October 20 marks World Osteoporosis Day – but despite being a relatively common condition, many people are unaware they’re at risk. According to Age UK, osteoporosis – which is associated with weakened bones and often referred to as a ‘silent disease’, as symptoms can creep up on people – affects approximately three million people in the UK. Yet, many only find out they have it when they break a bone. “[Osteoporosis] is a condition characterised by weakened bones, making them more prone to fractures,” explains Dr Zulqarnain Shah, a medical director at SSP Health. “It occurs when the body loses too much bone or makes too little bone, or both. Diagnosis of osteoporosis typically involves a combination of medical history, physical examination, and specialised tests, such as bone mineral density scans,” Shah adds. Could I be at risk of osteoporosis? According to Age UK, around half of women over 50, and around one in nine men in the same age group, will experience a fracture due to osteoporosis. However, several risk factors contribute to the development of the condition, meaning some people may be more likely to get it. “These include menopause, low calcium and vitamin D intake during younger years, family history, a sedentary lifestyle, smoking, excessive alcohol consumption, and certain medications,” explains Shah. “While it may not be possible to prevent all cases of osteoporosis, adopting a healthy lifestyle with regular weight-bearing exercise, a balanced diet rich in calcium and vitamin D, and avoiding smoking and excessive alcohol intake can help reduce the risk.” Being aware of osteoporosis can be particularly important if you have a family history. “A family history of osteoporosis or fragility fractures can indicate an increased risk,” explains Dr Elise Dallas, GP at The London General Practice. Other things that increase risk include having a history of “rheumatoid arthritis, low levels of oestrogen due to early menopause, anorexia nervosa or Turner’s syndrome, hyperthyroidism, parathyroid disease, Crohn’s and coeliac disease, and conditions that cause long periods of immobility”, adds Dallas. What are the symptoms of osteoporosis? When you have osteoporosis, you may suffer from “increased fracture risk, height loss, and chronic pain”, says Shah. “Fractures associated with osteoporosis are known as ‘fragility fractures’, which can occur with minimal impact. Fractures commonly occur in the spine, hip, and wrist, and can lead to significant pain, disability, and reduced quality of life,” he explains. Are there any early warning signs? Shah says: “Early signs of osteoporosis may not be apparent until a fracture occurs. However, a precursor condition called osteopenia may be detected through scans before the onset of full-blown osteoporosis.” Osteopenia is where the density of the bones decreases, but not thoroughly enough to be classed as osteoporosis. There are no real symptoms however, so it can only be detected with scans. The good news is, lifestyle measures and sometimes treatment can help prevent it getting worse. How is osteoporosis treated? Treatment for osteoporosis is mostly aimed at “strengthening bones and preventing fractures”, says Shah. “This typically involves a combination of lifestyle modifications, such as exercise and dietary changes, along with medication. “Medications may include calcium, vitamin D and bisphosphonates, hormone therapy for postmenopausal women, selective oestrogen receptor modulators (SERMs), and other options. “SERMS help manage the way oestrogen interacts with your body and has a similar impact on osteoporosis as hormone replacement therapy, to help mitigate the impacts of hormones on osteoporosis,” Shah explains. “Regular monitoring and adherence to treatment plans can help slow down or stop the progression of osteoporosis. A bone density scan – also known as a DEXA scan – can help monitor the progress of a condition and may be done at three to five-year intervals to assess progress. “Once a patient has been on bisphosphonates for five years, they may go on a ‘pill holiday’ for a couple of years, though the benefits of taking bisphosphonates continue long after the medication is stopped.” Getting support and advice to manage any pain and mobility challenges and reduce the risk of falls and injuries can also be very important for people living with osteoporosis, along with finding ways to stay active. If you are worried about your bones and osteoporosis risk you can reach out to charities like the Royal Osteoporosis Society and find out about your risk level. Read More How to support a child with a stammer From colourful gowns to drones, these wedding trends are set take over 2024 Call The Midwife ‘should come with a health warning’ Halloween: 10 wicked ways to kit out your haunted house Black magic: Go back to black this season with the catwalk-inspired trend How to prep your home for when the clocks go back

Tarik Skubal struck out nine over seven stellar innings of three-hit ball, and Javier Báez had a homer and a three-run double in the Detroit Tigers’ 11-2 victory over the Los Angeles Angels

Robert Englund is best known for his portrayal of the evil horror character Freddy Krueger in 'Nightmare on Elm Street' movies and television series

In a coffee-growing region of Colombia, the world's third-largest producer, a group of farmers have declared a truce with an indigenous inhabitant they once hunted but now hail -- the...

