>>Bill: Dr. Ferreira is
with us on "It Is Written"
00:00:02.53\00:00:03.60
today, for another
one of our Live Healthy
00:00:03.60\00:00:05.43
programs. Today's
theme 'Osteoporosis'. "It Is
00:00:05.43\00:00:10.53
Written" begins right now.
00:00:10.53\00:00:12.83
>>ANNOUNCER: IT HAS
STOOD THE TEST OF TIME...
00:00:23.70\00:00:27.10
GOD'S BOOK, THE BIBLE.
00:00:27.36\00:00:30.26
STILL RELEVANT IN
TODAY'S COMPLEX WORLD.
00:00:30.53\00:00:34.60
IT IS WRITTEN . . .
00:00:34.86\00:00:37.36
SHARING MESSAGES OF
HOPE AROUND THE WORLD.
00:00:37.63\00:00:40.90
Well, let me welcome all
our viewers to today's "It
00:00:58.60\00:00:59.73
Is Written" program
and I'm going to welcome
00:00:59.73\00:01:01.40
my special guest, Dr.
00:01:01.40\00:01:01.86
Ferreira. Doctor,
welcome back. >>Dr. Ferreira:
00:01:01.86\00:01:03.63
Thank you very much, Bill.
00:01:03.63\00:01:04.16
>>Bill: I should call
you a regular, not a special
00:01:04.16\00:01:05.76
guest because you're
with us here all the time and
00:01:05.76\00:01:07.90
we appreciate it
very much. >>Dr. Ferreira:
00:01:07.90\00:01:08.80
Well, I'm very happy
to be here. >>Bill: That's
00:01:08.80\00:01:10.33
great. Well, we're
going to be talking about
00:01:10.33\00:01:13.20
Osteoporosis today and
so I want to let our viewers
00:01:13.20\00:01:14.23
know that if they know
someone that is suffering
00:01:14.23\00:01:16.43
from this, this would be
a good time to get on the
00:01:16.43\00:01:18.36
phone and tell them to
turn the television on to
00:01:18.36\00:01:19.36
watch us. Because I
know you're always going
00:01:19.36\00:01:23.46
to provide us some very
useful information. Maybe
00:01:23.46\00:01:26.13
we could start by,
you telling us how wide
00:01:26.13\00:01:27.06
spread is this
problem of Osteoporosis? >>Dr.
00:01:27.06\00:01:29.30
Ferreira: Well Bill, I
just went on-line to the
00:01:29.30\00:01:38.70
International Foundation
of Osteoporosis and it was
00:01:38.70\00:01:39.73
amazing to see that
every three seconds, worldwide,
00:01:39.73\00:01:43.33
every three seconds there
is somebody breaking a hip
00:01:43.33\00:01:49.66
in the world. Every
three seconds. >>Bill: Wow.
00:01:49.66\00:01:50.66
>>Dr. Ferreira: And
every 22 seconds there is
00:01:50.66\00:01:57.10
somebody having a spinal
fracture because of their
00:01:57.10\00:02:00.43
bones being too weak
because of osteoporosis
00:02:00.43\00:02:01.40
It's just an amazing
problem. There are 200
00:02:01.40\00:02:06.76
million people worldwide,
now, that are suffering
00:02:06.76\00:02:11.60
from osteoporosis. And
of those, 75 million are in
00:02:11.60\00:02:12.60
Europe and in the
United States and in Japan.
00:02:12.60\00:02:19.60
Seventy-five million
peoples are suffering from
00:02:19.60\00:02:23.30
this disease in these
three countries. >>Bill:
00:02:23.30\00:02:24.26
Now, twice you said
'people'. I understood
00:02:24.26\00:02:26.16
this to be a woman's
issue but you are saying
00:02:26.16\00:02:30.43
'people'. >>Dr. Ferreira:
No, no, no. In fact, about
00:02:30.43\00:02:31.50
20% of all fractures
occur in men as well. So, it's
00:02:31.50\00:02:35.73
not just the women, it's
the men as well. So, it's
00:02:35.73\00:02:40.90
a public health problem,
okay, it's a.because, it
00:02:40.90\00:02:41.86
really, it's a disease
that it's on an increase
00:02:41.86\00:02:50.73
as well. They
estimate, for example, that the
00:02:50.73\00:02:54.80
lifetime risk of
experiencing a fracture
00:02:54.80\00:02:55.70
because of osteoporosis
in men over the age of
00:02:55.70\00:03:01.63
50 is 30%. Similar
of the lifetime risk of
00:03:01.63\00:03:08.23
developing
prostate cancer. >>Bill: So,
00:03:08.23\00:03:09.26
prostate cancer, the
risk of prostate cancer
00:03:09.26\00:03:13.30
and osteoporosis for men
>>Dr. Ferreira: That's the
00:03:13.30\00:03:15.83
risk, the lifetime
risk over the age of 50.
00:03:15.83\00:03:16.73
That is, it's an
immense problem. In Canada,
00:03:16.73\00:03:19.00
for example, osteoporosis
affects about 1.4 million
00:03:19.00\00:03:23.46
people today, okay? So,
it's a big problem. And,
00:03:23.46\00:03:24.46
you know, the thing
is that it's not just to
00:03:24.46\00:03:31.36
have, the problem is
not just brittle bones, it's
00:03:31.36\00:03:34.86
the complications that
come from these brittle
00:03:34.86\00:03:35.86
bones. The hip fracture
in an elderly person.>>Bill:
00:03:35.86\00:03:38.46
Right. >>Dr.
