3 Osteoporosis Bone health Diagnosis and Treatment of Osteoporosis in the Aging Spine Patient

Public Health ◽  
1997 ◽  
Vol 111 (3) ◽  
pp. 191-194 ◽  
Author(s):  
C.A.C. Coupland ◽  
I. Packham ◽  
A.R. Lyons ◽  
C.E.D. Chilvers ◽  
D.J. Hosking

2018 ◽  
Vol 3 ◽  
pp. 205990211880251
Author(s):  
Kee Fong Phang ◽  
Jiacai Cho ◽  
Weixian Lee ◽  
Anselm Mak

Improvement in survival of systemic lupus erythematosus has been brought about with new advancement in treatment. However, glucocorticoids remain the sole cornerstone and as patients live longer, there is a need to address long-term complications brought by long-term glucocorticoid use such as osteoporosis. In this review, glucocorticoid-induced osteoporosis in systemic lupus erythematosus will be extensively discussed. This would include prevalence of osteoporosis in systemic lupus erythematosus patients, the difficulties in measuring fracture risk and pitfalls in using conventional methods such as bone mineral density. In addition, the mechanism of actions of glucocorticoids and evidence for glucocorticoids in the treatment of specific systemic lupus erythematosus manifestations would be explored and we also discussed specific pathophysiological mechanisms in the development of glucocorticoid-induced osteoporosis in systemic lupus erythematosus. We also reviewed the latest guidelines in the treatment of glucocorticoid-induced osteoporosis and the evidence for various osteoporosis medications. Finally, we recommend an approach in monitoring bone health and the treatment of osteoporosis specifically in systemic lupus erythematosus patients.


2010 ◽  
Vol 54 (2) ◽  
pp. 179-185 ◽  
Author(s):  
Bárbara Santarosa Emo Peters ◽  
Lígia Araújo Martini

Osteoporosis is a global health problem characterized by low bone mass and microarchitectural deterioration of bone tissue with a consequent increase in bone fragility and susceptibility to fracture. Nutrition plays a critical role in reducing the risk of osteoporosis through its effect on all of these fragility factors, especially on the development and maintenance of bone mass. An adequate calcium, vitamin D and protein intake resulted in reduced bone remodeling, better calcium retention, reduced age-related bone loss, and reduced fracture risk. Recent evidence indicates that a healthy dietary pattern including dairy products (mainly fat free), fruit and vegetables and adequate amounts of meat, fish and poultry is positively related to bone health. Furthermore, mineral and vitamin supplementation should be closely monitored by health professionals since it could have adverse effects and be insufficient to ensure optimal protection of bone health.


Therapy ◽  
2021 ◽  
Vol 1_2021 ◽  
pp. 147-153
Author(s):  
Toroptsova N.V. Toroptsova ◽  
Dobrovolskaya O.V. Dobrovolskaya ◽  
Nikitinskaya O.A. Nikitinskaya O ◽  

2007 ◽  
Vol 2 (1-2) ◽  
pp. 1-6 ◽  
Author(s):  
L. L. Laslett ◽  
J. N. Whitham ◽  
C. Gibb ◽  
T. K. Gill ◽  
J. A. Pink ◽  
...  

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