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[Osteoporosis in the elderly].

Frédérique Retornaz1, Gustavo Duque

  • 1Division de gériatrie, Université McGill, Hôpital Général Juif, Montréal, Québec, Canada. frederique.retornaz@mail.mcgill.ca

Presse Medicale (Paris, France : 1983)
|October 10, 2006
PubMed
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Osteoporosis management in the elderly presents challenges due to comorbidities. Bisphosphonates, vitamin D, and calcium are standard treatments, with strontium ranelate showing promise for fall and fracture prevention.

Area of Science:

  • Geriatrics
  • Bone Metabolism
  • Pharmacology

Background:

  • Osteoporosis is a prevalent condition in older adults, leading to significant mortality, morbidity, and healthcare costs.
  • Current diagnostic guidelines are challenging to implement in frail elderly patients with multiple health issues.
  • Effective osteoporosis management is crucial for reducing fracture risk and improving quality of life in the elderly.

Purpose of the Study:

  • To review current osteoporosis management strategies for the elderly.
  • To highlight challenges in applying diagnostic guidelines to elderly patients with comorbidities.
  • To discuss promising therapeutic options and preventive measures for osteoporosis in this population.

Main Methods:

  • Review of existing literature on osteoporosis diagnosis and treatment in the elderly.

Related Experiment Videos

  • Analysis of the efficacy and applicability of current guidelines in frail elderly patients.
  • Evaluation of pharmacological and non-pharmacological interventions for osteoporosis management and fall prevention.

    • Main Results:

    • Bisphosphonates, vitamin D, and calcium supplementation are established treatments for elderly osteoporosis.
    • Strontium ranelate emerges as a potentially beneficial treatment option for this demographic.
    • Vitamin D deficiency treatment is essential for preventing falls and fractures.
    • The effectiveness of hip protectors in preventing fractures is uncertain, even in institutionalized individuals.

    Conclusions:

    • Tailored osteoporosis management is necessary for frail elderly patients with comorbidities.
    • Pharmacological treatments like bisphosphonates and potentially strontium ranelate, alongside supplementation, are key.
    • Fall prevention strategies, including addressing vitamin D deficiency, are integral to comprehensive osteoporosis care.