Osteoporosis, which is said to take 50% of people in their 50s and 70% of people in their 70s, is the most common complication.

[News FM Lee Ik-seon Choi Soo-young Issue & People]

□ Broadcast date and time: November 1, 2024 (Fri)
□ Host: Lee Ik-seon, Choi Soo-young
□ Cast: Choi Il-heon, Director of Gangbuk Yeonse Hospital

* The text below may differ from the actual broadcast content, so please check the broadcast for more accurate information.

◆ Lee Ik-seon: Let's recharge here after a week of exhaustion. a knowledge battery that conveys health Today, we are with Choi Il-heon, director of Gangbuk Yonsei Hospital, an orthopedic surgeon. Welcome, director.

◇ Choi Ilheon: Yes, hello. I'm Choi Ilheon.

◆ Lee Ik-seon: Batteries That Deliver Health Today, we're going to learn about osteoporosis, a silent bone thief. A quiet bone thief? If you have any questions or questions about osteoporosis, I also receive your concerns. # 0945 # 0945 We will also open a YTN app YouTube comment window that you can use for free of charge text messages.

■ Choi Soo-young: First, please define exactly what kind of disease osteoporosis is.

◇ Choi Il-heon: Osteoporosis literally means that there are many holes in the bone. So we're talking about a disease where bones are getting weaker. This is inevitable for everyone as they get older, but if this becomes a problem, it is defined as a disease and treated.

■ Choi Soo-young: But why is the cause of the outbreak occurring? Of course, people say that there is aging, but

◇ Choi Il-heon: In the end, to be precise, bones are created and absorbed, and the density of bones is determined by balancing them, and when you are young, you are balanced toward strengthening your bones. As you get older, of course, the balance is a little blurry. It's getting weaker and weaker. Bones weaken, but there is a time when women, rather than men, accelerate once in the middle due to hormonal changes. At the same time, it is a disease that is mostly a problem for women.

◆ Interest line: I see. But what's the difference between osteoporosis and osteopenia?

◇ Choi Il-heon: This is the difference in degree. There is a normal range and the degree to which it is slightly lower than that is reduced, so it is called osteoporosis that it needs treatment.

◆ Profit line: Can osteoporosis be retrograde? For example, can osteoporosis return to its previous state of youth?

◇ Choi Il-heon: We can go back if we remove the cause. As I said earlier, the cause is aging

◆ Lee Ik-seon: Are you saying that's impossible?

◇ Choi Il-heon: Literally, if you manage it well. As the balance improves again, it rises a little. But it's actually inevitable.

■ Choi Soo-young: I read a newspaper article and 200 million people around the world suffer from osteoporosis. I've seen such reports, but then Korea must be tough, too.

◇ Choi Il-heon: This osteoporosis is very interested in osteoporosis these days, so many people are looking for it. Actually, I think so. Osteoporosis is a kind of wrinkle. There is no one without wrinkles in humans, and osteoporosis progresses gradually like this, and I don't think there's a big problem if you can adjust it well to the extent that it doesn't cause problems with your body. Since our country is starting to get older,

■ Choi Soo-young : As aging accelerates

◇ Choi Ilheon: That's right. As a result, almost 22% of people are classified as osteoporosis based on the age of 50, and

◆ Lee Ik-seon: People in their 50s? 22% for both men and women?

◇ Choi Ilheon: That's right. Next, it is said that osteopenia is almost half. But the problem here is, as I said earlier, there are a lot of women. In terms of women's limitations, it is nearly 40% of those aged 50 and over.

◆ Profit line: either

◇ Choi Il-heon: Then, you can limit your age to 60s or 70s, and most of them are in your 60s or 70s.

■ 80 percent and 90 percent?

◇ That's what happens. That's why it's right to think that this will definitely come to me and take care of it.

◆ Interest line: That's right. It sounds good. I noticed it right away because you said this woman is more prevalent and affected at certain times in her life. In particular, I heard that osteoporosis develops after menopause immediately after women's menopause and progresses faster.

◇ Choi Il-heon: Yes, as I said earlier, hormonal changes and changes are related. So, men tend to have less male hormones throughout their lives, but there is not much change. For women, there is a big change in their early 50s, in their late 40s, in their early 50s. Then, it falls sharply once down the stairs. So, it's usually about 2-3 years after this, so if you look at the measurements in your mid-50s, there's a big difference compared to 10 years ago.

