Osteoporosis – Exercise

Blog By- Dr Rohit Bahuguna – BFY Faculty

Exercise can help build strong bones and slow down bone loss & will benefit bones no matter at what age you start.For maximum benefit one should exercise regularly Combine low impact strength training exercises with weight-bearing exercises. Strength training helps strengthen muscles and bones in your arms and upper spine

Weight-bearing exercises — such as walking, jogging, running, stair climbing, skipping rope, skiing and impact-producing sports — mainly affect the bones in your legs, hips and lower spine.

Swimming, cycling and exercising on machines such as elliptical trainers can provide a good cardiovascular workout, but because such exercises has low impact, they’re not as helpful for improving bone health as weight-bearing exercises are.

Exercising regularly in childhood and adolescence can ensure that you will reach peak bone density.

Need to participate in weight bearing exercise. For example, walking, dancing, jogging, stair climbing, racquet sports and hiking.

PREVENTION

  • Do not over do or over stress during exercising.
  • Do not sit in front of computer or TV for longer time
  • Stabilize/support the joints e.g. OA knee while doing exercise
  • Do not hold bad postures during exercises as it may lead to further complications
  • Maintain a proper posture while sitting, standing or doing any activity
  • Do not walk or run on uneven surfaces
  • Do not lift heavy objects
  • Take little breaks while exercising
  • Avoid sudden sit ups or any exercise that bends your back excessively
  • Do not do high impact exercises
  • Avoid twisting activities

STRECHING EXERCISE

  • Triceps stretch

  • Back and shoulder stretch

  • Chest stretch

  • Calf stretch

  • Hams stretch

  • Quards stretch

STRENGTHNING EXERCISE

  • Shoulders

  • Shouder blades strengthening

  • Biceps

  • Triceps

  • Quadriceps

  • Hamstring

  • Hip flexors

  • Hip extensor

  • Hip abductor

  • Pelvic tilt

YOGIC MANAGEMENT OF OSTEOPOROSIS

  • Ardha matsyendrasana

  • Ushtrasana

  • Parvatasana-variation

  • Supta pawanmuktasana

 

  • Supta Udarakarshana

  • Bhujangasana

  • Chaturanga dandasana

  • Tadasana

  • Utkatasana

  • Virabhadrasana-2

  • Ek pada pranamasana

Check on your calcium levels ,do exercises regularly and conquer osteoporosis.

Polycystic Ovary Syndrome: Basic to be understood

Blog By – Vaishali Khanna– BFY Faculty

PCOS is a common endocrine disorder.The primary lesion is unknown.Patients have a steady state of relatively high estrogen,androgen and Leutinizing Hormone(LH) rather than fluctuating condition seen in ovulating women.Increased levels of estrone come fro conversion of ovarian and adrenal androgens to estrone in body fat(in obesity cases).The high estrone levels are believed to cause suppression of pituitary Follicle Stimulating Hormone(FSH) and a relative increase in LH.Constant LH stimulation of the ovary results in anovulation,multiple cysts and theca cell hyperplasia with excess androgen output.

In addition,there is insulin resistance leading to high levels of insulin in the blood which further leads to weight gain and obesity.

 

It is very important to distinguish between PCO (Polycystic ovaries) and PCOS (Polycystic ovary syndrome).Having PCO does not necessarily mean you have PCOS. A syndrome is usually defined as a pattern of symptoms belonging to particular disease.Medical studies using ultrasound have found that around one in four women has polycystic ovaries(PCO),but most of them have none or few of the other symptoms associated with PCOS.

  • Excess hair on the body(Hirsutism)
  • Acne and other Skin problems
  • Scalp hair loss
  • Irregular or missed periods
  • Heavy periods
  • Fertility problem
  • Insulin Resistance
  • Weight issues

Even if specific symptoms are not causing an immediate problem, PCOS can have significant long term effects,including diabetes,heart disease and endometrial or breast cancer.This happens because of unopposed estrogen secretion.

In addition they show hyperinsulinemia and insulin resistance which leads to early onset diabetes type II and therefore hyperlipidemia and its complications.

Obesity-a major risk factor for Sleep Apnea

Blog By – Vaishali Khanna – BFY Faculty

Obstructive Sleep Apnea(OSA) is a potentially life-altering and life-threatening breathing disorder that occurs during sleep.

The upper airway repeatedly collapses,causing cessation of breathing(apnea) or inadequate breathing (hypoapnea) and sleep fragmentation.The breathing stops during sleep for 10 seconds to a minute or longer. Oxygen levels in the blood decreases. Sleep fragmentation results in chronic daytime sleepiness.This disrupts healthy sleep and causes a number of short term and long lasting effects that threaten the health and well being of those who suffer from the condition.

How many people have OSA?

4% of men and 2 % of women aged 30-60 years meet minimal diagnostic criteria for OSA with excessive daytime sleepiness.

People most likely to have or develop OSA may have any of the following:

  • Obesity,especially in the upper body
  • Male gender
  • Small upper airway due to excess throat tissue or abdominal jaw structure
  • Nasal Obstruction
  • High Blood Pressure
  • Family History of OSA
  • Overweight Obese individuals

 

Excess body fat on the neck and chest constricts the air passage ways and sometimes the lungs.Obesity,particularly abdominal and upper body obesity,is the most significant risk factor for obstructive sleep apnea. The more obese a person,the greater the risk of apnea.

 

General things that can make a big difference include:

  • Losing some weight,if you are overweight or obese
  • Avoid alcohol,sedative and hypnotics
  • Sleeping on your side or in a semi propped position

If you have sleep apnea,do not take sleep medicines or sedatives.These chemicals will increase the relaxation in the tissues of the upper airway and make the obstruction worse.The specific treatment for obstructive sleep apnea is usually a mask worn at night to keep the airway open.

If OSA is left untreated,it can increase the risk of developing:

  • Hypertension
  • Cardiac arrhythmias
  • Myocardial ischemia
  • Stroke Pre-diabetes
  • Decreased quality of life

Not only does sustained weight loss improve OSA ,it also improves many other independently linked co-morbidities such as Hypertension,high cholesterol and diabetes.The greater the change in body weight or waist circumference,the greater is the improvement in OSA.