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With the increase of the life expectancy, the osteoporosis is going to become a more and more current affection. It is a good reason to set in motion a certain number of simple preventive measures, since the childhood. The bone is a cloth in constant renewal.Its mass grows until the end of adolescence, remain generally steady until about fifty, decrease then regularly, especially at the women ménopausées. More the bony capital is important at the time of the menopause and more the ulterior risk of complications of the osteoporosis will be weak. It say that the prevention of the osteoporosis must actually make itself all along life, to preserve this bony capital. To warn since the childhood to make old bone During the childhood and adolescence it is important to assure a sufficient contribution of calcium (1,2 g/j) by milks and the dairy products. It is to this age that sport is the most beneficial, under the condition to be practiced in a reasonable manner. Indeed, at the girls of the intensive practices can provoke an amenorrhoea (absence of the rules) and a deficiency in estrogènes, source of bony loss. The mental anorexia, associating food deficiency and amenorrhoea, is responsible for a lasting bony fragility. Until the menopause, the periods of prolonged amenorrhoea, sign of deficiency estrogénique, must be avoided. To the adult age, it is necessary to be careful to maintain a correct calcic contribution (1g/j), to avoid to smoke and to limit its consumption of alcohol. Indeed, tobacco and alcohol act directly on the cells that form the bone and the tobacco addiction is associated to one menopause more precocious. Also supervise your food, because salt increases the elimination of the calcium. To make work his muscles against resistanceThe physical exercise remains a factor of essential prevention all along life. The muscles, while contracting themselves, exercise a traction on the bony extremities, what has the effect of stimulating the bone and to reinforce it. All exercises are not equivalent. The most efficient are those that are achieved against a resistance (one knows that the osteoporosis is the main complication of the flights in zero gravity). So better is worth to make about twenty exercises with dumbbells or rubber bands that several hundreds without resistance. It is important to make work the most fragile zones, legs in particular, the fracture of the collar of the thighbone being the main complication of the osteoporosis. The preventive measures must be especially strict in case of treatment to basis of cortisone, this last increasing the risk of osteoporosis. It is never too lateTo the menopause, the substitutive hormonal treatment delays the bony loss. The studies showed a reduction of 50% to 80% of the risk of vertebral jammings and 25% of the risk of other fractures during the first five years of treatment . In the absence of contra-indications, this treatment is recommended against the osteoporosis. It can be instituted at all times, even several years after the beginning of the menopause, and maintained about ten years. The contributions of calcium are notoriously insufficient at most French. In case of deficiencies, some supplements must be taken non-stop. In winter, it is necessary to associate them to the D vitamin, because the solar exhibition is generally too weak. Different treatments indicated in the treatment of the osteoporosis because they reduce the bony loss and the risk of fracture, also have a preventive action and could be proposed to the women the more exposed. Finally, the physical activity must be more prudent as one advances in age, but it is or even important to remain active, to walk, to practice an adapted gymnastics. 2010-10-17
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