'Blue Lagoon' beauty Brooke Shields says being pregnant made her realise she was beautiful.

Pakistan’s election oversight body said Thursday that parliamentary elections must be delayed because it needs four months to redraw constituencies to reflect the recently held census. A delay would likely heighten the political strains in Pakistan, which has seen now opposition leader Imran Khan removed as prime minister by a no-confidence vote by parliament in April 2022 and his imprisonment this year after a graft conviction. In a statement, the Election Commission of Pakistan said it won’t be able to complete drawing new constituencies before Dec. 14. That means the vote could possibily be delayed at least until February. The development came a week after President Arif Alvi dissolved parliament at the completion of its five-year term. Usually, that step starts the process of holding elections for a new parliament within 90 days. But elections could still be held later this year if the caretaker government, which was installed under Premier Anwaar-ul-Haq Kakar this week, decides to go ahead with it under the previous census. Kakar had no immediate comment on the announcement by the election oversight body. Analysts said the judiciary could also push Kakar’s government to hold the vote on time to meet the constitutional requirement. Under the constitution, a vote was to be held either in October or November. Kakar’s new Cabinet was sworn in Thursday at the Presidency in the capital, Islamabad. Kakar has chosen former diplomat Jalil Abbas Jilani to head the foreign ministry, and longtime journalist Murtaza Solangi to be the information minister. Khan's Pakistan Tehreek-e-Insaf opposition party is hoping to return to power after what is expected to be a close election. Khan, a highly popular 70-year-old former cricket star, has been held at the Attock prison in eastern Punjab province since Aug. 6, when he was sentenced to three years in prison by a court after being convicted of concealing assets he amassed by selling state gifts. A court in Islamabad will take up Khan's appeal next week, and his legal team is expecting him to be released. Khan will not be able to run in the election unless his conviction is overturned. Pakistan bars anyone with a criminal conviction of leading a political party, running in elections or holding public office. Read More Ukraine war’s heaviest fight rages in east - follow live Charity boss speaks out over ‘traumatic’ encounter with royal aide

NIJMEGEN, Netherlands--(BUSINESS WIRE)--Jun 20, 2023--

Britney Spears has broken her silence after posting a video dancing with knives that sparked concern among fans. "I started playing in the kitchen with knives today", she wrote on social media alongside the clip, before clarifying: "Don’t worry they are NOT real knives!!! Halloween is soon." One person wrote: "Is Britney Spears okay? Does she need help? Yesterday, she posted a video of herself dancing with two large kitchen knives." Another humoured: "Britney Spears is trolling TMZ by dancing with a set of FAKE knives." Now, the 'Gimme More' singer returned to social media with another disclaimer that she was simply copying Shakira's MTV VMA performance. She wrote: "I know I spooked everyone with the last post, but these are fake knives that my team rented from Hand Prop shop in LA. These are not real knives. No one needs to worry or call the police. I’m trying to imitate one of my favorite performers Shakira … a performance I was inspired by !!! Cheers to us bad girls who aren’t afraid to push boundaries and take risks." It comes after TMZ claimed law enforcement sources informed the outlet they had received a call about Spears' welfare following the initial upload. Authorities reportedly spoke with her security team who confirmed she was okay, and did not want to talk to officers. This isn't the first time. Earlier in January, fans also asked the police to check on the 41-year-old. At the time, Spears said she loved her fans "but this time things went a little too far". "The police never entered my home and when they came to my gate they quickly realized there was no issue and left immediately," she wrote. "This felt like I was being gaslit and bullied once the incident made it to the news and being portrayed once again in a poor and unfair light by the media." Sign up for our free Indy100 weekly newsletter Have your say in our news democracy. Click the upvote icon at the top of the page to help raise this article through the indy100 rankings.

Big 12 commissioner Brett Yormark openly rooted for Texas Tech against Texas. So the Longhorns threw his words back at him with the ultimate troll.

In an animal shelter near Athens, veterinarian Kleopatra Gkika gently smears soothing cream on the leg of a tortoise, one of hundreds singed...

Fans chimed in with mixed reactions about Andrew Tate's recent tweet after being interviewed by Piers Morgan

Lawyers for former President Donald Trump are asking Georgia's highest court to prevent the district attorney who’s been investigating his actions in the wake of the 2020 election from prosecuting him