00:03:38.46\00:03:38.76
Ferreria:.usually
requires surgery.>>Bill: Right.
00:03:38.76\00:03:42.36
>>Dr. Ferreira:.okay.
00:03:42.36\00:03:42.83
Surgery means
immobilization, a long
00:03:42.83\00:03:45.63
recovery, you know,
sometimes people don't
00:03:45.63\00:03:48.73
make it after surgery.
00:03:48.73\00:03:49.23
>>Bill: Right. >>Dr.
00:03:49.23\00:03:49.66
Ferreira: Or, you
know, the few months after
00:03:49.66\00:03:52.86
surgery. So, it's really,
it's not just a matter of
00:03:52.86\00:03:56.96
having, as I said,
brittle bones, it's the
00:03:56.96\00:03:58.03
complications that may
come as a result of it and
00:03:58.03\00:04:00.96
also, the pain that's,
for example, spinal fractures
00:04:00.96\00:04:06.83
may cause - I've got
people that I know that
00:04:06.83\00:04:07.80
are suffering from that.
00:04:07.80\00:04:11.73
>>Bill: Now, what is
ost.if you could define
00:04:11.73\00:04:12.70
it.what, I know you use
the term 'brittle bones',
00:04:12.70\00:04:19.30
right.>>Dr. Ferreira: Yes.
00:04:19.30\00:04:19.83
>>Bill:.now, so
what is osteoporosis?
00:04:19.83\00:04:21.90
>>Dr. Ferreira: Well,
osteoporosis is a disease
00:04:21.90\00:04:24.66
caused by weak bones.
00:04:24.66\00:04:25.16
>>Bill: Okay. >>Dr.
00:04:25.16\00:04:25.60
Ferreira: If you have
a piece of wood.>>Bill:
00:04:25.60\00:04:32.00
Right. >>Dr. Ferreira:.and
if it's strong, you try
00:04:32.00\00:04:34.83
and break it, it won't
break. >>Bill: Of course.
00:04:34.83\00:04:35.83
>>Dr. Ferreira: But
if it's a cheap wood and
00:04:35.83\00:04:37.53
weak, you break it easily,
okay. So, what happens in
00:04:37.53\00:04:41.23
life is that the bones
get stronger up to an age and
00:04:41.23\00:04:42.30
then they start
getting weaker, okay. And up to
00:04:42.30\00:04:48.16
the age of about 30 or
so, 30,35 the bones usually
00:04:48.16\00:04:57.26
get stronger, after that
they decline. They become
00:04:57.26\00:04:58.36
weaker and weaker. And
that is what osteoporosis
00:04:58.36\00:05:00.86
is. Sometimes, sometimes
people get weak bones but
00:05:00.86\00:05:04.76
they're not really
osteoporosis, they're
00:05:04.76\00:05:05.66
still a bit
strong and that's called
00:05:05.66\00:05:09.36
'osteopenia'. Osteoporosis
is when it comes to a
00:05:09.36\00:05:17.10
certain level where
after that the risk of fracture
00:05:17.10\00:05:18.13
is really high, okay.
00:05:18.13\00:05:19.50
>>Bill: So, the
decrease in the strength of
00:05:19.50\00:05:20.40
bone, that's a
natural occurrence as you age?
00:05:20.40\00:05:23.00
>>Dr. Ferreira: It's a
common occurrence, yes.
00:05:23.00\00:05:30.13
>>Bill: It's a
common.okay. >>Dr.
00:05:30.13\00:05:30.90
Ferreira: It's a common
occurrence.>>Bill: Okay.
00:05:30.90\00:05:32.76
>>Dr. Ferreira:.and you
see that commonly, almost
00:05:32.76\00:05:34.60
in anyone with age. So,
it occurs and, but it can
00:05:34.60\00:05:35.63
occur at a fast
rate or it can occur very
00:05:35.63\00:05:41.93
slowly.>>Bill: I see.
00:05:41.93\00:05:42.40
>>Dr. Ferreira:.okay?
And there are different
00:05:42.40\00:05:45.80
factors that may
effect that. >>Bill: So, you
00:05:45.80\00:05:49.66
know, in your
estimation, what is responsible
00:05:49.66\00:05:50.63
for this relatively
rapid increase in the number
00:05:50.63\00:05:57.06
of cases, you know, 200
million cases worldwide, I
00:05:57.06\00:06:03.33
think you said. >>Dr.
00:06:03.33\00:06:03.83
Ferreira: Yes.
>>Bill: What's changing? >>Dr.
00:06:03.83\00:06:06.10
Ferreira: What's changing?
00:06:06.10\00:06:06.66
Well, osteoporosis is a
lifestyle related disease.
00:06:06.66\00:06:11.66
Now, there are many
cases of osteoporosis, quite a
00:06:11.66\00:06:12.66
few that are related
with, for example, people who
00:06:12.66\00:06:16.36
are taking steroids,
cortisone, they may be
00:06:16.36\00:06:21.66
more likely, they are
more likely of getting
00:06:21.66\00:06:22.63
osteoporosis, okay,
and other medications. So,
00:06:22.63\00:06:25.46
some medical conditions
may lead to osteoporosis.
