Screening for falling and fracture risk

Doctors have identified ischemic heart disease, COPD, dementia, depression, diabetes, heart failure, osteoporosis, Parkinson’s disease and stroke as major risk factors for falling and fracture risks.1

In a recent medical paper, researchers found that heart failure is associated with a 30 percent increase in major fractures and also identifies a high-risk population that may benefit from increased screening and treatment for osteoporosis.

The symptoms of heart failure are well known, they include:

  • swelling in the feet, ankles, and legs,
  • fatigue
  • shortness of breath.

Heart failure occurs when the heart can no longer pump enough blood to nurish the body.

Heart Failure and Fracture Risk

In  the research, doctors conducted a study of more than 45,000 patients undergoing bone mineral density testing for the first time and followed them for up to ten years. They found that heart failure was associated with a 30 percent increase in major fractures.(1)

Since family history is a risk factor for osteoporosis and heart disease, at the Magaziner Center for Wellness, we use genomic testing to gauge a genetic predisposition to bone loss and, where one is identified, treat the predisposition using nutritional supplements customized for a patient’s individual needs.

We look closely at each patient’s diet and lifestyle and work with her/him to make any necessary modifications for both heart disease and osteoporosis. For instance, if we see that a patient is consuming too much red meat and or sugar, we help her/him move toward a plant-based eating plan; if we see excessive smoking and alcohol use, we work to identify healthy strategies for stress relief.

We have found that many with osteoporosis have insulin resistance.  As a result, we do a thorough evaluation regarding lipid balance, and insulin and glucose metabolism and treat these areas accordingly.

Additionally, we assess for appropriate digestion and assimilation to be sure that a patient can properly break down and utilize the nutrients in their food as well as other testing based on the individual needs of the patient.

1. Jørgensen TS, Hansen AH, Sahlberg M, et al. Falls and comorbidity: the pathway to fractures. Scand J Public Health. 2014 May;42(3):287-94. doi: 10.1177/1403494813516831. Epub 2014 Jan 16.

2. Journal of Clinical Endocrinology & Metabolism, news release, Feb. 2, 2012