茂提醒，雖然女性罹患骨鬆比率高於男性，而因骨鬆引起的髖部骨折，1年內死亡率男性約為22%，高於女性的15%。 2008-10-24 How men will osteoporosis? 【LIU Hui-min)】 fractures caused by osteoporosis occur in the wrist, spine and hip joints, women, especially menopausal women more prone to suffer from osteoporosis, the Taipei Book Tian, director of rehabilitation clinics Sheau-Ping Pan said that as a result of out-patient on the bone-song The fracture of the mothers, must be injured or family care, "look very distressed." However, that osteoporosis is a woman of the patent, may mistake the men have more bone loss can not escape. Above the Chan to Grandpa, for example, by the X-ray view, shows that Chen's grandfather spine, a Crimping a crowded together, and therefore more and more curved. Doctors told him that he Bianai the real culprit is osteoporosis, a few casual wrestling, hit down, resulting in a number of large and small fracture, severe impact on operational capacity, quality of life. National Taiwan University Hospital, Professor Hou Sheng-mao also encountered a number of male patients, many people hear their own suffering from osteoporosis were puzzled, "This is also a man of Health's disease Oh?" National Taiwan University Hospital, Professor Hou Sheng-mao said that most people overlook the risk of osteoporosis, Hou Sheng-mao reminded that although the percentage of women suffer from osteoporosis than men, and as a result of osteoporosis caused by hip fractures, 1 year mortality rate for men is about 22% higher than women 15%. 2008-10-24 View more information, see the World Journal reported that e-ePaper

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喝豆漿防骨鬆 減少動脈硬化Anti-drink soya milk bone-song reduce atherosclerosis

喝豆漿防骨鬆 減少動脈硬化 性質偏寒、消化不良、腎弁鄐ㄗ}者 最好少喝 【新華網】豆漿能改善骨骼代謝，預防骨質疏鬆，減少動脈硬化的危險。然而專家指出，豆漿並不是十全十美的，它含有某些抗營養因素，不僅不利於人體對養分的消化吸收，反而有害健康。 1.豆漿性質偏寒，消化不良、嗝氣和腎功能不好的人，最好少喝豆漿。另外，豆漿在酉每的作用下能產氣，所以腹脹、腹瀉的人最好別喝豆漿。另外，急性胃炎和慢性淺表性胃炎者不宜食用豆製品，以免刺激胃酸分泌過多加重病情，或者引起胃腸脹氣。 2.豆漿裏不能加紅糖，因為紅糖裏面有多種有機酸，它們和豆漿裏的蛋白酉每結合，容易使蛋白質變性沉淀，不容易被人體吸收。而白糖就不會有這種現象。 3.有人喜歡用暖瓶裝豆漿來保溫，這種方法不足取，因為暖瓶溫濕的內環境極有利於細菌繁殖。另外豆漿裏的皂毒素還能夠溶解暖瓶裏的水垢，喝了會危害人體健康。 4.由於豆漿是由大豆製成的，而大豆裏面含嘌呤成分很高，且屬於寒性食物，所以有痛風症狀、乏力、體虛、精神疲倦等症狀的虛寒體質者都不適宜飲用豆漿。 5.豆漿不但必須要煮開，而且在煮豆漿時還必須要敞開鍋蓋，這是因為只有敞開鍋蓋才可以讓豆漿裏的有害物質隨著水蒸氣揮發掉。 6.豆漿一定不要與紅霉素等抗生素一起服用，因為二者會發生拮抗化學反應，喝豆漿與服用抗生素的間隔時間最好在1個小時以上。 7.常喝豆漿 注意補鋅，豆類中含有抑制劑、皂角素和外源凝集素，這些都是對人體不好的物質。對付它們的最好方法就是將豆漿煮熟，長期食用豆漿的人不要忘記補充微量元素鋅。 2008-10-03 Anti-drink soya milk bone-song reduce atherosclerosis Partial nature of the cold, indigestion, kidney largely Chu Official) are the best cutting Xinhua】 【milk can improve bone metabolism and osteoporosis prevention, to reduce the risk of atherosclerosis. However, experts pointed out that milk is by no means perfect, it contains some anti-nutritional factors, not only detrimental to the human body's digestion and absorption of nutrients, but harmful to health. 1. Biased nature of the milk cold, indigestion, gas and belch poor kidney function, the best cutting milk. In addition, the role of the enzyme in the milk under the productive gas, so the stomach, diarrhea of the best people do not drink milk. In addition, acute gastritis and chronic superficial gastritis were not fit for human consumption products, so as not to add to over-stimulate the secretion of gastric acid condition, or cause gastrointestinal flatulence. 2. Can not add milk, brown sugar, brown sugar because there are a variety of organic acids, and their milk's protein enzyme, easily denatured protein precipitation, it is not easy to be absorbed into the human body. The sugar would not have this phenomenon. 3. Some people like to use bottled milk to warm insulation, an approach that never justified because the temperature and humidity inside the thermos flask environment very conducive to bacterial growth. In addition, the milk soap toxin can also dissolve the scale, thermos bottle, drank hazardous to human health. 4. As the milk is made from soybean, soybean and Han Piaoling there are good and belong to cold food, so there are symptoms of gout, fatigue, Tixu, mental fatigue and other symptoms of the Cold constitution are not suitable for drinking milk . 5. Milk not only have to boil, and cook in the milk also have to open the lid, which is open only because the only way to make milk pot, the water vapor as the evaporation of harmful substances out. 6. Milk and must not be taken together with antibiotics such as erythromycin, as the two happen antagonist chemical reactions, drinking milk and taking antibiotics at the best time of 1 hour or more. 7. Changhe zinc attention to the milk, beans contains inhibitors, saponins and foreign-lectin, which are not material to the human body. The best way to deal with them is to cook soya milk, soya milk and long-term consumption of people do not forget to add trace elements zinc. 2008-10-03 View more information, see the World Journal reported that e-ePaper