00:06:25.46\00:06:31.10
We're not talking about
those cases. We're talking
00:06:31.10\00:06:32.16
about the person who
gets osteoporosis and doesn't
00:06:32.16\00:06:36.53
know why, okay. And
that's greatly a lifestyle
00:06:36.53\00:06:41.20
disease, okay. And what
happens is this, for bone
00:06:41.20\00:06:42.23
to be strong.>>Bill: Yes.
00:06:42.23\00:06:47.73
>>Dr. Ferreira:.it
needs a few things. It needs
00:06:47.73\00:06:48.70
Vitamin D.>>Bill: Okay.
00:06:48.70\00:06:55.60
>>Dr. Ferreira:.it needs
calcium, it needs a stable
00:06:55.60\00:06:56.63
acid-based balance,
okay, and it needs physical
00:06:56.63\00:07:04.46
stress. >>Bill: Okay.
00:07:04.46\00:07:04.93
>>Dr. Ferreira: So,
let's say a person doesn't
00:07:04.93\00:07:10.40
get enough sunshine -
you know, Vitamin D is a
00:07:10.40\00:07:18.53
vitamin that is made
by the body as a result of
00:07:18.53\00:07:19.56
getting sunlight.
>>Bill: Okay. >>Dr. Ferreira:
00:07:19.56\00:07:26.70
Okay. The UV rays of the
sun that hit the skin and
00:07:26.70\00:07:31.73
just under the
surface of the skin there is a
00:07:31.73\00:07:32.70
conversion, cholesterol,
through the influence of
00:07:32.70\00:07:36.50
the UV light, cholesterol
changes into Vitamin D.
00:07:36.50\00:07:44.03
>>Bill: Okay, right. >>Dr.
00:07:44.03\00:07:44.60
Ferreira: And then the
Vitamin D goes to the bone
00:07:44.60\00:07:48.26
and helps the calcium
to fix on to the bone,
00:07:48.26\00:07:49.23
okay So, this is
very important. Now, many
00:07:49.23\00:07:52.46
people today don't get
enough sunlight. >>Bill:
00:07:52.46\00:07:56.50
Well, yeah, we hear so
much talk about, you know,
00:07:56.50\00:07:57.66
exposure to the sun
and how dangerous that
00:07:57.66\00:07:59.90
is.>>Dr. Ferreira: That's
true, but.>>Bill: A lot of
00:07:59.90\00:08:04.13
people are so frightened,
right? >>Dr. Ferreira:
00:08:04.13\00:08:05.13
I think what we've
done, we've gone over to the
00:08:05.13\00:08:07.96
other side and we've.but
I don't think people today
00:08:07.96\00:08:13.16
are not getting
sunlight because of the dangers
00:08:13.16\00:08:14.13
that they hear
about it's dangerous,
00:08:14.13\00:08:20.50
it's just because of the
lifestyle.>>Bill: It's the
00:08:20.50\00:08:22.86
lifestyle, sure. >>Dr.
00:08:22.86\00:08:23.36
Ferreira: I mean, they
leave in the morning, go
00:08:23.36\00:08:26.00
to the office, have a
quick lunch, work until 5
00:08:26.00\00:08:27.00
or 6 or 7, whatever,
and then they get home,
00:08:27.00\00:08:31.70
you know.>>Bill: Face the
traffic coming home. >>Dr.
00:08:31.70\00:08:33.60
Ferreira:.and so you
don't get exposed to it, that's
00:08:33.60\00:08:34.80
the main reason. So, lack
of sunlight exposure. Then
00:08:34.80\00:08:36.96
a second thing that is
important is that people,
00:08:36.96\00:08:44.06
they are getting enough
calcium but what happens
00:08:44.06\00:08:45.06
is that as age progresses
is the kidneys, they are
00:08:45.06\00:08:54.63
not able or they lose
the ability to control the
00:08:54.63\00:08:59.93
acid-based balance
as people are when they
00:08:59.93\00:09:00.93
are young, okay. So
what happens is that more and
00:09:00.93\00:09:09.10
more likely people are
of naturally just becoming a
00:09:09.10\00:09:15.36
little more acidic in
their blood. So, but the
00:09:15.36\00:09:16.33
body does not allow for
that so, it robs the bone
00:09:16.33\00:09:19.56
to compensate for that
and to keep the blood at the
00:09:19.56\00:09:28.50
same PH. So, as the
kidneys lose that ability
00:09:28.50\00:09:29.56
the body has to compensate
and that compensation is
00:09:29.56\00:09:35.96
in bone loss.>>Bill: Okay.
00:09:35.96\00:09:36.50
>>Dr. Ferreira:.basically
bone loss and also muscle
00:09:36.50\00:09:42.53
loss. And if you think,
for example, when somebody
00:09:42.53\00:09:47.03
falls, okay, if the
muscles are strong.>>Bill
00:09:47.03\00:09:48.16
Right. >>Dr. Ferreira:.and
there's good muscle mass,
00:09:48.16\00:09:53.56
it's less likely that
that person is going to break a
00:09:53.56\00:09:58.20
bone. But if the
muscles are also weak then it's
00:09:58.20\00:09:59.30
likely that that
person is more likely to break
00:09:59.30\00:10:05.56
a bone. So.>>Bill: Now,
on the topic of acidity, what
00:10:05.56\00:10:08.80
is promoting this acidity?
