Heidi-Mai Warren MSc
Looking forward to your
next break? The truth
about how you could be at
risk of a killer bone disease
From a sport science degree……
1986 - 1988 Northern Ballet School, Manchester
1991 - 1994 BSc Sport & Exercise Science, Chelsea
Aerobic dance instructor
Personal training
1992 Dalhousie University, Halifax, Canada
Semester exchange programme
………………..to the USA…………………
1994 - 1995 Research Officer - Oasis GP Referral
Scheme, Hailsham
1995 - 1997 MSc Exercise Psychology - University of
Illinois at Urbana – Champaign, USA
BUNAC scholarship
Research assistantship
Teaching assistantship
………..…teaching & research…..…….
1997 - 1999 Senior Lecturer - Uni of Southampton
Exercise & Sport Psychology
Research Methods
1999 - 2000 Research Co-ordinator - Royal College of
Music
Stress & musical performance
Research Methods
…………………..… to a national charity
1999 - 2000 Performance Consultant – Northern Ballet
School, Manchester
Fitness & dance performance, diet &
lifestyle modification
2000 - 2001 Market Analyst, Zenith International, Bath
Drinks consultancy
Financial and marketing skills
2001 - 2002 National Osteoporosis Society, Bath
Mission statement
The NOS campaigns to provide
information and support for
those with osteoporosis. It
promotes education for the public
and health professionals, lobbies
Government and Health Authorities
and encourages fundraising for
research into osteoporosis.
The NOS is the only national charity
dedicates to osteoporosis
Scientific Liaison Manager
Scientific Advisory Group
Conferences, events, training
Research funding
Political lobbying
What is osteoporosis?
A systematic skeletal disease
characterised by low bone mass and
micro architectural deterioration of bone
tissue with consequent increase in bone
fragility and susceptibility to fracture
Healthy and osteoporotic bone
Who is at risk?
Early menopause (before 45)
Long term use of high dose
corticosteroid tablets
Previous fracture after minor bump or
fall
Strong family history
Who is at risk?
Low calcium intake
Disease causing malabsorption
Lack of sunshine
Heavy smoking
Heavy drinking
High caffeine intake
Vertebral
fractures
Dowagers
hump
Colles
fracture
The size of the problem
1 in 3 women over 50 years
1 in 12 men over 50 years
1 in 9 women at 50 years at risk of
breast cancer
World population of women (>45 yrs)
1960 1980 2000
Developed 155 206 257
Countries
Developing 177 281 484
Countries
TOTAL 332 488 740
Figures in millions
Burden on resources
500
450 380 360
400
350
300 220
No of bed 200
250
days 1000s 200
150
100
50
0
Hip MI Diabetes Asthma
fracture
The cost of osteoporosis (UK)
> 230,000 fractures
40 lives a day
800,000 bed days
£1.7 Billion
£4m a day
108,000 Nurses
34,500 GP’s
Osteoporosis in men
1 in 12 men
> 20% of hip fractures
20% steroid use
20% hypogonadism
10% health problems
5% excess alcohol
45% Idiopathic (no
known cause)
Younger athlete
Low body weight
Low calorie intake / anorexia nervosa
Intense training / over exercise
Dancers, long distance runners,
exercise addicts
Menstruation
Menarche
Age at menstruation
Oligomenorrhea
Irregular periods
Amenorrhea
Lack of periods
PREVENTION
Act now!
Ca recommendations (RNI mg)
Women Men
Adults 700 700
Teens 800 1000
(11-18)
Lactation 1250
Children 350 – 550
(1-10)
Based on COMA 1998
Sources of calcium
I glass of milk
5oz carton of yoghurt
1oz of hard cheese
Each contain around
250mg of calcium