KOBLENZ It is a typical disease of old age: in osteoporosis, the ratio of bone formation to bone resorption shifts so that the bones become porous and fragile. As a result, even the slightest strain can lead to painful fractures. It is estimated that around six million people in Germany are affected, more women than men. Prof. Dr med. Dr h.c. Christian Wüster is an endocrinologist and also treats patients from Koblenz at his Hormone and Metabolism Centre. He recommends a precautionary bone density measurement from the age of around 50, especially if risk factors are present. These include chronic diseases such as diabetes, Parkinson’s disease, renal insufficiency, rheumatoid arthritis or heart failure, as well as the use of certain medications.
Medication is available to treat osteoporosis, but this alone is not enough: most older people are deficient in vitamin D and calcium. These nutrients play a crucial role in bone metabolism and can halt the onset of bone loss,’ explains specialist Prof Dr Wüster.
If someone does not get enough vitamin D and calcium from their diet, drug substitution is an option. However, this must always be monitored by a doctor: ‘An overdose can have harmful effects on the heart or kidneys. Interactions with other medications must also be considered.’
Other therapeutic components are important for preventing falls and fractures, as the expert emphasises. Above all, regular exercise is a key factor in maintaining muscle strength and coordination. At the same time, physical activity can also prevent further bone loss. Medication should also be reviewed, especially for patients with concomitant illnesses: Certain preparations can promote bone loss or increase the risk of falling. ‘Appropriate osteoporosis therapy is also important in advanced age. Older people in particular often become immobile and in need of care due to bone fractures,’ emphasises the specialist for the Koblenz region.