00:10:08.80\00:10:09.36
>>Dr. Ferreira: When we
digest food, certain foods
00:10:09.36\00:10:16.16
that produce certain
components, like sulfuric
00:10:16.16\00:10:17.13
acid. You've heard about
sulfuric acid.>>Bill: Yes.
00:10:17.13\00:10:21.20
>>Dr. Ferreira:.you put
a drop here and it makes a
00:10:21.20\00:10:23.76
whole, okay. So,
some foods that tend to,
00:10:23.76\00:10:24.70
when they digest and
metabolize, they produce
00:10:24.70\00:10:29.10
more of these components
and there are some foods
00:10:29.10\00:10:33.30
which are an acid, okay.
00:10:33.30\00:10:33.80
And there are some
foods which are more likely to
00:10:33.80\00:10:37.53
produce bicarbonate
which is a more alkaline.>>Bill
00:10:37.53\00:10:38.56
Okay. >>Dr. Ferreira:.type
of food. So, you know,
00:10:38.56\00:10:42.73
years ago there were
some people who produced a
00:10:42.73\00:10:45.83
table, it's the PRAL,
Potential Renal Acid Load,
00:10:45.83\00:10:46.86
okay, so they, sort
of, graded food as to their
00:10:46.86\00:10:57.76
ability to produce an
acid load.>>Bill: Oh, I see.
00:10:57.76\00:11:03.36
>>Dr. Ferreira:.in the
body, okay? And we find
00:11:03.36\00:11:04.36
that fruits and vegetables
are the ones, that are,
00:11:04.36\00:11:08.56
they've got the lowest
levels of PRAL, okay. And,
00:11:08.56\00:11:16.96
for example, the cheeses
and some of the meats and
00:11:16.96\00:11:18.10
the other ones that have
the highest level of PRAL,
00:11:18.10\00:11:23.10
okay. So, the ones that
are more likely to cause
00:11:23.10\00:11:28.80
this bone, bone
loss.>>Bill: Right. >>Dr.
00:11:28.80\00:11:29.70
Ferreira:.to compensate
it, to keep it.>>Bill:
00:11:29.70\00:11:35.33
Because of the acidity.
00:11:35.33\00:11:35.83
>>Dr. Ferreira: Yes. To
keep the balance of acid
00:11:35.83\00:11:38.30
in the base, yes.
>>Bill: So, cheese can provoke
00:11:38.30\00:11:44.13
more acidity than
drinking, like, a citric,
00:11:44.13\00:11:45.03
orange juice. >>Dr.
00:11:45.03\00:11:50.33
Ferreira: That's right.
00:11:50.33\00:11:50.86
And people say, like,
you know, you can't drink the
00:11:50.86\00:11:52.63
orange juice because
it's an acidic drink. Well,
00:11:52.63\00:11:53.63
that's not true. It's a
fruit. It's got a very low
00:11:53.63\00:11:58.20
potential of, of, in
this list of.>>Bill: Yes, yes.
00:11:58.20\00:12:03.56
>>Dr. Ferreira:.Potential
Renal Acid Loads so,
00:12:03.56\00:12:04.53
the fruit, oranges,
is actually quite low.
00:12:04.53\00:12:08.46
Compared, for example,
so, now, it's important to
00:12:08.46\00:12:12.16
keep this in mind.
00:12:12.16\00:12:12.60
Now, the fruits and the
vegetables are the best,
00:12:12.60\00:12:17.50
the best as far as
preventing this acid load,
00:12:17.50\00:12:18.56
renal-based acid
load, yes. >>Bill: So, we
00:12:18.56\00:12:27.13
have the problem of
lack of Vitamin D, we have a
00:12:27.13\00:12:30.66
problem with the acidity,
the acidic load, and then,
00:12:30.66\00:12:31.73
as a result, robbing
from the bones.>>Dr. Ferreira:
00:12:31.73\00:12:38.13
Yes. >>Bill:.right? >>Dr.
00:12:38.13\00:12:38.63
Ferreria: Yes.
>>Bill: What are, are there
00:12:38.63\00:12:41.96
any other causes of
why we're seeing this.>>Dr.
00:12:41.96\00:12:43.93
Ferreira: Then also the
excess of certain, certain
00:12:43.93\00:12:45.00
meats and cheeses,
that's protein-rich foods that
00:12:45.00\00:12:51.76
produce that acid load,
okay? So.>>Bill: Sorry, go
00:12:51.76\00:13:01.13
ahead. So, protein-rich
foods? >>Dr. Ferreira:
00:13:01.13\00:13:02.13
Well, not all. >>Bill:
Okay. >>Dr. Ferreira: You
00:13:02.13\00:13:04.36
see, for example,
legumes, beans, they are high in
00:13:04.36\00:13:08.33
protein but they are also
high in certain components
00:13:08.33\00:13:09.40
that produce bicarbonate.
00:13:09.40\00:13:16.46
So, because they've got
that equilibrium they're
00:13:16.46\00:13:17.46
less likely to cause
problems.>>Bill: I see.
00:13:17.46\00:13:21.60
>>Dr. Ferreira:.and,
but, meat itself is quite poor
00:13:21.60\00:13:26.16
in those components
that can lead to an increased
00:13:26.16\00:13:27.23
bicarb in the body, in
the blood, so, you know,
00:13:27.23\00:13:34.86
it's not all protein
foods It's more the animal-based
00:13:34.86\00:13:41.33
protein foods that seem
to produce this effect and
00:13:41.33\00:13:42.40
rob the calcium, the
bone from calcium, yes.
