Bone Health and Osteoporosis

被引:210
作者
Lupsa, Beatrice C. [1 ]
Insogna, Karl [1 ]
机构
[1] Yale Univ, Sch Med, Dept Internal Med, Yale Bone Ctr, New Haven, CT 06510 USA
关键词
Osteoporosis; Menopause; Fracture; Bone loss; Bone mineral density; DXA; Calcium; Vitamin D; FRACTURE INTERVENTION TRIAL; RANDOMIZED CONTROLLED-TRIAL; POSTMENOPAUSAL WOMEN; DIETARY-PROTEIN; ESTABLISHED OSTEOPOROSIS; BIOCHEMICAL MARKERS; VERTEBRAL FRACTURES; ZOLEDRONIC ACID; MINERAL DENSITY; CLINICAL-TRIAL;
D O I
10.1016/j.ecl.2015.05.002
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Osteoporosis is characterized by low bone mass and microarchitectural deterioration of bone tissue leading to decreased bone strength and an increased risk of low-energy fractures. Central dual-energy X-ray absorptiometry measurements are the gold standard for determining bone mineral density. Bone loss is an inevitable consequence of the decrease in estrogen levels during and following menopause, but additional risk factors for bone loss can also contribute to osteoporosis in older women. A well-balanced diet, exercise, and smoking cessation are key to maintaining bone health as women age. Pharmacologic agents should be recommended in patients at high risk for fracture.
引用
收藏
页码:517 / +
页数:16
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