Women are at a higher risk for osteoporosis after menopause due to lower levels of estrogen, a female hormone that helps to maintain bone mass. Osteoporosis prevention common methods used in the prevention of osteoporosis include taking certain medications, not smoking, and making sure you get enough calcium and vitamin d in your diet. It is the policy of nof to ensure balance, independence, objectivity and scientific rigor in all sponsored. There are no fees for participating in or receiving credit for this online educational activity. Fractures are common and place an enormous medical and personal burden on the aging. Pdf more on the use of bisphosphonates in the prevention. Thus, estrogen is not recommended for the treatment or prevention of osteoporosis in postmenopausal women.
Clinical guideline for the prevention and treatment of osteoporosis national osteoporosis guideline group on behalf of. Covers 2 types of osteoporosis medications, as well as general osteoporosis prevention tips. Osteoporosis prevention and treatment exercise, diet. It is based largely on the world health organization who 10year fracture risk model and an accompanying economic analysis prepared by the national osteoporosis foundation nof in collaboration with the who dr. Nofs clinicians guide published by osteoporosis international. The literature search for this update began with the results of the search performed for the 2002 version of this guideline.
The burden of osteoporosis is characterized in terms of mortality, morbidity, and economic costs. Overview of osteoporosis diagnosis and treatment for adults a. Alternative treatments for osteoporosis include lifestyle changes such as regular exercise and taking vitamin d and calcium supplements. This useful guide is a must to inform clinical decisionmaking to.
Michigan quality improvement consortium guideline management. Calcium is vital for strong healthy bones and worldwide scientific societies have issued guidance about. It is the policy of nof to ensure balance, independence, objectivity and scientific rigor in all sponsored publications and programs. The management and prevention of common or rare side effects due to. Pdf differences between the bisphosphonates for the. Evaluation for secondary causes of osteoporosis and osteopenia d. Osteoporosis, a chronic, progressive disease of multifactorial etiology see etiology, is the most common metabolic bone disease in the united states. Overview of osteoporosis diagnosis and treatment for. More on the use of bisphosphonates in the prevention and treatment of osteoporosis article pdf available in bmj online 351. Exercise nutrition fall and fracture prevention pdf author mehrsheed sinaki isbn 3319540149 file size 6. Appendix 1 to the 2010 clinical practice guidelines. Taiwanese guidelines for the prevention and treatment of. North america guidelines international osteoporosis.
American geriatrics society, british geriatrics society, american academy of orthopaedic surgeons panel on. Osteoporosis is a global health problem, with the accelerating growth of the older population, it is estimated that 52 million people will suffer from osteoporosis or osteopenia by 2010 1. Management of osteoporosis in postmenopausal women. Canadian association of radiologists and osteoporosis canada risk assessment tool. Definition and diagnosis of osteoporosis section 4. The national institutes of health organized this 2day con ference to clarify the factors associated with prevention, diagnosis, and treatment of osteoporosis, and to present the latest information about this disease. In women with osteopenia low bone density but not severe enough to be classified as osteoporosis, bisphosphonates are shown to prevent bone loss, and physicians prescribe them with the hope of preventing future fractures.
Prevention or treatment of corticosteroidinduced osteoporosis cio patients about to receive or receiving corticosteroids in daily dose equal of higher than 7. Risedronate, a bisphosphonate for treatment and prevention of osteoporosis, has been shown in several clinical trials to reduce the risk of fractures in postmenopausal women with osteoporosis. Hrt treatment, or for women who are at an increased risk of breast or endometrial cancer. Treatment, which will not cure the disease, involves medication as well as physical therapy and exercise. The prevention of osteoporosis is made up of general lifestyle preferences and other more specific treatments. Nofs clinicians guide to prevention and treatment of osteoporosis.