00:13:42.40\00:13:47.50
>>Bill: Is this relatively
new thinking that says
00:13:47.50\00:13:50.43
that.>>Dr. Ferreria:
Well, it is relatively new. It's
00:13:50.43\00:13:51.53
a few years old
but, you know, only
00:13:51.53\00:13:56.36
now it's becoming more
substantiated, okay. So,
00:13:56.36\00:14:01.40
yeah, it's relatively
new I'd say. >>Bill: So this
00:14:01.40\00:14:02.50
is something that is,
that, you know, how we're
00:14:02.50\00:14:07.13
feeding ourselves.>>Dr.
00:14:07.13\00:14:07.63
Ferreira: That's right.
00:14:07.63\00:14:11.73
>>Bill:.is having
an impact on us. >>Dr.
00:14:11.73\00:14:12.60
Ferreira:
That's right, yes. Now,
00:14:12.60\00:14:14.23
there's something very
interesting, for examples,
00:14:14.23\00:14:16.13
some of the things that
also produce some acid are
00:14:16.13\00:14:17.20
some of the cereals.
The whole grain cereal. But,
00:14:17.20\00:14:24.06
you know, often when
people eat, and we eat
00:14:24.06\00:14:29.60
lots of cereals, you
know, people - either refined or
00:14:29.60\00:14:30.70
whole grains, you know
and those can actually cause
00:14:30.70\00:14:33.93
some acidity. But
because when you eat you should
00:14:33.93\00:14:38.86
eat them with fruit,
for example, and there is a
00:14:38.86\00:14:39.86
balance there. There
is a balance which is very
00:14:39.86\00:14:45.16
helpful in the prevention
of osteoporosis. >>Bill:
00:14:45.16\00:14:50.43
Now, we hear a lot of
talk about, you see on
00:14:50.43\00:14:51.40
television commercials,
increasing the amount
00:14:51.40\00:14:55.46
of calcium intake. >>Dr.
00:14:55.46\00:14:56.03
Ferreira: Yes. >>Bill:
Take more calcium and, I
00:14:56.03\00:14:59.36
mean, for most lay people
like me it sounds logical,
00:14:59.36\00:15:04.36
right? If there's a
problem with the bones
00:15:04.36\00:15:05.30
then have more calcium.
00:15:05.30\00:15:09.60
But are you saying
that it's not necessarily
00:15:09.60\00:15:10.56
an issue of taking more
calcium? >>Dr. Ferreira:
00:15:10.56\00:15:13.23
No, it's like, if you
want to build your house and
00:15:13.23\00:15:15.46
you want to build
a concrete house with
00:15:15.46\00:15:16.33
cement, okay, okay, you
say, alright, I want this
00:15:16.33\00:15:20.70
pillar to really be
strong so I'm going to pour more
00:15:20.70\00:15:25.70
cement. So you pour
some packs of dry cement into
00:15:25.70\00:15:26.66
the concrete beams or
pillars it will not work.
00:15:26.66\00:15:30.60
>>Bill: That's right.
00:15:30.60\00:15:31.06
>>Dr. Ferreira: It
needs the water, it needs
00:15:31.06\00:15:34.86
the.>>Bill: The gravel.
00:15:34.86\00:15:35.46
>>Dr. Ferreira:.stone,
so adding more calcium does
00:15:35.46\00:15:38.56
not necessarily help you
prevent. It's true that to
00:15:38.56\00:15:44.76
be calcium deficient may
actually not work in your
00:15:44.76\00:15:45.86
favour but any more may
not actually be the best.
00:15:45.86\00:15:51.20
In fact, some of the
people in the world who
00:15:51.20\00:15:54.33
have less osteoporosis
are people who have very
00:15:54.33\00:15:55.30
little calcium intake.
You know.>>Bill: Oh, that's
00:15:55.30\00:15:59.96
interesting. >>Dr.
00:15:59.96\00:16:00.43
Ferreira:.the African
people, for example, the
00:16:00.43\00:16:02.23
rural African people
have got very low rates of
00:16:02.23\00:16:05.13
osteoporosis and they
take very little amounts
00:16:05.13\00:16:06.10
of calcium. So it's
not everything. For us I
00:16:06.10\00:16:10.00
think we don't take
enough Vitamin D and so on. It
00:16:10.00\00:16:16.83
feels very tempting to
take more calcium but I
00:16:16.83\00:16:17.83
don't think we
should go more than the 1000
00:16:17.83\00:16:20.10
milligrams, or the 1000
milligrams total.>>Bill:
00:16:20.10\00:16:24.40
Okay. >>Dr. Ferreira:.per
day, okay? Now, if you do
00:16:24.40\00:16:25.43
have osteoporosis and
you are on a treatment
00:16:25.43\00:16:28.30
plan you may tweak
that a little bit but that's
00:16:28.30\00:16:31.93
essentially it.
>>Bill: What role does exercise
00:16:31.93\00:16:33.06
play.>>Dr. Ferreira:
Well, a very, very important
00:16:33.06\00:16:38.16
role. See, when, when
you've got the Vitamin D,
00:16:38.16\00:16:44.23
you've got the calcium,
you've got, you know, you
00:16:44.23\00:16:45.26
don't have, we don't
have calcium robbers like
00:16:45.26\00:16:48.33
alcohol, like soda
drinks, and, you know, they all
00:16:48.33\00:16:54.80
rob the calcium.>>Bill:
So even the soda? The pops.
