Are you aging with strong bones?

Dr. Carlos Rebollón
13 August, 2025
¿Estás envejeciendo con huesos fuertes?
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    Introduction

    Over the years, many aspects of our health begin to change. One of the quietest but most dangerous is the progressive loss of bone mass. Osteoporosis does not warn… until a fracture occurs.

    So, if you’re over 35, this checklist will help you identify if you’re aging with strong bones or if you’re already at risk of bone weakening.

    Why is it important to assess your bone health?

    Osteoporosis is a silent disease that weakens bones, causing them to fracture easily. It especially affects postmenopausal women and older adults, but it can also develop in young men due to a sedentary lifestyle, vitamin D deficiency or bad habits.

    Detecting it early can prevent fractures, chronic pain and loss of independence.

    ¿Por Qué Es Importante Evaluar Tu Salud Ósea?

    Checklist: Assess your risk in 2 minutes

    Mark how many yes answers you have:

    Question

    Answer

    Are you over 50 years old?

    ✅ / ❌

    Are you a woman and you are in menopause or close to it?

    ✅ / ❌

    Do you have a family history of hip or spinal fractures?

    ✅ / ❌

    Have you suffered a fracture with a minor fall?

    ✅ / ❌

    Do you take corticosteroids for more than 3 months?

    ✅ / ❌

    Do you smoke or consume alcohol regularly?

    ✅ / ❌

    Do you avoid sun exposure or use sunscreen all day?

    ✅ / ❌

    Do you get less than 30 minutes of exercise a day?

    ✅ / ❌

    Are you underweight (BMI less than 20)?

    ✅ / ❌

    Do you suffer from diseases such as rheumatoid arthritis or hypothyroidism?

    ✅ / ❌

    Result:

    • 0 to 2 affirmative answers: low risk (continue to take care of yourself)

    • 3 to 5 affirmative: moderate risk (preventive consultation recommended)

    6 or more: high risk (requires medical evaluation and bone densitometry)

    ¿Qué Hacer Si Tienes Riesgo De Osteoporosis?

    What to do if you are at risk of osteoporosis?

    Request a bone densitometry
    Assess your vitamin D and calcium levels
    Adopt a moderate-impact, strength-strength exercise plan
    Improve your diet with dairy, green vegetables and nuts
    Consider supplements if there is a deficit, always under medical control

    When to have a bone density test?

    • Women over 50 years of age

    • Men over 60

    • People with a family history

    • Patients with chronic illnesses or long-term medications

    • People with unexplained fractures

    What do scientific societies say?

    The International Osteoporosis Foundation (IOF) and the Panamanian Society of Rheumatology recommend a bone evaluation from the age of 50 or earlier if there are risk factors.

    ¿Qué Hacer Si Tienes Riesgo De Osteoporosis?

    Conclusion

    Prevention is cheaper, less painful, and more effective than treating.
    If you wait for a fracture to occur, it may be too late.
    Do your self-assessment, improve your habits and consult your orthopedist if you have doubts.

    Bone health is built every day, not just in old age.

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    Dr. Carlos Rebollón
    Orthopedist

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