Related Experiment Videos
[Osteoporosis]
Brigitte Uebelhart1, René Rizzoli
1Service des maladies osseuses, Centre collaborateur de l'OMS pour la prevention de l'ostéoporose, Département de réhabilitation et gériatrie, HUG et Faculté de médecine, 1211 Genève 14. Brigitte.Uebelhart@hcuge.ch
Abstract:
FRAX is a useful device to select patients with high fracture risk. Glucocorticoid induced osteoporosis, mainly due to a decrease of bone formation, is well controlled with teriparatide treatment and shows an effect of zoledronate on bone mineral density greater than risedronate. Weekly and monthly risedronate have the same bone effects. Ibandronate prevents bone loss related to the use of anti-aromatase. Side effects associated with the bisphosphonates treatment such as osteonecrosis of the jaw, auricular fibrillation and subtrochanteric fractures are discussed. Tibolone prevents fractures. Denosumab reduces the risk of vertebral, non-vertebral and hip fractures. Calcium supplementation is not associated with an increased risk of cardiovascular events.
Related Concept Videos
Bone Disorders
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone Remodeling
Hormones and Bone Tissue
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Role of Vitamins in Maintaining Bone Health
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
Osteoclasts in Bone Remodeling
Essential Minerals for Bone Health
Calcium and Phosphorus
Calcium is a critical component of bones, especially in the form of calcium phosphate and calcium carbonate. Since the body cannot make calcium, it must be obtained from the diet. However, calcium cannot be absorbed from the small intestine without...