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Osteoporosis--the need for a paradigm shift

K H Leong1

  • 1Gleneagles Medical Centre, Singapore.

Annals of the Academy of Medicine, Singapore
|May 20, 1998
PubMed
Summary

Osteoporosis, a major cause of fractures, can be detected early with dual energy X-ray absorptiometry. Active assessment and treatment before fractures occur are crucial for managing this bone disease.

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Osteoporosis: a treatable disease.

Annals of the Academy of Medicine, Singapore·2002

Area of Science:

  • Bone health and osteoporosis management.
  • Geriatric medicine and fracture prevention.

Background:

  • Osteoporosis leads to significant morbidity and mortality through fragility fractures.
  • Early detection and intervention are possible before fractures occur.

Purpose of the Study:

  • To advocate for a paradigm shift in osteoporosis management.
  • To emphasize proactive assessment and treatment to prevent fractures.

Main Methods:

  • Dual-energy X-ray absorptiometry for early detection.
  • Review of preventive and therapeutic options for bone mass optimization.
  • Evaluation of pharmacological agents for fracture risk reduction.

Main Results:

  • Effective preventive and therapeutic strategies exist for osteoporosis.
  • Pharmacological agents, including hormone replacement therapy and bisphosphonates, reduce fracture risk.
  • Early detection methods are available.

Conclusions:

  • Osteoporosis management requires a shift from post-fracture treatment to pre-fracture assessment and intervention.
  • Promoting healthy peak bone mass and lifestyle habits is essential for population-level bone health.
  • Active management before fracture occurrence is key to reducing osteoporosis-related complications.

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