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Speaker 1: Coming up on the twentieth of October, ten days from

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Speaker 1: now World Osteoporosis Day. And this is concerning Healthy Bones Australia.

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Speaker 1: Projecting that by twenty thirty three, people aged fifty plus

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Speaker 1: projected to sustain a fracture every thirty seconds. That's staggering.

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Speaker 1: So poor bone health. Let's find out some more. Peter,

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Speaker 1: Professor Peter Ebling is a chair of Healthy Bones Australia

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Speaker 1: and joins me now, Professor, good morning, good morning. That's

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Speaker 1: a frightening statistic, it is.

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Speaker 2: And if we think about the number of broken bones

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Speaker 2: due to poor bone health and osteo process in Australia

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Speaker 2: last year there were a nearly two hundred thousand and

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Speaker 2: that costs the Australian government four point eight billion dollars.

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Speaker 2: So as well as being very serious, fully patient who

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Speaker 2: gets the broken bone, it's very costly to treat these

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Speaker 2: fractures for the government.

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Speaker 1: Is it just a lack of dairy is what it

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Speaker 1: comes down to.

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Speaker 2: No, I think it's awareness about the problem. So we

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Speaker 2: think about people who've already sustained one of the fractures

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Speaker 2: where you fall over from a standing high or west

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Speaker 2: and get a broken bone. Those people by definition have osteoporosis,

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Speaker 2: but only about twenty percent of them are going on

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Speaker 2: to treatment to prevent the next fracture. So they're really

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Speaker 2: a group that we need to concentrate on to make

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Speaker 2: sure that they're investigated and initiated on treatments for osteoporosis.

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Speaker 2: The other group of those that haven't had a broken

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Speaker 2: bone already but might have low bone density. So the

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Speaker 2: way to find out about that, We've got a website

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Speaker 2: called Know your Bones, and if you go to that website,

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Speaker 2: you can actually predict whether you're at risk of getting

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Speaker 2: a broken bone, and if you're in the red, you

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Speaker 2: can take that to your local doctor and suggest that

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Speaker 2: you should probably have a bone density tests. Now, all

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Speaker 2: the streen over the age of seventeen can get a

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Speaker 2: reimbursed bone density tests, and people with conditions that are

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Speaker 2: associated with poor bone health can also get a bone

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Speaker 2: density test reimbursed by Medicare. But the main thing is

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Speaker 2: if you've already had one of these broken bones, it's

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Speaker 2: really important that you seek advice from your doctor about

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Speaker 2: whether or not you need to go on treatment.

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Speaker 1: What does treatment look like?

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Speaker 2: Yeah, well, when I started doing research in this area,

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Speaker 2: there weren't any treatments available, and now we've got about

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Speaker 2: seven or eight very good treatments. Most of the first

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Speaker 2: line treatments we have work by stopping bone breakdown, and

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Speaker 2: they're if given either by a weekly or monthly tablet

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Speaker 2: or an infusion in the vein every eighteen months, or

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Speaker 2: an injection under the skin every six months, so there

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Speaker 2: are lots of options. And then for people with more

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Speaker 2: severe osteoporos we've actually got a couple of dugs that

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Speaker 2: can build u bones, and again they're given by injections

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Speaker 2: under the skin. So it's really great that we've done

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Speaker 2: all this research and we've got these treatments. What's not

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Speaker 2: so great is that only twenty percent of people are

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Speaker 2: eligible for treatment are receiving it, and that's probably a

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Speaker 2: communication problem.

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Speaker 1: So okay, this might help hopefully that you know, people

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Speaker 1: should go and get these checks done, particularly over seventies,

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Speaker 1: absolutely free. As you say, osteoporosis ultimately, is it genetic?

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Speaker 1: Is it something that could happen to anyone? What's the

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Speaker 1: best way for a younger person to avoid developing osteoporosis.

