Prevention of osteoporotic fractures in the elderly

Osteoporosis is a common and preventable disorder of the older adult skeleton that predisposes an individual to an increased risk of fracture, a major cause of disability in older adults. Most patients with osteoporosis have an identifiable cause of bone loss. Factors contributing to osteoporotic fr...

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Published inThe American journal of medicine Vol. 118; no. 11; pp. 1190 - 1195
Main Authors Wilkins, Consuelo H., Birge, Stanley J.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.11.2005
Elsevier Sequoia S.A
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Abstract Osteoporosis is a common and preventable disorder of the older adult skeleton that predisposes an individual to an increased risk of fracture, a major cause of disability in older adults. Most patients with osteoporosis have an identifiable cause of bone loss. Factors contributing to osteoporotic fractures are more often associated with disordered neuromuscular function affecting postural stability than disordered skeletal integrity. Effective pharmacologic agents are available for the prevention and treatment of osteoporosis. Prevention of osteoporotic fractures in the elderly, particularly nonvertebral fractures, presents unique challenges. Fracture prevention requires identification and management of disorders that contribute to falls, the prevention of falls, and reduction of the impact force of falls. Thus, both pharmacological and nonpharmacological strategies need to be employed. The presence of multiple co-morbidities further complicates management of osteoporosis in the elderly population.
AbstractList Osteoporosis is a common and preventable disorder of the older adult skeleton that predisposes an individual to an increased risk of fracture, a major cause of disability in older adults. Most patients with osteoporosis have an identifiable cause of bone loss. Factors contributing to osteoporotic fractures are more often associated with disordered neuromuscular function affecting postural stability than disordered skeletal integrity. Effective pharmacologic agents are available for the prevention and treatment of osteoporosis. Prevention of osteoporotic fractures in the elderly, particularly nonvertebral fractures, presents unique challenges. Fracture prevention requires identification and management of disorders that contribute to falls, the prevention of falls, and reduction of the impact force of falls. Thus, both pharmacological and nonpharmacological strategies need to be employed. The presence of multiple co-morbidities further complicates management of osteoporosis in the elderly population.
Osteoporosis is a common and preventable disorder of the older adult skeleton that predisposes an individual to an increased risk of fracture, a major cause of disability in older adults. Most patients with osteoporosis have an identifiable cause of bone loss. Factors contributing to osteoporotic fractures are more often associated with disordered neuromuscular function affecting postural stability than disordered skeletal integrity. Effective pharmacologic agents are available for the prevention and treatment of osteoporosis. Prevention of osteoporotic fractures in the elderly, particularly nonvertebral fractures, presents unique challenges. Fracture prevention requires identification and management of disorders that contribute to falls, the prevention of falls, and reduction of the impact force of falls. Thus, both pharmacological and nonpharmacological strategies need to be employed. The presence of multiple co-morbidities further complicates management of osteoporosis in the elderly population. [PUBLICATION ABSTRACT]
Author Wilkins, Consuelo H.
Birge, Stanley J.
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/16271899$$D View this record in MEDLINE/PubMed
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Issue 11
Keywords Prevention
Osteoporosis
Fractures
Treatment
Diagnosis
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Snippet Osteoporosis is a common and preventable disorder of the older adult skeleton that predisposes an individual to an increased risk of fracture, a major cause of...
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SubjectTerms Accidental Falls - prevention & control
Aged
Aged, 80 and over
Bone Density Conservation Agents - therapeutic use
Calcium - deficiency
Calcium - therapeutic use
Cerebrovascular Disorders - complications
Cognition Disorders - complications
Comorbidity
Diagnosis
Diphosphonates - therapeutic use
Exercise Therapy
Female
Fractures
Fractures, Spontaneous - epidemiology
Fractures, Spontaneous - etiology
Fractures, Spontaneous - prevention & control
Hip Fractures - epidemiology
Hip Fractures - etiology
Hip Fractures - prevention & control
Humans
Incidence
Institutionalization
Male
Middle Aged
Older people
Osteoporosis
Osteoporosis - complications
Osteoporosis - diagnosis
Osteoporosis - drug therapy
Osteoporosis - epidemiology
Parathyroid Hormone - therapeutic use
Patient Compliance
Pharmacology
Prevalence
Prevention
Preventive medicine
Spinal Fractures - epidemiology
Spinal Fractures - etiology
Spinal Fractures - prevention & control
Treatment
Vitamin D - therapeutic use
Vitamin D Deficiency - complications
Vitamin D Deficiency - prevention & control
Title Prevention of osteoporotic fractures in the elderly
URI https://dx.doi.org/10.1016/j.amjmed.2005.06.046
https://www.ncbi.nlm.nih.gov/pubmed/16271899
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Volume 118
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