■ Choi Soo-young: By the way, I heard that osteoporosis is not just a story about women who are past menopause, but also in young women. Is this because of diet?

◇ Choi Il-heon: Osteoporosis is about our bone density level, and the highest bone density in a lifetime is in the early 30s. Those in their late 20s and early 30s are the highest, and after that, they fall little by little. If young people don't get enough nutrition or exercise, if this peak doesn't rise, they will suffer more later. Especially recently, if you don't get much sunlight while living in the city, you will lack vitamin D, and as you said, you don't have a balanced supply of nutrition, and if you live in the city, you will naturally lose your exercise. That's why you always have to take good care of yourself. Really

■ Choi Soo-young: Losing weight to look beautiful is not everything?

◇ Choi Il-heon: There are many directions to fall out. For example, just because you're skinny doesn't mean you're going to get it. There are people with good bodies because they worked out a lot. They are very slim and beautiful, but osteoporosis is also okay for those people. He's good at exercising and nourishing. But I literally didn't eat it. These things that you didn't eat are really fatal.

◆ Interest line: But there's a difference. Even if they're dried together, I think those who've dried up a little strong will just fall down, but those who've dried up because they're hungry will feel like they're going to collapse. But it's not osteoporosis, but I'll ask you one question because you came as the number one question. You are a dog groomer. I was diagnosed with DeQuer's disease as an occupational disease, is it polite to operate? Sometimes it hurts so much that I can't even get manual treatment like extracorporeal waves. That's the question.

◇ Choi Il-heon: We're talking about external shock wave and manual therapy. Yes, DeQuer's disease is his name. France, so it's French, so it's de quer bottle. So to be precise, the tendon that raises the thumb is inflamed. So, there are people who use their hands a lot.
◆ Lee Ik-seon: Dog groomers cut scissors

◇ Choi Il-heon: The thumb and wrist are swollen and painful, but the best thing about this is to rest. Of course, it's a break, but if you have to use your hands, of course, you get the shot, take the medicine, and then do shock waves to disperse the inflammation. Honestly, the best treatment is not to move.

◆ Lee Ik-seon: You can't do that.

■ Choi Soo-young : It's a job

◆ Profit line: Hey, that's a problem.

◇ That's why. There are a few unique diseases that people who use their hands a lot get, and among them, they become representative diseases.

◆ Lee Ik-seon: Yes, today's topic is osteoporosis. Yes, but I heard that the complications of osteoporosis are scary. What are the complications?

◇ Choi Il-heon: Osteoporosis is. If it's a complication, it's a complication, but the biggest problem with osteoporosis is that it's very difficult to know whether you have osteoporosis or not. It's in there, so you can't look in and it doesn't hurt until it breaks. But the problem is that the biggest complication of osteoporosis is fracture. When a bone breaks, a lot of bad things happen from then on. As I said before, there are elderly people, and when it breaks, it breaks a lot in the spine, hip fracture, shoulder, or wrist. If you think about a fracture, of course, you might think, "How am I going to break when I'm not seriously injured?" But vertebral fractures can also break in vain. There are people who break while sneezing.

◆ Lee Ik-seon: Some people got hurt while opening the refrigerator door.

◇ Choi Il-heon: Some people break while holding a flowerpot and break while playing tug-of-war with their granddaughter. Many people say they didn't know it was there when they asked because their bones are too weak.

■ Choi Soo-young: But many people who weigh a little bit like me think that their bones are not good because they have difficulty supporting their bones, but is it true that a little weight is good for bone density?

◇ Choi Ilheon: That's right. In fact, some parts are true. The reason for that is because it's almost a balance problem between absorption and making in bone in osteoporosis. The bones kept breaking in the end. It's been made and broken. When it's made, it becomes the strongest. So, when you are young, you have to exercise a lot and make a microfracture. It increases bone density, but if a young person doesn't exercise and just dries up, it doesn't shock. If you are weak and have a weight, of course, you will get a shock. When you are young, your bones tend to become strong and when you are old, you tend to weaken a little. Yes, so if you have a certain weight, your bone density is better than you think.

◆ Lee Ik-seon: Then you said there are few ways to know osteoporosis in advance, because you don't know until you get sick?

