Chandigarh: Over two years, the country's first ‘Osteoporosis and Metabolic Bone Disorder Clinic’ run by the PGI, has followed a cohort of 413 patients, and the data collected reveals some noteworthy findings. Around one-fourth (26.2%) of the patients presented with fractures due to osteoporosis, highlighting the significant impact of this condition on bone health and quality of life.
One of the key observations made by the clinic is the potential link between lactose intolerance and osteoporosis. Patients who experience difficulty digesting milk should avoid its consumption, as it may accelerate the progression of osteoporosis, making bones more vulnerable to fractures. Instead, healthcare professionals recommend alternative sources of calcium and nutrients, such as soy milk, curd, or lactose-free milk products. “The elderly who feel uneasy while digesting milk should avoid it as it can cause osteoporosis in them. Instead, they can consume soya milk, curd or lactose free milk,” said Prof SK Bhadada, head of the endocrinology department.
Notably, the data revealed that 4% of the cohort reported osteoporosis at an age less than 40 years, which is considered relatively young for this condition. This finding underscores the importance of early screening and preventive measures, as osteoporosis is often associated with advanced age and postmenopausal women.
The demographic breakdown of the cohort provides further insights. The mean age of the patients was 61 years, with a standard deviation of 10 years. The gender distribution showed a significant skew, with a female-to-male ratio of 9:1, reflecting the higher prevalence of osteoporosis among women, particularly after menopause. In addition to lactose intolerance, the data also highlighted the presence of celiac disease or wheat allergy in 2.42% of the cohort. Patients with these conditions were found to have a higher risk of developing osteoporosis, potentially due to the malabsorption of essential nutrients necessary for bone health.
The clinic's findings also shed light on the earlier onset of osteoporosis in the Indian population compared to their Western counterparts. “While osteoporosis typically manifests around the age of 65 in Western countries, the Indian cohort exhibited signs of the condition a decade earlier, around the age of 50,” said Prof Bhadada who started the concept of such a unique clinic.
Furthermore, the data revealed that the most common fractures observed were spinal and hip fractures, which can significantly impact mobility and quality of life.