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(WORD COUNT: 493)
The incidence of hip fracture, which is very often due to osteoporosis (Kerri Winters-Stone, PHD, 2005), in Asia has raised two to three folds during the past 30 years. This statistics shows that it will become a major health challenge for the region in the near future as the senior population is increasing.
Taking Singapore for example, the incidence of hip fracture in 1998 was five times of that observed in the 1960s. “By 2050, more than 50 percent of osteoporotic fractions will occur in Asia,” according to a new landmark report, “The Asian Audit, Epidemiology, costs and burden of osteoporosis in Asia 2009”. It is published by the International Osteoporosis Foundation. Such hip fractures are often due to falls by osteoporosis patients which can be reduced significantly through exercises that focus on balancing and stability. Tai Chi has been considered as a safer alternative exercise therapy for seniors to engage as a form of exercise. Besides improving the functional stability, the weight bearing nature of Tai Chi also helps to strengthen the muscles and bones. It allows the practitioner to become more awareness of their own body movements.
The rising incidence of hip fracture in Asia comes at a time when the situation is showing some signs of stabilization in the West. The report said that the decline could be due to socio-economic changes, such as an increase in body mass index, or could be due to more patients with osteoporosis which are being diagnosed and treated.
However, on the other hand, in Asia, osteoporosis “is greatly under diagnosed and under treated”, although governments are now beginning to recognize it as a major health problems. “Many of our Tai Chi students do not know what osteoporosis is and that whether they are at high risk of having osteoporosis”, added Diana Ng, senior Tai Chi coach.
Prevention is always better than cure and Tai Chi can be practiced anywhere, anytime and by anyone who want to enhance their quality of life. Individual should be able to stand on single leg balance and maintain stability for 10 seconds without falling to be considered low risk. While this may seem easy, many individual failed this balancing test which includes children and young adults.
The report also noted that the actual care cost associated with hip fracture is “tremendous in all developed countries”. In the United States, for instance, the direct cost of hip fracture was about US$13.8 billion (SGD19 billion) in 1995.
“Given the high cost associated with osteoporosis and hip fracture, early detection and treatment of high-risk patients are critical,” the report said.
“Our Tai Chi students are able to see improvements in their balance and stability where they can comfortably maintain standing on single leg without much difficulty for more than 1 minute. There is actually no secret to achieving, all you need to do is to focus and apply the Tai Chi principle of postural alignment,” added Diana, Senior Coach of NewAgeTaichi.
Cambell, A. et al. (1997) Randomised controlled trial of general practice programme of home based exercise to prevent falls in elderly women. British Medical Journal 315 1065-1069
Dianne Daniels, M.A., (2008) Exercise for Osteoporosis (3rd Edition Ed) Hatherleigh Press New York, London
Kerri Winters-Stone, P., (2005) Action Plan For Osteoporosis - Your guide to stronger, healthier bones Human Kinetics USA
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