◇ Choi Il-heon: That's why this is a routine test in Korea. Therefore, it is almost recommended to test if you are 65 years of age or older, but for men over 70 years of age, it is recommended to do it once a year, and for women over 65 years of age, insurance is applied. You can do it for about 10,000 won at a very cheap price, and the public health center does it for free and picks all the people?

■ Choi Soo-young: It's called a bone density test.

◇ Choi Il-heon: The examination is just like taking an X-ray. In the case of women, it will be helpful to check at least once when they are about 55 years old, and if the figure is low, the doctor will recommit to check it every two years.

◆ Lee Ik-seon: Yes, we're talking about osteoporosis today. It's not about bone density. If you have any difficulties or questions related to this, please send us a text message for #0945 Welljeong 0945 quickly. You have to give it to me before the show ends so that I can hear your answers. I'll open the real-time comment window on YTN app YouTube. This is the segment that Issue & People decorate on Friday. To reduce the knowledge of health, we are talking about osteoporosis with Choi Il-heon, an orthopedic surgeon, at Gangbuk Yeonse Hospital today.

■ Choi Soo-young: But people diagnosed with osteoporosis are not treated properly even if they are diagnosed. There's a saying that it's only a third. Why is that?

◇ Choi Il-heon: It's because there are no symptoms of osteoporosis as I mentioned earlier. That's why you're not sick and uncomfortable, so you're getting treatment. However, it's not like you can measure your blood pressure frequently like this, but you can know if you need to take it, so you keep overlooking it. And the drugs I used in the past are drugs I take, but they're very uncomfortable. I take it once a week or once a month, and I have to take it on an empty stomach and sit for 30 minutes after eating, so I forget the medicine itself well.

■ Choi Soo-young: Yeah, it's easy to forget once a week.

◇ Choi Il-heon: At the same time, if you become Ross, you will know after breaking it.

◆ What should I do? Then I knew I had osteoporosis. Then you have to go into care. Yes, how can you manage it so that it can be difficult to go back to the normal state, but can't you go slowly?

◇ Choi Il-heon: First of all, osteoporosis occurred once because it was like a wrinkle, as I said. This never leaves me in my life. So, of course, you should do a test once a year and follow-up your figures. Yes, you should always pay attention to balanced meals and nutrition, and if you need regular exercise, it's also very important to take vitamin D or osteoporosis drugs steadily. As I said before, the drugs I took in the past had severe gastrointestinal disorders, so I didn't do it often, but these days, there are many good shots. There are injections that I get every six months, and there are many types of injections that I get once a year, but I don't forget those things. Because the next time you get a shot, you get a text message. That's right. I don't miss things like this. But I forget to eat it once a week on my own.

◆ Proficiency line: It is not easy. You talked about working out, but if you do it in a lump, you won't know. What kind of exercise? When, how, and how much?

◇ Choi Il-heon: Exercise, as I said earlier, is an exercise that shocks the body. It's a shock to your body, but if you get a strong shock, it'll definitely be ruined. Other than that, the most basic thing is that walking and walking continue to shock your body. Thump thump and light running jump rope are very helpful.

■ Choi Soo-young: Do you have any precautions to eat good food?

◇ Choi Il-heon: There are a lot of foods that cause osteoporosis and help with osteoporosis if you look up. First of all, there are bad things like drinking and smoking. And soda is very bad and coffee is bad.
The worst thing is that soda and juice are quite problematic, so don't do these things, and the good thing is that dairy products are good. Cheese and milk contain a lot of calcium, and it is reported that blue-backed fish and seaweed are very helpful.

■ Choi Soo-young: Then the doctor came out in the endocrine department last time and said that this sweet drink is really fatal, but it's fatal to the endocrine as well as to the bones.

◇ Choi Il-heon: Things that don't help.

■ Choi Soo-young : Beverages and soda fructose, juices

◆ Profit line: Liquid fructose

■ I know, but I keep on reaching for it.

◇ Choi Il-heon: They're not just this osteoporosis and that endocrine side.

◆ Profit line: Overall

◇ Choi Il-heon: It also has a bad effect on the joint spine in general.

◆ Lee Ik-seon: I thought that later on, there might be some restrictions on sales. Not yet, but

■ Choi Soo-young: No, in fact, in England and France, they made it impossible to sell vending machines to elementary school students of a certain age.