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Speaker 2: That's a good question, Matthew, And of course genetics plays

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Speaker 2: a part, So particularly you've got a family history of

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Speaker 2: a broken hip in either parents, that's a strong risk factor.

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Speaker 2: Other risk factors might be smoking or drinking excessive amounts

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Speaker 2: of alcohol, having a low vitamin D level, or having

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Speaker 2: illnesses or on medications are associated with osteoporosis. So the

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Speaker 2: best way to prevent it really is to start with

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Speaker 2: weight bearing exercise. So the type of weight bearing excience

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Speaker 2: that's particularly effective for improving bondenxit and also redisting falls

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Speaker 2: is progressive resistance training, and that is where you do

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Speaker 2: weight training and gradually increase the weights to help you

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Speaker 2: build up strength. And as you build up the strength

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Speaker 2: of the muscles, that also increases bone density and also

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Speaker 2: reduces the risk of falling. And it's also important to

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Speaker 2: have an adequate dart calcium intake with three serves of

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Speaker 2: calcium containing food today and to make sure you don't

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Speaker 2: have a lot of vitamin D level.

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Speaker 1: Vitamin D is probably the interesting one in that that

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Speaker 1: we think we get enough sunshine, but whenever I or

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Speaker 1: family members have had a test and you think you're

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Speaker 1: out the sun walking to and from wherever or going

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Speaker 1: out for a stroll anyway, but over winter, particularly D

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Speaker 1: levels in our bodies really drop off, don't they.

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Speaker 2: They do, And in fact, between May and September in

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Speaker 2: places like Adelaide and Melbourne in Southern Australia, there's actually

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Speaker 2: not enough UV to generate adequate amounts of vitamin D.

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Speaker 2: You'd have to stand outside at midday for about an

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Speaker 2: hour and a half with your sleeves rolled up in

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Speaker 2: shorts and that wouldn't be a good thing to do

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Speaker 2: in winter. So about fifty percent of people in Southern

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Speaker 2: Australia will have a low vitamin D level during the

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Speaker 2: winter months, so it probably would be advisable for most

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Speaker 2: people living in Southern Australia to have a vitamin D

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Speaker 2: supplement over the winter months at least. And that is

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Speaker 2: our load doer for the say a thousand units today

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Speaker 2: for most people.

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Speaker 1: Right, So that is that is pretty important to this

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Speaker 1: whole process to have the bones remain strong as to

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Speaker 1: make sure you do you laid up over winter with

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Speaker 1: that amount of vitamin D take the capsules.

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Speaker 2: Yeah, yeah, And we've just released guidelines about how long

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Speaker 2: you need to stay out in the sun to make

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Speaker 2: enough vitamin D in the other months of the year

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Speaker 2: and that will depend on where you live in Australia

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Speaker 2: and the time of the year, and we've got some

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Speaker 2: tables to help people see how many minutes they have

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Speaker 2: to stay out in the sun. But as the summer approaches,

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Speaker 2: there's just really a few minutes at midday that's required

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Speaker 2: to generate enough vitamin D in most people.

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Speaker 1: All Right, there we go, good advice, Professor Pete Abling,

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Speaker 1: thank you for your time this morning. That is a

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Speaker 1: concerning stat so you don't want to be in this position.

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Speaker 1: Fifty plus year olds projected to sustain a fracture every

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Speaker 1: thirty seconds by twenty thirty three. And Peter, I suppose

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Speaker 1: go to the website, the Healthy Bones Australia site for

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Speaker 1: more information there on how to avoid that.

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Speaker 2: That's exactly right, mate, and do know your bones fracture

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Speaker 2: risk calculator and you'll be able to see if you're

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Speaker 2: at risk.

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Speaker 1: Terrific. Thank you for your time. It's a pleasure, Professor

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Speaker 1: Pete Abelin, Chair of Healthy Bones Australia. And the lead

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Speaker 1: up in ten days time to World Osteoporosis Day,