{"id":33556,"date":"2025-11-15T12:00:34","date_gmt":"2025-11-15T10:00:34","guid":{"rendered":"https:\/\/astrea-apotheke.ch\/?p=33556"},"modified":"2025-11-13T09:20:15","modified_gmt":"2025-11-13T07:20:15","slug":"osteoporose","status":"publish","type":"post","link":"https:\/\/astrea-apotheke.ch\/fr\/osteoporose\/","title":{"rendered":"Ost\u00e9oporose"},"content":{"rendered":"

La pratique r\u00e9guli\u00e8re d\u2019un sport aide \u00e0 lutter contre l\u2019ost\u00e9oporose. Le rhumatologue Dr. Martin Toniolo de la Clinique Hirslanden Im Park nous renseigne \u00e0 ce sujet.<\/p>\n<\/div>

\n

\u00abPr\u00e8s de 20 % des femmes et environ 5 % des hommes de plus de 50 ans sont touch\u00e9s par l\u2019ost\u00e9oporose.\u00bb<\/p>\n<\/blockquote>\n<\/div>

Monsieur Toniolo, pour beaucoup de gens, l\u2019ost\u00e9oporose est une hantise quand on vieillit. Est-ce vrai?<\/h4>\n

Dr. Martin Toniolo: D\u00e8s l\u2019\u00e2ge de 30 ans, nos os commencent \u00e0 vieillir lentement de mani\u00e8re naturelle et leur stabilit\u00e9 diminue progressivement. Mais, en cas d\u2019ost\u00e9oporose, il y a une perte excessive de masse et de stabilit\u00e9 osseuse, augmentant ainsi le risque de fractures.<\/p>\n

Que se passe-t-il dans les os?<\/h4>\n

L\u2019ost\u00e9oporose est une maladie insidieuse qui d\u00e9truit la substance osseuse du squelette et modifie ainsi la structure osseuse. Les os deviennent plus fragiles et peuvent se fracturer m\u00eame sous une faible charge ou sans raison apparente.<\/p>\n

Comment reconna\u00eetre l\u2019ost\u00e9oporose?<\/h4>\n

Malheureusement, on ne d\u00e9tecte l\u2019ost\u00e9oporose qu\u2019en cas de fracture, car la diminution de masse osseuse elle-m\u00eame ne provoque aucun sympt\u00f4me. Il est donc d\u2019autant plus important d\u2019\u00eatre attentif \u00e0 certains signes avant-coureurs possibles, tels que des douleurs dorsales, une courbure accrue de la colonne vert\u00e9brale ou une diminution de la taille de plus de quatre centim\u00e8tres.<\/p>\n

Comment diagnostique-t-on la maladie?<\/h4>\n

Par une mesure de la densit\u00e9 osseuse au moyen de rayons X de faible intensit\u00e9. Pour ce faire, on s\u2019allonge confortablement sur le dos pendant quelques minutes. Ce type de mesure est tr\u00e8s pr\u00e9cis. Il est donc \u00e9galement possible d\u2019effectuer un suivi de l\u2019\u00e9volution, par exemple, pour v\u00e9rifier l\u2019efficacit\u00e9 d\u2019un traitement.<\/p>\n

\u00c0 partir de quel \u00e2ge la maladie se manifeste-t-elle?<\/h4>\n

On parle d\u2019ost\u00e9oporose chez les femmes apr\u00e8s la m\u00e9nopause et chez les hommes apr\u00e8s l\u2019\u00e2ge de 50 ans. Ce sont justement les femmes m\u00e9nopaus\u00e9es qui ont un risque plus \u00e9lev\u00e9 de d\u00e9velopper l\u2019ost\u00e9oporose en raison du manque naturel d\u2019\u0153strog\u00e8nes. M\u00eame si la production de testost\u00e9rone diminue \u00e9galement chez les hommes, cela se produit beaucoup plus lentement et dans une moindre mesure. L\u2019ost\u00e9oporose est donc plus fr\u00e9quente chez les femmes. Elle touche pr\u00e8s de 20 % des femmes de plus de 50 ans et environ 5 % des hommes \u00e2g\u00e9s de 50 ans et plus.<\/p>\n