◆ Lee Ik-seon: That's right. But coffee is a bit deadly. But there are still benefits from drinking coffee.

◇ Choi Il-heon: At least then take it without sugar from your coffee.

◆ Profit line: Of course exclude

◇ Choi Il-heon: That alone doesn't do at least one of the bad things.

◆ Lee Ik-seon: Can't I drink one cup a day?

◇ Choi Il-heon: No, this isn't something you manage yourself. It's not something you can do.

■ What about green tea or something like that?

◇ Choi Il-heon: That kind of thing is rather good. Black tea and green tea are supposed to be helpful.

◆ Lee Ik-seon: Here's the question. The listener is in the 3rd and 4th stages of degenerative arthritis in his late 60s, and he keeps telling me to do surgery, so I got better after being prescribed non-surgical drugs. You asked me, "I want to know some expensive joint injections and simple exercise prescriptions."

◇ Choi Il-heon: If you're in your late 60s, the most degenerative arthritis is, of course, the knee. If it's around the knee, if it's 3 to 4 steps there, if you pass a little more, of course, you'll talk about artificial joints. Then, there are some injections that are normally used, such as supplementing cartilage fluid. The next medicine you take is a pain-inflammatory drug that relieves inflammation and controls pain. If you talk about exercise, of course, you need to strengthen the muscles around the painful area. So, of course, running puts a load on your knees, but not that, but you know the strength training we do at the gym. Like squats or deadlifts, you wrap your muscles around your joints with your muscles. That reduces the pain. It's because it's hard to do it.
◆ Lee Ik-seon: Build muscle rich The listener is a 45-year-old woman. After being diagnosed with osteoporosis, I went to the hospital every three months to take medicine, but I forgot and couldn't go to the hospital. I don't have any symptoms like you said. I'm texting you because I remembered you while listening to the broadcast. Should osteoporosis be taken for life like high blood pressure? That's the question.

◇ Choi Il-heon: If you say that a woman in her mid-40s already has a girl, there are a few things you can expect. This usually doesn't come this early. Then there must have been something else. You may have chronic disease, or you have undergone obstetric surgery, or there may be other things, but these things can be corrected. Your body doesn't age. What kind of hormonal abnormalities have occurred? It's not too late. I just need to realize it. You can go right away and discuss it again.

◆ Lee Ik-seon: What do you mean by obstetrics and gynecology surgery?

◇ Choi Il-heon: You said hormonal changes earlier. We're talking about ovarian extraction.

◆ Line of profit: Ovarian extraction

◇ Choi Il-heon: I'm telling you to be careful of the impact on your knees after you ride your bike and exercise. For example, if you avoid walking down the stairs, climbing too rough, or exercising that shocks you too much, this is all to enjoy, not to limit something. So do whatever you want to do.

◆ Lee Ik-seon: What do you recommend between a treadmill and a bicycle?

◇ Choi Il-heon: If you have a bad knee, a bicycle is much better. Yes, but running is better if your back is bad. It means that bicycles are better than not helping. If you have to choose between the two, walking is better for building back muscles.

■ I mean, it's better, and standing on the treadmill in the right position,

◇ Because I work out with my waist up,

◆ Lee Ik-seon: Let me ask you more questions.

■ Choi Soo-young: The listener texted me, and I'm in my mid-40s. I've been taking steroids for 15 years for kidney disease. I did a bone density test a few days ago and I got minus 1.9. It's called osteoporosis from minus 2.5 and I'm worried. Can I never avoid osteoporosis if I take steroids for a long time? Vitamin C Vitamin D has been taken steadily for five years.

◇ Choi Il-heon: This is a very widespread use of steroids in various diseases. That's why this steroid is a very good medicine and it's also a medicine that puts a lot of pressure on the body. But if you're taking that medicine because of your kidneys, you can't avoid it. Then the doctor will probably control it on his own, and you'll have to discuss it with him. Of course, minus 1.9 in his 40s is better, but he's still normal.
■ Choi Soo-young: That's very nice.

◇ Choi Il-heon: So, as I said earlier, I think you'll be able to take good care of yourself by exercising and nourishing yourself. Yes, steroids are more problematic than this, but it's more problematic to administer them by injection. The problem is that most people don't usually do that. But when elderly people get sick, there are a lot of people who go to the hospital and get injections. When it builds up, it causes a lot of medical complications.
◆ Lee Ik-seon: What's the representative one?

