Osteoporosis

• Women face an 18% risk of getting a hip fracture in their lifetime while men have a 6% risk. In the past 30 years, hip fractures have increased in women (5 times) and men (1.5 times) over 50 years old.
• There are 2,500 cases of hip fractures a year, with this figure expected to increase to 9,000 by 2050. Among those who suffer hip fractures, 1 in 3 experiences a significant loss of function and becomes dependent on others.

Osteoporosis is a growing concern in Singapore, particularly with an ageing population. The prevalence of osteoporosis is rising, with a significant number of elderly individuals at risk of fractures. Early detection is vital for prevention and management of this disease.

Osteoporosis is caused when the body loses more bone tissue than it can produce, resulting in more fragile bones.

Osteoporosis Risk Factors

Risk factors for osteoporosis include ageing, gender (women are more susceptible due to hormonal changes, especially during menopause), inadequate calcium and vitamin D intake, low body weight, lack of physical activity, smoking and high alcohol consumption, family history of osteoporosis, and diseases such as diabetes or hypertension that can reduce bone density or increase the risk of fractures.

The current gold standard for assessing osteoporosis is through a Bone Mineral Density (BMD) test, measured using Dual-Energy X-ray Absorptiometry (DEXA). A DEXA scan accurately calculates bone density and also provides insights into fat distribution and muscle mass. Comprehensive risk assessments also include evaluating lifestyle factors, medical history, and family history. It is important to note that osteoporosis differential diagnosis can involve other conditions that cause bone weakness, such as liver disease and hyperthyroidism.

Treating osteoporosis involves providing lifestyle advice to all patients at risk, particularly postmenopausal women and men aged 65 years and above. This advice can include ensuring adequate calcium and vitamin D intake, engaging in regular weight-bearing exercises, and avoiding smoking and excessive alcohol consumption. For individuals presenting with signs of bone fragility, a DEXA scan is required to accurately assess bone density. If osteoporosis is diagnosed after ruling out other conditions, medication may be prescribed alongside lifestyle recommendations. Progress can be monitored through regular DEXA scans. In certain cases, such as those with complex secondary causes or ineffective treatment, referral to a specialist may be necessary.

At ATA Medical, we offer testing and follow-up treatment for osteoporosis with the following prices:

Tests/Treatment	Price*
Consultation	From $38.15
DEXA Bone Densitometry (Hip & Spine)	$130.80
Ultrasound Heel (Bone Mass Density)	$43.60
Vitamin D Test	$130.80
Deficiency Screen (Folate, Vitamin B12, Vitamin D, Iron, Total Iron Binding Capacity, % Iron Saturation, Ferritin)	$161.32
Alendronate	$39.24 per box (30 tablets)

*Prices are NETT and inclusive of GST.

For a more comprehensive assessment of your health, you can consider our health screening packages which include Bone Mineral Density test.

Osteoporosis is a significant health concern in Singapore, especially among the elderly. Understanding the symptoms, causes, and risk factors can help individuals take proactive steps to prevent this condition. Early detection through regular screenings and adopting a healthy lifestyle can maintain healthy bones and reduce the risk of fractures in the future. If you are experiencing symptoms of osteoporosis or are concerned about your bone health, schedule an appointment with a doctor today to discuss and explore appropriate measures.