Osteoporosis: screening, prevention, and management

Osteoporosis is characterized by low bone mineral density (BMD) and abnormal bone architecture. Common fracture sites are vertebrae, proximal femur, and distal forearm. Osteoporosis is underdiagnosed and undertreated. All women 65 and older should be screened. Consider screening younger postmenopaus...

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Bibliographic Details
Published inThe Medical clinics of North America Vol. 99; no. 3; p. 587
Main Authors Golob, Anna L, Laya, Mary B
Format Journal Article
LanguageEnglish
Published United States 01.05.2015
Subjects
Bone Density
Female
Humans
Mass Screening - methods
Osteoporosis - diagnosis
Osteoporosis - prevention & control
Osteoporosis - therapy
Osteoporotic Fractures - diagnosis
Osteoporotic Fractures - therapy
Risk Factors
Prevention
Osteoporosis
Screening
Management
Osteopenia
Fragility fractures
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Summary:Osteoporosis is characterized by low bone mineral density (BMD) and abnormal bone architecture. Common fracture sites are vertebrae, proximal femur, and distal forearm. Osteoporosis is underdiagnosed and undertreated. All women 65 and older should be screened. Consider screening younger postmenopausal women with elevated risk. Osteoporosis is diagnosed based on T score or a fragility fracture. Women with osteoporosis or who have a 10-year risk of any major fracture of 20% or hip fracture of 3% should be evaluated for causes of low bone density and treated with an osteoporosis-specific medication, lifestyle interventions, and calcium and vitamin D intake.
ISSN:1557-9859
DOI:10.1016/j.mcna.2015.01.010