We’ve all either done it or had it happen to us. Liking that thirst trap

October 20 marks World Osteoporosis Day – but despite being a relatively common condition, many people are unaware they’re at risk. According to Age UK, osteoporosis – which is associated with weakened bones and often referred to as a ‘silent disease’, as symptoms can creep up on people – affects approximately three million people in the UK. Yet, many only find out they have it when they break a bone. “[Osteoporosis] is a condition characterised by weakened bones, making them more prone to fractures,” explains Dr Zulqarnain Shah, a medical director at SSP Health. “It occurs when the body loses too much bone or makes too little bone, or both. Diagnosis of osteoporosis typically involves a combination of medical history, physical examination, and specialised tests, such as bone mineral density scans,” Shah adds. Could I be at risk of osteoporosis? According to Age UK, around half of women over 50, and around one in nine men in the same age group, will experience a fracture due to osteoporosis. However, several risk factors contribute to the development of the condition, meaning some people may be more likely to get it. “These include menopause, low calcium and vitamin D intake during younger years, family history, a sedentary lifestyle, smoking, excessive alcohol consumption, and certain medications,” explains Shah. “While it may not be possible to prevent all cases of osteoporosis, adopting a healthy lifestyle with regular weight-bearing exercise, a balanced diet rich in calcium and vitamin D, and avoiding smoking and excessive alcohol intake can help reduce the risk.” Being aware of osteoporosis can be particularly important if you have a family history. “A family history of osteoporosis or fragility fractures can indicate an increased risk,” explains Dr Elise Dallas, GP at The London General Practice. Other things that increase risk include having a history of “rheumatoid arthritis, low levels of oestrogen due to early menopause, anorexia nervosa or Turner’s syndrome, hyperthyroidism, parathyroid disease, Crohn’s and coeliac disease, and conditions that cause long periods of immobility”, adds Dallas. What are the symptoms of osteoporosis? When you have osteoporosis, you may suffer from “increased fracture risk, height loss, and chronic pain”, says Shah. “Fractures associated with osteoporosis are known as ‘fragility fractures’, which can occur with minimal impact. Fractures commonly occur in the spine, hip, and wrist, and can lead to significant pain, disability, and reduced quality of life,” he explains. Are there any early warning signs? Shah says: “Early signs of osteoporosis may not be apparent until a fracture occurs. However, a precursor condition called osteopenia may be detected through scans before the onset of full-blown osteoporosis.” Osteopenia is where the density of the bones decreases, but not thoroughly enough to be classed as osteoporosis. There are no real symptoms however, so it can only be detected with scans. The good news is, lifestyle measures and sometimes treatment can help prevent it getting worse. How is osteoporosis treated? Treatment for osteoporosis is mostly aimed at “strengthening bones and preventing fractures”, says Shah. “This typically involves a combination of lifestyle modifications, such as exercise and dietary changes, along with medication. “Medications may include calcium, vitamin D and bisphosphonates, hormone therapy for postmenopausal women, selective oestrogen receptor modulators (SERMs), and other options. “SERMS help manage the way oestrogen interacts with your body and has a similar impact on osteoporosis as hormone replacement therapy, to help mitigate the impacts of hormones on osteoporosis,” Shah explains. “Regular monitoring and adherence to treatment plans can help slow down or stop the progression of osteoporosis. A bone density scan – also known as a DEXA scan – can help monitor the progress of a condition and may be done at three to five-year intervals to assess progress. “Once a patient has been on bisphosphonates for five years, they may go on a ‘pill holiday’ for a couple of years, though the benefits of taking bisphosphonates continue long after the medication is stopped.” Getting support and advice to manage any pain and mobility challenges and reduce the risk of falls and injuries can also be very important for people living with osteoporosis, along with finding ways to stay active. If you are worried about your bones and osteoporosis risk you can reach out to charities like the Royal Osteoporosis Society and find out about your risk level. Read More How to support a child with a stammer From colourful gowns to drones, these wedding trends are set take over 2024 Call The Midwife ‘should come with a health warning’ Halloween: 10 wicked ways to kit out your haunted house Black magic: Go back to black this season with the catwalk-inspired trend How to prep your home for when the clocks go back

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The LVMH group has announced a significant partnership with the 2024 Olympic and Paralympic Games in Paris. The luxury goods conglomerate – which owns brands including Louis Vuitton, Fendi, Tiffany & Co, Moët & Chandon, Hennessy and Dom Perignon – unveiled the news one year ahead of the XXXIII Summer Olympics, set to begin on July 26, 2024. The partnership will include providing products for Olympic events, crafting medals and sponsoring athletes. “It was only natural that LVMH and its maisons be part of this exceptional international event,” said Bernard Arnault, chairman and CEO of LVMH. “Sport is a tremendous source of inspiration for our maisons, which will unite creative excellence and athletic performance by contributing their savoir-faire and bold innovation to this extraordinary celebration.” The first athlete to receive LVMH sponsorship is swimmer Léon Marchand. A strong medal contender for France, the 21-year-old has won three world champion titles and is the world record-holder of the 400-metre individual medley. Make-up brand Sephora will be a partner for the Olympic Torch Relay, while Moët Hennessy wines and the LVMH spirit brands will provide beverages for the Games’ hospitality program. Parisian jeweller Chaumet will design the Olympic and Paralympic medals, and luxury fashion labels Louis Vuitton, Dior and Berluti will lend their expertise in the run-up to the event. LVMH has also committed to expanding its charitable efforts, starting with an initiative with longstanding non-profit partner Secours Populaire Francais. The scheme will facilitate access to sports for 1,000 children and young people aged four to 25 who live in vulnerable situations via funding for sports association memberships, training programs and beginner classes. “LVMH already supported us during our bid for the Summer Olympics and we are thrilled to have the Group with us 100% for this exciting adventure,” said Tony Estanguet, president of the Paris 2024 Olympic Committee. “With its exceptional know-how, the LVMH Group will bring its immensely creative talent to this project and enable us to benefit from its extensive experience.” LVMH jewellers and leather goods brands have a long history of creating trophies and travel cases for major sporting competitions. The Super Bowl and US Open trophies are created by Tiffany & Co, while the leather trunks that house the World Cup, NBA Championship and Monaco Grand Prix trophies are all made by Louis Vuitton. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Bisexual people ‘experience worse health than other adults’ What’s the coolest bedding to survive summer heat and night sweats? How to bring a touch of the Mediterranean to your garden

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