Quelles sont les causes de l\u2019ost\u00e9oporose?<\/h4>\n

Une pr\u00e9disposition h\u00e9r\u00e9ditaire et le processus de vieillissement normal entra\u00eenent, surtout \u00e0 un \u00e2ge avanc\u00e9, une ost\u00e9oporose primaire, c\u2019est-\u00e0-dire une ost\u00e9oporose qui survient sans cause apparente. Par opposition \u00e0 l\u2019ost\u00e9oporose secondaire, qui est caus\u00e9e par une maladie sous-jacente ou des m\u00e9dicaments.<\/p>\n

Existe-t-il des facteurs externes qui favorisent particuli\u00e8rement l\u2019ost\u00e9oporose?<\/h4>\n

Les facteurs de risque connus sont par exemple le manque d\u2019activit\u00e9 physique, une alimentation pauvre en calcium, une carence en vitamine D et \u2013 comme mentionn\u00e9 plus haut \u2013 les changements hormonaux. Il est \u00e9galement important de savoir que l\u2019alcool et le tabac peuvent consid\u00e9rablement r\u00e9duire la densit\u00e9 osseuse et d\u00e9t\u00e9riorer la qualit\u00e9 des os. Outre les m\u00e9dicaments, un certain nombre de maladies peuvent \u00e9galement favoriser l\u2019ost\u00e9oporose.<\/p>\n

Comment traiter la maladie?<\/h4>\n

Le traitement de l\u2019ost\u00e9oporose vise \u00e0 pr\u00e9venir les fractures osseuses et \u00e0 r\u00e9duire le risque de fractures. Lors du diagnostic de l\u2019ost\u00e9oporose, le risque de fractures osseuses ost\u00e9oporotiques est \u00e9valu\u00e9 individuellement avec le patient. Tous les facteurs de risque connus sont alors pris en compte. Si le risque de fracture d\u00e9passe un certain seuil, des m\u00e9dicaments sont utilis\u00e9s. Ces derniers inhibent la r\u00e9sorption osseuse ou favorisent la formation osseuse.<\/p>\n

Quel r\u00f4le jouent le calcium et la vitamine D dans le traitement et la pr\u00e9vention de l\u2019ost\u00e9oporose?<\/h4>\n

On peut le repr\u00e9senter ainsi: alors que le calcium est un \u00e9l\u00e9ment constitutif important des os, la vitamine D permet l\u2019incorporation du calcium dans les os. Dans l\u2019id\u00e9al, le calcium devrait \u00eatre apport\u00e9 par l\u2019alimentation tout au long de la journ\u00e9e. Si cela n\u2019est pas possible, un apport suppl\u00e9mentaire de calcium peut \u00eatre pris le soir avec de la vitamine D, mais jamais \u00e0 jeun.<\/p>\n

Que peuvent faire les personnes concern\u00e9es?<\/h4>\n

Les mesures non m\u00e9dicamenteuses sont importantes dans le traitement de l\u2019ost\u00e9oporose, mais aussi pour la pr\u00e9vention:<\/p>\n

    \n
  • Une alimentation \u00e9quilibr\u00e9e et fra\u00eechement pr\u00e9par\u00e9e, de pr\u00e9f\u00e9rence riche en prot\u00e9ines et en calcium.<\/li>\n
  • En cas de carence, prendre de la vitamine D.<\/li>\n
  • Consommer peu d\u2019alcool et arr\u00eater le tabac.<\/li>\n
  • Activit\u00e9 physique r\u00e9guli\u00e8re en plein air, et renforcement musculaire.<\/li>\n
  • Les activit\u00e9s sportives telles que la danse, la randonn\u00e9e, la course, la marche, le yoga ou le Pilates sont \u00e9galement appropri\u00e9es.<\/li>\n
  • Pr\u00e9vention des chutes: \u00e9viter les obstacles dans la maison pour ne pas tr\u00e9bucher.<\/li>\n<\/ul>\n<\/div>

    Bild: \u00a9Daniel\/stock.adobe.com<\/p>\n<\/div><\/div><\/div>

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