Osteoporosis porous bone is a disease in which bones become weak and are more likely to break fracture. For the second category objective, fall prevention, exercises that promote balance, agility, strength, muscle power fast force production, and cardiovascular fitness, such as aerobic exercise walking, jogging should also be included. The diagnosis and treatment of primary osteoporosis according. Methods for its prevention and treatment are discussed in detail for both pharmacological and nonpharmacological approaches. Clinicians guide to the prevention and treatment of. Nofs clinicians guide to prevention and treatment of osteoporosis has been published online by osteoporosis international read.
Two million fractures are attributed to osteoporosis annually in the united states and they are associated with serious morbidity and mortality. This revised guide is designed to serve as a basic reference on the prevention, diagnosis, and treatment of osteoporosis in the usa. Supplement to the art of getting well treatment and. Hormone replacement therapy is known to decrease the risk of fractures in post menopausal women but it is no longer regarded as first line for prevention or treatment of osteoporosis due to increased risk of cardiovascular events, thromboembolic events and breast cancer.
Osteoporosis is one of the most important disorders associated with aging. Nonpharmacologic strategies for prevention and management. Position statement of the north american menopause society 2010 american college of rheumatology. Based on the recently published guidelines of the national osteoporosis foundation, it is most cost effective to consider treating women with a bisphosphonate if. Management and prevention of osteoporosis approved by mqic medical directors 2003, 2006, 2008, 2010, 2012, 2014, 2016, 2018, 2020 the following guideline recommends assessment and management of patients to reduce fracture risk due to osteoporosis.
In the united states, 44 million men and women ages 50 years or older have. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board. Osteoporosis porous bone is a disease whereby bones become weak and, therefore, are more likely to break. Authors of contributions\quotations are alphabetically. Of osteoporosis osteoporosis prevention and management. Bisphosphonates for treatment and prevention of osteoporosis.
Osteoporosis prevention and treatment measures and bmd testing should be considered for anyone who is started on, has been taking or has a history of taking. Bone research society british geriatrics society british orthopaedic association british orthopaedic research society international osteoporosis foundation national osteoporosis society osteoporosis 2000. Osteoporosis prevention and treatment exercise, diet, and. Without prevention or treatment, osteoporosis can progress without pain or symptoms until a bone breaks fractures. Bisphosphonates for the prevention and treatment of osteoporosis. Prevention and treatment of osteoporosis osteoporosis is a disease that affects both men and women. Osteoporosis is a systemic skeletal disorder characterized by bone loss, which leads to impaired bone strength and an increased risk of fractures. List of prevention of osteoporosis medications 20 compared. The following list of medications are in some way related to, or used in the treatment of this condition. Nutritional aspects of the prevention and treatment of. Counsel all individuals on the risk factors for osteoporosis osteoporosis is a silent risk factor for fracture just as hypertension is for stroke. Current approaches to the prevention and treatment of postmenopausal osteoporosis. Current approaches to the prevention, detection, treatment, and monitoring of postmenopausal osteoporosis are discussed. Agents with fdaapproved labeling for use in prevention or treatment of osteoporosis 97,98.
How do bisphosphonates treat osteoporosis and osteopenia. Clinical guidelines for the prevention and treatment of osteoporosis. You cant change many of the things that raise your chances of developing osteoporosis, like your genes, your age, and your sex. Further studies are required to make more definitive conclusions in other countries and patient populations. Aug 15, 2014 the clinicians guide to prevention and treatment of osteoporosis was developed by an expert committee of the national osteoporosis foundation nof in collaboration with a multispecialty council of medical experts in the field of bone health convened by nof. Osteoporosis is the most common generalized disease of the skeleton, yet it is markedly undertreated in germany. Nofs clinicians guide published by osteoporosis international september 9, 2014 nof in the news nofs clinicians guide to prevention and treatment of osteoporosis has been published online by osteoporosis international. Osteoporosis is the thinning of bone tissue and loss of bone density over time which increasingly leads to bone fracture. Bisphosphonates reduce the risk of fracture by suppressing bone resorption and increasing bone strength, and they have been widely used for the prevention and treatment of osteoporosis.
