Management of osteoporosis.

摘要: Osteoporosis or osteopenia occurs in about 44 million Americans, resulting 1.5 fragility fractures per year. The consequences of these include pain, disability, depression, loss independence, and increased mortality. burden to the healthcare system, terms cost resources, is tremendous, with an estimated direct annual USA expenditure $17 billion. With longer life expectancy aging baby-boomer generation, number men women osteoporosis low bone density expected rise over 61 by 2020. a silent disease that causes no symptoms until fracture occurs. Any greatly increases risk future fractures. Most patients are not being diagnosed treated. Even those previous fractures, who at extremely high often It preferable diagnose testing individuals before first If identified, evaluation for contributing factors should be considered. Patients on long-term glucocorticoid therapy especially developing osteoporosis, may sustain lower than taking glucocorticoids. All counseled importance regular weight-bearing exercise adequate daily intake calcium vitamin D. Exposure medications cause drowsiness hypotension minimized. Non-pharmacologic reduce non-skeletal These fall prevention through balance training muscle strengthening, removal hazards home, wearing hip protectors if falling remains high. Pharmacologic can stabilize increase most patients, 50%. By selecting it possible this occurs, initiate appropriate treatment