Wednesday, May 19, 2004

Egyptian women living with osteoporosis






Yomna Kamel Special to the Middle East Times

Fatma, like a number of Egyptian women, leads a busy life. Her day starts with a cup of coffee or tea. As time flies by rather slowly at work, she often grabs another cup of java. And she doesn't exercise like she used to since she's now too busy with cooking, cleaning the house or helping her children with their studies.

Today, Fatma is 50 years old. She's had two bone fractures in the last three years. She didn't realize until now that what was slowly eating away at her bones is nothing else than osteoporosis. She had never heard about the disease before.

At least half of Egyptian women over the age of 45 will likely develop osteoporosis, a bone disease caused by lack of calcium and exercise. "The problem is not only in Egypt but all over the world," say medical specialists.

"The World Health Organization (WHO) believes health awareness plays a very important role in reducing the percentage of women with the disease," says Dr. Omar Hussein Omar, osteoporosis specialist and assistant professor of radiology diagnosis at Ain Shams University in Cairo.

He adds post-menopausal women are at higher risk. Family history, smoking, low calcium intake, excessive caffeine as well as chronic and renal disease are other risk factors for osteoporosis.

Doctors say there has been a noticeable increase in the number of women afflicted with osteoporosis due mainly to lack of health awareness in Egypt and in many Middle East countries. The peak bone mass which osteoporosis slowly destroys is built up between the ages of 15 to 25. But young women are often unaware of the importance of a proper diet and regular exercise, doctors say.

They add female adolescents don't often drink milk, preferring soft drinks. "A poor diet may cause calcium deficiency and in later years create weak bones," Omar says.

Surprisingly, the disease is more prevalent in Egyptian urban areas. "It is a health problem generated by bad social habits. Village women, unlike women living in cities and in urban areas, do not suffer as much from the disease since they do not drink coffee, do not smoke and they exercise by working in the fields," says Omar.

As a result, Omar is thinking of establishing an osteoporosis prevention association that will give information to young women on the prevention and treatment for osteoporosis.

Unfortunately, a fourth to half of women afflicted with osteoporosis over the age of 45 will die within the first year of diagnosis. Osteoporosis is preventable and treatable if bone loss is detected early. WHO recommendations suggest bone density screening, particularly for post-menopausal woman. This may indicate a need for drug therapy, which will reduce the risk of life-threatening hip and spine fractures, the specialists add.

Osteoporosis is more common in northern countries, partly because of colder weather.



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