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Osteoporosis and aging. Current update

J J Silver1, T A Einhorn

  • 1Department of Orthopaedics, Maimonides Medical Center, Brooklyn, NY, USA.

Clinical Orthopaedics and Related Research
|July 1, 1995
PubMed
Summary
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Osteoporosis is a common bone disorder in the elderly, increasing fall and fracture risks. Prevention and treatment strategies, including nutrition, exercise, and emerging therapies, are crucial for managing bone loss.

Area of Science:

  • Gerontology
  • Orthopedics
  • Endocrinology

Background:

  • Osteoporosis is a prevalent musculoskeletal disorder in the elderly.
  • It significantly increases the risk of falls and life-threatening fractures, such as hip fractures.
  • Prevention and effective management are critical public health concerns.

Purpose of the Study:

  • To review the pathophysiology of bone loss in the elderly.
  • To summarize current diagnostic and treatment methods for osteoporosis.
  • To discuss emerging therapeutic strategies for bone loss.

Main Methods:

  • Literature review of pathophysiology, diagnosis, and treatment of osteoporosis in the elderly.
  • Summary of current clinical guidelines and emerging research.

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Main Results:

  • Estrogen therapy is a preferred treatment for recently postmenopausal women with significant bone loss.
  • For the older population, adequate nutrition, calcium supplementation, and weight-bearing exercise are primary treatment approaches.
  • Newer pharmaceutical agents show promise for reducing or reversing bone loss.

Conclusions:

  • Effective management of osteoporosis in the elderly requires a multi-faceted approach.
  • Current treatments focus on nutrition, exercise, and hormone therapy where appropriate.
  • Advancements in pharmaceutical agents offer future potential for significant bone loss reversal.