Yoga injuries 3 times more in older participants than young

The incidence of fracture and other yoga-related injuries in older participants is about three times higher than in the younger population, claims a new study. Researchers from University of Alabama at Birmingham in the US, studied data from the US National Electronic Injury Surveillance System compiled from 2001 and 2014.

They found the overall rate of yoga-related injuries climbed to 17 per 1,00,000 participants in 2014, up from 10 per 1,00,000 in 2001. The injury rate for older participants was higher. Those 65 and older experienced an injury rate of 58 per 100,000. Individuals ages 45-64 saw an injury rate of 18 per 100,000, while those between 18-44 years of age had an injury rate of 12 per 100,000.

Overall, the team found 29,590 yoga-related injuries during the study period. Nearly half were injuries to the trunk, and sprains or strains accounted for 45 per cent of all injuries.

“Yoga injuries are relatively rare, and as you might expect, the incidence tends to rise with the age of the participant,” said Thomas Swain, researcher at University of Alabama at Birmingham.

“We did find that the injury rate is increasing over time, which may be a reflection of the increase in popularity of yoga, leading to an increase in inexperienced participants who do not take the necessary precautions to avoid injury.” said Swain.

“The incidence of fracture was highest in the older population, some three times higher than in the younger population,” he said.
“For all injuries, the actual risk might be higher than our numbers show, as we surveyed results only from those who sought medical attention in an emergency department,” Swain added.

As with any sport or physical activity, it is important to be sure you are physically capable of the undertaking, said researchers. “Talk to your physician before taking up yoga, be cautious, and recognise your personal limitations, particularly if you are over 65,” Swain said.

“Yoga is harder and more demanding than some people believe,” said Gerald McGwin, from University of Alabama at Birmingham.

“You need a realistic view of your own abilities, and you need to understand that some poses might be too challenging and inappropriate. A qualified, certified yoga instructor can help you with that assessment and is essential to a safe experience,” said McGwin. The study was published in the Orthopedic Journal of Sports Medicine.

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Menopause before 40 ups fracture risk

If you are in menopause before the age of 40, you have a higher fracture risk, even with calcium and vitamin D supplements, says a study.

For years, calcium and vitamin D have been touted for their abilities to increase bone mineral density. 

Hormone therapy is also recognised for its ability to help ward off osteoporosis.

That is what prompted this latest study -- published online in Menopause, the journal of the North American Menopause Society (NAMS) -- to evaluate the effectiveness of calcium, vitamin D, and/or hormones in offsetting the higher fracture risks for women experiencing early menopause.

Based on an evaluation of nearly 22,000 women included in the Women's Health Initiative (WHI) clinical trials, the researchers found that women younger than 40 years already in menopause had significantly higher risks for fracture than women who experienced menopause between the ages of 40 and 49 or after 50, regardless of treatment intervention.

"This study highlights the need for healthcare providers to take into consideration a woman's age at menopause onset when evaluating patients for fracture risk," JoAnn Pinkerton, NAMS Executive Director, said in a statement.

"Women at risk for bone loss need 1,200 mg of calcium per day, with adequate vitamin D, and encouraged to get as much as possible through diet due to concern that too much supplemental calcium may increase atherosclerotic plaque in women," Pinkerton said.

"Women with early menopause should discuss whether they are candidates for hormone therapy with their providers, appropriate amount of calcium, vitamin D and hormones," Pinkerton pointed out.

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