00:16:54.80\00:16:55.83
>>Dr. Ferreira: Yes.
When you have that - let's say
00:16:55.83\00:16:59.60
you've got all of that
right and you lie in bed
00:16:59.60\00:17:02.70
or you sit the whole
day the bone is reforming a
00:17:02.70\00:17:03.83
little bit but it
cannot, it will not do much. It
00:17:03.83\00:17:12.56
needs to have the physical
stress, it needs to feel,
00:17:12.56\00:17:17.96
I actually thought
about it, it needs to feel
00:17:17.96\00:17:18.93
needed. Okay? And the
best way to make the bones feel
00:17:18.93\00:17:25.16
needed is to put them to
use and that's to put some
00:17:25.16\00:17:29.83
weight on them.
00:17:29.83\00:17:30.23
So, physical activity,
physical exercise is very,
00:17:30.23\00:17:35.70
very important in
osteoporosis prevention
00:17:35.70\00:17:36.60
and the treatment of
osteoporosis. >>Bill:
00:17:36.60\00:17:41.13
know you're a big
proponent of walking.
00:17:41.13\00:17:43.80
>>Dr. Ferreira: Yes.
00:17:43.80\00:17:44.26
>>Bill: It's an easy
thing to do. It's inexpensive,
00:17:44.26\00:17:47.26
right? >>Dr.
Ferreira: Yes. >>Bill: It can be
00:17:47.26\00:17:48.23
done anywhere. How
much exercise, how much
00:17:48.23\00:17:52.50
walking, how much
exercise do you recommend.>>Dr.
00:17:52.50\00:17:56.96
Ferreira: I would
recommend.>>Bill:.for
00:17:56.96\00:17:57.83
an average person? >>Dr.
00:17:57.83\00:18:00.63
Ferreira:.I would
recommend at least five
00:18:00.63\00:18:01.53
times a day of half
an hour to 40 minutes of
00:18:01.53\00:18:04.36
exercise. >>Bill:
Five times a week. >>Dr.
00:18:04.36\00:18:09.93
Ferreira: Sorry, five
times a week, yes. Five
00:18:09.93\00:18:10.93
times a week.
Brisk walking and I would
00:18:10.93\00:18:13.46
include about five
to ten minutes of some
00:18:13.46\00:18:15.90
weights.>>Bill: Okay.
00:18:15.90\00:18:16.40
>>Dr. Ferreira:.just
small weights, you know, 2 to 3
00:18:16.40\00:18:22.16
kilos per arm and
just do that. It's muscle
00:18:22.16\00:18:23.10
strengthening exercise.
00:18:23.10\00:18:27.53
Those are very important
because as age progresses
00:18:27.53\00:18:28.53
the muscles tend to
get weaker. You lose your
00:18:28.53\00:18:33.96
muscle mass. So, we used
to think that just walking
00:18:33.96\00:18:39.56
would be okay.
Walking is fine, it's the best
00:18:39.56\00:18:40.63
but, you know, take
some weights with you and
00:18:40.63\00:18:42.66
for about 5 minutes, 10
minutes just do with the
00:18:42.66\00:18:50.90
weight-lifting.
Nothing major, just a few kilos
00:18:50.90\00:18:51.93
and that would be
very good prevention of
00:18:51.93\00:18:53.46
osteoporosis. >>Bill:
Now, there are tests you can
00:18:53.46\00:18:58.10
take, I'm assuming,
to measure the density
00:18:58.10\00:18:59.03
of your bones. >>Dr.
00:18:59.03\00:19:03.63
Ferreira: Yes. Tests are
there. Bone densitometry.
00:19:03.63\00:19:04.63
It's a very quick test.
00:19:04.63\00:19:09.80
You can do bone
densitometry for your
00:19:09.80\00:19:10.66
wrist, or you spine, or
your hips, and so on. So,
00:19:10.66\00:19:16.30
this bone densitometries,
they see how dense your
00:19:16.30\00:19:22.43
bone is and it helps
you to know what to do, how
00:19:22.43\00:19:23.43
intervene in terms of
prevention and treatment
00:19:23.43\00:19:33.46
of osteoporosis.
>>Bill: Is that something you
00:19:33.46\00:19:36.53
recommend? >>Dr. Ferreira:
Oh yes, yes. We recommend
00:19:36.53\00:19:37.60
that everyone over
the age of 65 does a bone
00:19:37.60\00:19:39.76
densitometry. Now,
people recommend that much
00:19:39.76\00:19:44.93
earlier on but others
think it's not necessary
00:19:44.93\00:19:45.90
Because once you have
the results you need to know
00:19:45.90\00:19:52.63
what you're going to
do >>Bill: Right. >>Dr.
00:19:52.63\00:19:57.63
Ferreira: You know,
the people in definitive
00:19:57.63\00:19:58.70
situations one
should be more aggressive
00:19:58.70\00:20:06.06
in treatment but in
most cases would do very well
00:20:06.06\00:20:08.53
with just
lifestyle changes. >>Bill: Is
00:20:08.53\00:20:09.43
this something that is
reversible or can delay
00:20:09.43\00:20:10.70
the advancement? >>Dr.
