Osteoporosis Screening, Prevention, and Management

被引：110

作者：

Golob, Anna L. ^{[1
]}

Laya, Mary B. ^{[2
]}

机构：

[1] Univ Washington, Dept Med, Div Gen Internal Med, VA Puget Sound Hlth Care Syst, Seattle, WA 98108 USA

[2] Univ Washington, Gen Internal Med Ctr, UW Med Ctr, Div Gen Internal Med,Dept Med, Seattle, WA 98105 USA

来源：

MEDICAL CLINICS OF NORTH AMERICA | 2015年 / 99卷 / 03期

关键词：

Osteoporosis; Osteopenia; Fragility fractures; Prevention; Screening; Management; BONE-MINERAL DENSITY; POSTMENOPAUSAL WOMEN; VITAMIN-D; CALCIUM SUPPLEMENTATION; VERTEBRAL FRACTURE; SALMON-CALCITONIN; RANDOMIZED-TRIAL; RISK; METAANALYSIS; DIAGNOSIS;

D O I：

10.1016/j.mcna.2015.01.010

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：587 / +

页数：21

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