Osteoporosis – Diagnosis, Prevention and Treatment
Author: A.-M. Borissova, Clinical Center of Endocrinology and Gerontology – Sofia
Risk factors for osteoporotic fractures are low bone mass, high bone turnover rate, poor bone quality.
Subjects to prevention are persons with risk factors for development of osteoporosis and persons with osteopenia.
Guidelines for antiosteoporotic prevention: 1) exercise program; 2) smoking cessation; 3) diet; 4) calcium and vitamin D supplementation; 5) hormone-replacement therapy (HRT).
Subjects to treatment are persons with osteoporosis, persons with osteopenia and other risk factors for development of osteoporosis, persons with fractures.
Guidelines for osteoporosis treatment: 1) exercise program; 2) smoking cessation; 3) diet; 4) calcium and vitamin D supplementation; 5) hormone-replacement therapy; 6) Calcitonin; 7) Bisphosphonates; 8) Fluoride; 9) Ipriflavon; 10) Raloxifene; 11) Tibulon.
The aim of the prevention and the treatment of osteoporosis is not simply a cosmetic change of bone density, but improvement in quality of life.
Keywords: osteoporosis – diagnosis, prevention, treatment.
Download the full issue 4/1998