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營養師教補鈣5要點

營養師教補鈣5要點（2006年3月24日）

【明報專訊】（1）飲脫脂奶

BMI達23或以上，宜飲脫脂奶，「牛奶和脫脂奶含鈣量和營養價值相同，但後者卡路里較前者低一半，故長者、患心臟病、高血脂、高膽固醇、肥胖及平日少運動人士宜飲脫脂奶。」若BMI界乎18.5至22.9，飲普通鮮奶或脫脂奶皆可。飲用時不宜煮滾，免影響營養。另飲奶粉時，4平匙才能成1杯奶的營養成分。

（2）均衡飲食

每天飲用1杯牛奶、1至2份水果、每餐4瓜菜、5至6肉類、6至8杯水，減少飲濃茶、咖啡等，戒煙酒，以及少吃鹹食或醃製食品，避免骨質流失。

（3）讀食品標籤

建議市民讀食品標籤，分辨高鈣食品，並留意其脂肪含量及糖分。

（4）適量運動

運動可鞏固身體的骨質，多做戶外運動，在紫外線照射下，體內製造維他命D，幫助鈣質的吸收。

（5）維持水平

婦女35歲後，每天應吃足夠的鈣質食物，維持鈣質水平。更年期婦女若本身鈣質不足，又不加以補充，容易骨質疏鬆。

預防骨質疏鬆飲食攻略

健康新知﹕預防骨質疏鬆飲食攻略（2006年6月5日）

一些小魚（如九肚魚或白飯魚）、蝦米、芝麻、深綠色的蔬菜、豆腐等等都是含鈣量高的食物。

【明報專訊】每當談論預防骨質疏鬆飲食，總會提到鈣質，這易使人以為骨骼中只有鈣質這成分。事實上，除了鈣質，骨骼還有磷質、蛋白質和水分等。營養師多建議吃高鈣食物來維持骨骼健康，這完全是因為日常飲食的攝鈣量通常都不能達至建議水平（每天約1000毫克）。根據香港中文大學的調查發現，香港成年人每天攝鈣量約為500至600毫克，遠低於上述建議數量。然而，其他與骨骼健康有關的營養素，卻沒有出現這個問題。

牛奶及奶製品含鈣量最高

牛奶及其他奶類製品含豐富鈣質，一杯高鈣奶約含500毫克的鈣質，再加上日常飲食的攝取量，要達至建議的攝取量並不困難。如果不喜歡每天喝奶的話，大可以進食芝士或乳酪來代替。

若怕牛奶中的乳糖會引致腸胃不適或肚瀉，則可於超級市場或藥房購買一些低乳糖牛奶。請緊記，無論是牛奶或奶製品，成年人都必須選購低脂或脫脂的產品，因為全脂牛奶所含的脂肪，要比脫脂的高好幾倍。

其他高鈣食物作補充

除牛奶外，還有些含鈣量高的食物，如一些小魚（如九肚魚或白飯魚）、蝦米、芝麻、深綠色的蔬菜、豆腐等等。值得一提的是，豆腐高鈣是因為添加了石膏粉（炭酸鈣），而豆奶的製作過程則不用加入該凝固劑，所以其鈣質含量並不是特別高。

過量吃肉導致鈣流失

不少研究發現，除攝取量不足，還有其他跟飲食有關的因素導致骨質密度下降，而其中一項是長期攝取過量蛋白質。雖然骨骼的成分中含有蛋白質，但大量文獻已證實，過量攝取該營養素是骨質疏鬆症的危險因素之一，因為過量的蛋白質會加速骨骼中的鈣流失，使其密度減低。香港人進食肉類的分量遠比建議為高，因此要保持骨骼健康，每餐不可吃超過3（約相等於3個乒乓球大小）的肉類。除此以外，攝取過量鹽分及經常飲用含大量咖啡因的飲品亦會增加患骨質疏鬆症的風險。

文﹕翁家俊（註冊營養師） 香港中文大學健康教育及促進健康中心