00:20:10.70\00:20:11.16
Ferreira: Yes, definitely.
00:20:11.16\00:20:18.26
Lifestyle intervention
can not only stabilize but
00:20:18.26\00:20:19.30
it can actually reverse
a little bit of the bone
00:20:19.30\00:20:24.96
loss. Okay, so, but at
least if I can stabilize,
00:20:24.96\00:20:30.96
if I don't lose more
then that would be great
00:20:30.96\00:20:31.90
because then my bones
are, at least, I'm not afraid
00:20:31.90\00:20:36.13
of just breaking them
and so on. So, it's very
00:20:36.13\00:20:41.70
important. >>Bill: So,
somebody watching right
00:20:41.70\00:20:42.70
now that's either has
this or has a lifestyle
00:20:42.70\00:20:45.40
that.give us some do's
and don't's. >>Dr. Ferreira:
00:20:45.40\00:20:50.76
Okay. Do's and Don't's.
00:20:50.76\00:20:51.30
Don't just rush into
medication if you've got
00:20:51.30\00:20:57.13
osteoporosis. Consult
your doctor. See a specialist.
00:20:57.13\00:20:58.30
You know, there's
some clear indications for
00:20:58.30\00:21:03.00
immediate treatment but
it's not in all cases. As
00:21:03.00\00:21:07.90
I said, most cases
will respond very well to
00:21:07.90\00:21:08.86
lifestyle intervention,
okay. So, make sure that
00:21:08.86\00:21:12.40
you're having a good
diet A diet without calcium
00:21:12.40\00:21:15.33
robbers. Eat plenty
of fruits and vegetables
00:21:15.33\00:21:16.30
Very important. Eat
cereals, in moderation, as
00:21:16.30\00:21:22.93
well, with the fruits
and vegetables. Avoid animal
00:21:22.93\00:21:27.83
sources of protein. You
know, protein is important
00:21:27.83\00:21:29.03
for health. You know, we
shouldn't not be deprived
00:21:29.03\00:21:35.80
of protein but try and
choose sources more from
00:21:35.80\00:21:39.63
the vegetable sources
rather than the animal
00:21:39.63\00:21:40.70
sources, okay? So,
that's very important. Drink
00:21:40.70\00:21:43.80
plenty of water. Avoid
the soda drinks that will rob
00:21:43.80\00:21:48.36
the calcium from your
bones. And then, exercise.
00:21:48.36\00:21:49.40
Exercise. Very,
very important. In fact,
00:21:49.40\00:21:55.93
you know, if you're afraid
that your bones may be too
00:21:55.93\00:22:01.33
brittle to
exercise.>>Bill: Yeah.
00:22:01.33\00:22:02.10
>>Dr. Ferreira:.see
your doctor. Consult with
00:22:02.10\00:22:04.70
him and even consult a
physical trainer to see
00:22:04.70\00:22:09.66
which exercises would
be the best. You know, what
00:22:09.66\00:22:10.63
would be the limits but
do something about it. And
00:22:10.63\00:22:14.63
also, sunshine. I
know that in Canada and may
00:22:14.63\00:22:19.63
parts of the
northern hemisphere, people
00:22:19.63\00:22:20.66
during the winter, it's
a problem. Sunshine, it's a
00:22:20.66\00:22:24.50
problem. But, you know,
in those situations, take a
00:22:24.50\00:22:28.16
supplement. You know,
it's been said that 400 IU a
00:22:28.16\00:22:29.23
day is enough. The people,
they suggest 600 but, you
00:22:29.23\00:22:35.16
know, say at least 400
for those dark periods of the
00:22:35.16\00:22:39.60
year. Maybe from, from
December up to March or
00:22:39.60\00:22:40.60
so, February and the
rest of the time come out
00:22:40.60\00:22:48.33
and get at least half
an hour.>>Bill: I was going
00:22:48.33\00:22:52.86
to say how long?
00:22:52.86\00:22:53.23
About half an hour. >>Dr.
00:22:53.23\00:22:53.73
Ferreira: Half an hour
is safe. Half an hour is
00:22:53.73\00:22:55.53
safe. And you don't
have to use a UV protector if
00:22:55.53\00:22:57.60
you only get a half an
hour of sunshine. >>Bill:
00:22:57.60\00:22:58.60
Okay. >>Dr. Ferreira:
It's people who get more or get
00:22:58.60\00:23:03.36
exposure for about an
hour or half an hour. >>Bill:
00:23:03.36\00:23:08.60
Pick the right time of
the day. >>Dr. Ferreira: Pick
00:23:08.60\00:23:09.66
the right time. Avoid
the peaks between 11 o'clock
00:23:09.66\00:23:11.60
and 3 o'clock depending
on the time of the year. So,
00:23:11.60\00:23:15.93
those would be the
practical things. >>Bill:
00:23:15.93\00:23:16.86
Same advice for men
and women? >>Dr. Ferreira:
00:23:16.86\00:23:19.96
Same advice for men
and women, yes. >>Bill:
00:23:19.96\00:23:23.23
Calcium-rich - we only
have a couple of minutes
00:23:23.23\00:23:24.20
- calcium-rich foods
would be? >>Dr. Ferreira: Well,
00:23:24.20\00:23:27.76
calcium-rich foods, well,
you've got the milk, dairy
00:23:27.76\00:23:30.63
products, they are,
in people minds when they
00:23:30.63\00:23:31.60
think about calcium
they.>>Bill: That's what
00:23:31.60\00:23:35.40
they think of right
away >>Dr. Ferreira:.think of
00:23:35.40\00:23:37.30
milk and cheese but be
careful because as I said,
00:23:37.30\00:23:38.33
cheese may not be the
best as far as acid-based
00:23:38.33\00:23:40.03
balance. But you've got
other sources of calcium.