◇ Choi Il-heon: The kidney and liver function will decrease. You should always be careful about getting injections because your body will swell, your skin will become thinner, osteoporosis, and it can cause problems all over your body.

◆ Lee Ik-seon: He said he was a mother of a two-month-old baby, but the listener sprained his ankle and took an X-ray, and the hospital recommended a bone density test. I've tried it and it's osteoporosis. I have to take medicine, but I'm worried because I'm breastfeeding. How should I treat it? Will osteoporosis caused by pregnancy and childbirth be difficult to recover from? I'm still in my mid-30s.

◇ Choi Il-heon: I told you earlier that this means going with osteoporosis, but the reason we go with it is because it is accompanied by aging, so osteoporosis in the mid-30s has a special reason, so things that can be recovered. Of course, you just have to restore that balance, and osteoporosis that occurred during pregnancy sometimes occurs.

◆ Interest Line: There is. There is, but the baby takes it all.

◇ Choi Ilheon: That's right. It's undernourished. You can't eat enough, but calcium is sucked into your baby. If you give birth, eat well enough, and exercise, you'll almost recover. So don't worry too much about that. If you're breastfeeding, I don't recommend all the medications. In that case, eating well and exercising hard is the best treatment.

◆ Profit line: And after feeding is over,

◇ Choi Il-heon: It's most obvious to check again, decide which direction this is, and consult with your doctor.

◆ Lee Ik-seon: How about eating anchovies for every meal?

◇ Anchovy is good. Fish that eats anchovy bones is very helpful.

■ Choi Soo-young: Then it's a little rare right now, but gizzard shad would be good. I think we need to look at the story of this expensive gizzard. It's a bit of a practical concern, but I'm in the process of injecting to treat osteoporosis, but my daily life is a little uncomfortable because I recently had my molar removed. So can I get an implant procedure?

◇ Choi Il-heon: It's a problem.

■ Choi Soo-young: Why is it a problem?

◇ Choi Il-heon: One of the most commonly used osteoporosis medicines is bisphosphonate, but I don't need details. These drugs are all in that category, whether you take them once a week, once a month, or once every three months. The biggest problem with this is that there are a few cases where the mandible melts due to necrosis during extraction or implantation.

■ Choi Soo-young: Then the case was reported

◇ Choi Il-heon: A case has been reported, and it's very cured, but it's fatal if it happens. It's a drug that the dentist is very careful about. If you need extraction or dental implant treatment, you need to talk to your doctor who is receiving osteoporosis.

■ Choi Soo-young: If I have to stop drinking, I should.

◇ Choi Il-heon: There are several ways. You change the way you change the type of injection, or you have a rest period, so during that period, yes. There's a way to have that pause, and they'll judge it together. If the doctor arbitrarily takes a rest period when I'm down to minus 3.54.0, there may be a case of a broken back while implanting.

◆ Profit line: Oh my god

◇ Choi Ilheon: So you have to discuss this.

◆ Profit line: Which is more profitable

◇ Choi Il-heon: That's right, and if there are any medicinal ingredients that can be changed, these things

■ Choi Soo-young: Let me introduce this story, too. I eat it very salty. It is said that this diet is dangerous for osteoporosis, and you are curious about the correlation between salty food and bone health.

◇ Choi Il-heon: This is a matter of sodium intake. Of course, you know that if sodium intake increases, blood pressure will come, but if our body absorbs sodium, we have to keep losing it if it's too much. Yes, I keep taking it out of my kidneys, but when I take it out, I bite calcium.

■ Choi Soo-young : Accompanied

◇ Choi Il-heon: That's why no matter how much calcium you eat, if there's a lot of sodium, it escapes together. That's why it's not good.

◆ Profit line: Okay. Is there anything I should be careful about when taking a short calcium supplement?

◇ Choi Il-heon: When I take calcium preparations, I tend to not be able to digest well. When taking calcium preparations, make sure to check your vitamin D level and absorb it only when you have vitamin D. So, if you're going to eat after checking that number, it's better to eat consistently.

◆ Profit line: Okay. I see you every Friday. You're an orthopedic surgeon today. I was with Choi Il-heon, the director of Gangbuk Yeonse Hospital. Thank you, director.

◇ Choi Ilheon: Thank you.