The Osteoporosis Society of the Philippines Foundation Inc. (OSPFI) has warned that by 2050, an estimated 10.2 million Filipinos could suffer from osteoporosis, highlighting the urgent need for early detection and preventive measures. Orthopedic Oncologist Dr. Abigail Tud stressed that hip fractures caused by osteoporosis can have severe consequences, with mortality rates reaching up to 70% within the first year.

"When left undiagnosed, osteoporosis can lead to severe consequences, such as fragility fractures from even minor incidents. For instance, something as simple as riding a tricycle over a speed bump could result in spine or rib fractures for those affected. This condition can significantly decrease the quality of life especially for elderly patients, an outcome that can be prevented with screening of at-risk individuals," Dr. Tud explained. She urged individuals aged 50 and above to undergo screening and called on families to encourage older relatives to prioritize bone health.

Women face higher risks

Data from the 2003 National Nutrition and Health Survey reveals that nearly 80% of Filipino women over 50 are at high risk for osteoporosis, compared to 60% of men. Postmenopausal women face heightened risks due to rapid declines in estrogen levels, which accelerate bone loss.

Often called a “silent disease,” osteoporosis remains undetected until fractures occur. Bone Mineral Densitometry (DEXA) testing is a key diagnostic tool for measuring bone density, predicting fracture risks, and monitoring treatment progress.

"While you may not notice symptoms initially, your bone density decreases as you age. This is why it is crucial for individuals aged 50 and above to get screened and address issues before negative consequences like fractures occur," Dr. Tud emphasized.

While osteoporosis poses serious risks, it is a preventable condition. Early detection through Bone Mineral Densitometry (DEXA) testing, a non-invasive method to measure bone density, helps predict fracture risks, assess bone loss, and monitor treatment progress.

For those at high risk of fractures, anti-resorptive treatments are available to strengthen bones and prevent further damage. These medications, offered as tablets, IV infusions, or bi-annual injections, slow down bone resorption. For very high-risk individuals or elderly patients with multiple fractures, anabolic treatments stimulate new bone formation.

Zuellig Pharma Corporation has recently launched a new dual-action anabolic treatment given once a month over the span of 12 months designed to increase bone mineral density and reduce risk of fracture. Another anabolic treatment that is injected daily is also available.

Lifestyle choices for prevention

Dr. Tud also underscored the role of lifestyle in prevention, recommending resistance exercises and diets rich in calcium and Vitamin D. Foods like fortified milk, cheese, fish, and leafy greens, along with safe sun exposure, can significantly improve bone health.

“Osteoporosis is often seen as a condition affecting only older adults, but it can develop at any age for a variety of reasons, including nutrient deficiency," Dr. Tud advised.

With millions of Filipinos at risk, the OSPFI urges early testing and consultations with healthcare providers to mitigate the impact of this debilitating condition and ensure a healthier future for all.