00:23:40.03\00:23:45.06
For example you've got
figs; the citric fruits
00:23:45.06\00:23:46.06
like oranges and
lemons; you've got dark green
00:23:46.06\00:23:50.36
leafy vegetables,
they're also rich in calcium.
00:23:50.36\00:23:57.03
You've got soy, the soy
beans are rich in calcium
00:23:57.03\00:23:58.20
as well. You've got,
for example, the hazelnuts,
00:23:58.20\00:24:02.10
they are rich in
calcium All kinds, all kinds of
00:24:02.10\00:24:07.06
nuts. So they are
calcium-rich foods. Get
00:24:07.06\00:24:07.96
yourself a nutrition
book or a table of nutrients,
00:24:07.96\00:24:13.03
okay, and look there
what they are. You know, they
00:24:13.03\00:24:19.43
are available. We
dot have to take dairy to
00:24:19.43\00:24:20.53
have a calcium-rich diet.
00:24:20.53\00:24:24.23
>>Bill: Well, the
good news is that with some
00:24:24.23\00:24:25.20
lifestyle changes.>>Dr.
00:24:25.20\00:24:28.83
Ferreira: Yes.
00:24:28.83\00:24:29.20
>>Bill:.this problem
can.>>Dr. Ferreira: It's
00:24:29.20\00:24:31.43
essentially a lifestyle
disease and because it's
00:24:31.43\00:24:32.53
so there is hope.
>>Bill: Right. Doctor, thank you
00:24:32.53\00:24:34.70
for sharing hope with us.
00:24:34.70\00:24:35.20
>>Dr. Ferreira:
You're welcome. >>Bill: Let's
00:24:35.20\00:24:39.56
have a word of prayer.
00:24:39.56\00:24:40.03
Gracious, loving, heavenly
Father. We thank you for
00:24:40.03\00:24:43.03
your kindness towards
us We think of those, right
00:24:43.03\00:24:45.40
now, that may be going
through a problem, it may
00:24:45.40\00:24:46.40
be osteoporosis or
another problem Father.
00:24:46.40\00:24:51.30
Give them the wisdom and
determination to make the
00:24:51.30\00:24:54.43
kinds of changes in their
lives that need to be made
00:24:54.43\00:24:55.50
so that they can
live life and live it more
00:24:55.50\00:24:58.80
abundantly. In
Jesus' name, Amen. >>Dr.
00:24:58.80\00:25:03.43
Ferreira: Amen.
00:25:03.43\00:25:05.23
(MUSIC)
00:25:07.60\00:25:18.60
>>Bill: If you'd like
to have more information on
00:25:20.03\00:25:21.00
our topic today or
another health topic, there's a
00:25:21.00\00:25:24.10
wonderful resource
for you, it's the magazine
00:25:24.10\00:25:27.76
"Living Longer and Feeling
Better". We'd like to send
00:25:27.76\00:25:28.86
it to you. It's a
gift from "It Is Written".
00:25:28.86\00:25:33.86
Here is the information
you need to get your free
00:25:33.86\00:25:36.13
copy.
00:25:36.13\00:25:37.80
Well Doctor, we've
come to the end of another
00:26:36.83\00:26:37.83
program. Any closing
thoughts for our viewers.
00:26:37.83\00:26:40.00
>>Dr. Ferreira: Well,
strengthen your bones by
00:26:40.00\00:26:42.66
having a good diet,
exercise, and get some
00:26:42.66\00:26:43.60
sunlight. >>Bill:
Sounds very doable. >>Dr.
00:26:43.60\00:26:48.30
Ferreira: Yes, I think so.
00:26:48.30\00:26:48.96
>>Bill: Thank you, Doctor.
00:26:48.96\00:26:52.33
>>Dr. Ferreira: But we
need to start now. >>Bill:
00:26:52.33\00:26:53.36
Start today. Thank you.
00:26:53.36\00:26:54.76
And thank you our faithful
viewers, you tune in each
00:26:54.76\00:26:55.83
and every week and let
me tell you how much we
00:26:55.83\00:26:59.36
appreciate that. Well,
we want to remind you of our
00:26:59.36\00:27:04.86
website,
itiswrittencanada.ca. On
00:27:04.86\00:27:05.56
the website you can do a
number of things. One, you
00:27:05.56\00:27:09.56
can send a prayer request
You know, our office staff
00:27:09.56\00:27:12.93
gets together every
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00:27:12.93\00:27:13.90
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00:27:13.90\00:27:18.10
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00:27:18.10\00:27:21.06
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00:27:21.06\00:27:22.03
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00:27:22.03\00:27:25.66
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00:27:25.66\00:27:30.93
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00:28:03.13\00:28:03.66
Well, we pray that the
Good Lord will give us the
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privilege of being
back together with you again
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next week. Until then,
remember, it is written;
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man shall not live by
bread alone but by every
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word that proceeds
from the mouth of God.
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