To summarize, osteoporosis can be defined with regard to its diagnosis and treatment. Bisphosphonates vs exercise for the prevention and. Approaches to the prevention and treatment of osteoporosis. With short term use they are shown to reduce the incidence of new fractures in patients with established osteoporosis. Treatment executive summary osteoporosis is a silent disease until it is complicated by fracturesfractures that occur following minimal trauma or, in some cases, with no trauma. Nofs clinicians guide contains updated guidance on vertebral fracture assessment and the use of biochemical markers of bone turnover, as well as updated information on calcium, vitamin d and medications. The rate of osteoporosis in australia is growing, and will continue to do so unless action is taken from a young age to prevent osteoporosis and appropriate diagnosis and treatment occurs to stop the condition getting worse in patients.
Postmenopausal estrogens in prevention of osteoporosis. Fractures commonly occur at the hip, spine, and wrist. Clinicians guide to prevention and treatment of osteoporosis. It has been most frequently recognized in elderly white women, although it does occur in both sexes, all races, and all age groups. Since the national osteoporosis foundation nof first published the guide in 1999, it has become increasingly clear that many patients are not. Aug 15, 2008 osteoporosis is the most common generalized disease of the skeleton, yet it is markedly undertreated in germany. Bmd, which measures bone density, is the sole diagnostic tool. Fractures from osteoporosis commonly occur in the hip, spine, and wrist. You should always consult your family physician, or one of our referral physicians prior to treatment. By following these methods, you can be proactive in your healthcare and help ensure that you have strong, healthy bones for life.
Osteoporosis screening, diagnosis, and treatment guideline. Nps play an important role in the identification, prevention, and treatment of osteoporosis. Raloxifene, a serm approved by the fda for the treatment and prevention of osteoporosis, has been shown to reduce the risks of vertebral fracture by 36 percent in large clinical trials. Differences between the bisphosphonates for the prevention and treatment of osteoporosis article pdf available in therapeutics and clinical risk management 21. Administration for the prevention or treatment or both of osteoporosis include alendronate, ibandronate, risedronate, and zoledronic acid. Osteoporosis is a common disease that is characterized by low bone mass, microarchitectural disruption, and skeletal fragility, resulting in an increased risk of fragility fracture. Tamoxifen, used in the treatment and prevention of breast cancer, can maintain bone mass in postmenopausal women. Prevention and treatment of osteoporosis osteoporosis australia. Lifestyle measures in the management of osteoporosis section 6.
After age 50, 1 in 2 women and 1 in 4 men will have an osteoporosisrelated fracture 1. Nutritional aspects of the prevention and treatment of osteoporosis aspectos nutricionais na prevencao e no tratamento da osteoporose barbara santarosa emo peters1, ligia araujo martini2 summary osteoporosis is a global health problem characterized by low bone mass and microarchitectural. Decrease osteoporotic fractures and their associated morbidity and mortality. Most physicians recommend about 30 minutes of vigorous exercise about 3 to 5 times per week. Nevertheless, it is likely that bisphosphonates are as. Supplement to the art of getting well treatment and prevention of osteoporosis sources are given in references. Osteoporosis treatment to prevent broken bones, many people with low bone density or osteoporosis take medications to increase bone density, prevent bone loss or stimulate bone growth. That search began with the results of a search performed by the national osteoporosis foundation osteoporosis. Calcium in the prevention of postmenopausal osteoporosis. Safety and efficacy in the treatment and prevention of osteoporosis. Regular and frequent exercise of reasonable intensity is recommended and very helpful at all ages. Bisphosphonates for the prevention and treatment of osteoporosis spyridoula maraka, kurt a kennel introduction osteoporosis is a skeletal disorder characterized by loss of bone mass, reduced bone mineral density, and dete rioration of bone microarchitecture, which lead to bone fragility. Bisphosphonates for the prevention and treatment of.