Osteoporosis Book

Part 1	All About Osteoporosis
Chapter 1	What is Osteoporosis?	1
	The Scope of the Problem	1
	The Importance of Healthy Bones	9
	Types of Osteoporosis	14
Chapter 2	Are You At Risk for Osteoporosis?	19
	Non-Modifiable Risk Factors	20
	Potentially Modifiable Risk Factors	25
	Additional Risk Factors Associated with Secondary Osteoporosis	30
	Relative Risk--Some Factors Are More Important Than Others	30
	For Men Only	31
Part 2	Diagnosing Osteoporosis
Chapter 3	How To Find Out If You Have Osteoporosis	37
	Bone Mineral Density	37
	Bone Mineral Density Tests	38
	Multiple Measurement Sites	45
	Repeat BMD Measurements	46
	Bone Mineral Density Testing Guidelines	47
	Medicare and Insurance Coverage	49
	Other Medical Testing	51
Part 3	The Prevention and Treatment of Osteoporosis
	Universal Recommendations
Chapter 4	First Steps to Preserving Bone Health	55
	Building Better Bone	55
	Eliminating the Risks	55
	Eliminating Tobacco Use	55
	Eliminating Alcohol Abuse	61
	Caffeine	66
	Minimizing the Risk of Falls--A Serious Problem for the Elderly	69
	Minimizing the Risk of Osteoporosis from Secondary Risk Factors	78
Chapter 5	Those All Important Vitamins and Minerals	83
	Calcium	83
	Factors Affecting Calcium Absorption	90
	Vitamin D	96
	Other Vitamins and Minerals	98
Chapter 6	If You Do Nothing Else--Exercise	105
	Why Regular Exercise is More Important Today Than Ever	105
	Considerations Before Beginning an Exercise Program	106
	Exercise to Prevent Osteoporosis and Maintain Bone Health	117
	A Sample 13-Step Exercise Strength-Training Program to Prevent Osteoporosis	130
	Special Exercise Considerations If You Have Osteoporosis	142
	A Sample 13-Step Exercise Program If You Have Osteoporosis	144
	Making Your Exercise Program Work For You	152
	Pharmacological Recommendations
Chapter 7	Making an Informed Decision About Estrogen	163
	Every Woman's Dilemma at Menopause	163
	Understanding Estrogen	164
	The Upside of Hormone Replacement Therapy	166
	The Downside of Hormone Replacement Therapy	172
	Contraindications to Estrogen Therapy	176
	Starting Estrogen Dose	178
	Estrogen in Combination with Progesterone or Testosterone	179
	Pap Smear and Mammogram	181
	Natural Estrogens	182
Chapter 8	Medications Used to Treat Osteoporosis	189
	Building Bone Mass and Building Better Quality Bone	189
	When to Begin Treatment with Pharmacologic Options	189
	Fosamax (Alendronate)	191
	Miacalcin (Calcitonin-salmon)	193
	Evista (Raloxifene)	195
	Actonel (Risedronate)	196
	Other Medications	197
	Appendices, Bibliography, and Index	201
Appendix A	Personal Osteoporosis Risk Assessment	201
Appendix B	Frequently Asked Questions About Hip and Spine DEXA Bone Densitometry	209
Appendix C	Individual Case Studies and Treatment Recommendations	213
Appendix D	Glossary of Terms	235
Appendix E	Osteoporosis Resources	245
	Organizations	245
	Exercise-Related Resources	249
	Internet Sites	251
	Major Bone Density Testing Scanner Manufacturers	252
	Pharmaceutical Companies Involved in Osteoporosis Research and Treatment	253
	Books About Osteoporosis for Suggested Reading	254
	Bibliography	255
	Index	307