Journal ArticleDOI
Diagnosis of Osteoporosis
Jae Gyoon Kim,Young Wan Moon +1 more
TLDR
WHO recently developed FRAX, a novel method the authors can use to more conveniently evaluate osteoporotic fracture risk, and dual energy X-ray absorptiometry (DXA), one of the measurement tools for BMD, is particularly regarded as the appropriate tool applicable to WHO criteria.Abstract:
Osteoporosis is defined as a skeletal disorder characterized by compromised bone strength, predisposing an individual to increased fracture risk. Many factors can lead to the development of osteoporosis. It is usually asymptomatic unless osteoporotic fracture and secondary changes of bone structure occur. Early radiographs show normal findings; however, osteopenic appearance, fracture, cortical bone thinning, and roughening of bone trabeculae can be found according to severity of osteoporosis. These symptoms are most frequently found in the spine and proximal femur. Bone mineral density (BMD) is the standard method used to diagnose osteoporosis, and dual energy X-ray absorptiometry (DXA), one of the measurement tools for BMD, is particularly regarded as the appropriate tool applicable to WHO criteria, which defines osteoporosis as a T-score of less than 2.5 SDs below the mean of young adult women. Peripheral densitometry is less useful in predicting the risk of fractures of the spine and proximal femur, and it is not enough to diagnose and treat osteoporosis. Biochemical bone markers have demonstrated utility in clinical research and trials; however, they cannot replace BMD as a diagnostic tool. WHO recently developed FRAX, a novel method we can use to more conveniently evaluate osteoporotic fracture risk.read more
Citations
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Journal ArticleDOI
Does femoral offset recover and affect the functional outcome of patients with displaced femoral neck fracture following hemiarthroplasty
TL;DR: FO was not properly restored in 23% of subjects receiving bipolar hemiarthroplasty due to femoral neck fracture and independently predicted fair MBI after the surgery.
Journal ArticleDOI
Effects of Indoor and Outdoor Exercise Environments on Bone Mineral Density and Body Composition in Old Women
Eun-Kyung Kil,Jeong-Ok Yang +1 more
TL;DR: Engaging in the outdoor exercise program, including aerobic and resistance exercises, for 20 weeks improved bone mineral density and inhibited bone loss in old women and had a positive influence on vitamin D levels, thereby potentially lowering the risk of osteoporosis.
Journal ArticleDOI
Dietary factors affecting bone mineral density in Korean rural postmenopausal women
TL;DR: Dietary factors, such as higher vegetable intake, seem to affect the changes in bone mineral density in more favorable way, and efforts are needed to enhance the access to nutritional care for rural elderly postmenopausal women.
References
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Journal ArticleDOI
Osteoporosis prevention, diagnosis, and therapy
Anne Klibanski,Lucile L. Adams-Campbell,Tamsen Bassford,Steven N. Blair,Scott D. Boden,Kay Dickersin,David R. Gifford,Lou Glasse,Steven R. Goldring,Keith A. Hruska,Susan R. Johnson,Laurie K. McCauley,William E. Russell +12 more
TL;DR: Though prevalent in white postmenopausal women, osteoporosis occurs in all populations and at all ages and has significant physical, psychosocial, and financial consequences.
Journal ArticleDOI
The diagnosis of osteoporosis
TL;DR: This paper summarizes issues and proposes diagnostic criteria for osteoporosis for practical use and addresses a number of problems which need to be addressed in adapting a conceptual definition for clinical use.
Assessment of fracture risk and its application to screening for postmenopausal osteoporos
L. Alexeeva,P. Burkhardt,C. Christiansen,C. Cooper,P. Delmas,O. Johnell,C. Johnston,J. Kanis,P. Lips,Lee J. Melton,P. Meunier,Ego Seeman,J. Stepan,A. Tosteson,N. Khaltaev,J. P. Bonjour,H. Gong-Yi,R. Lindsay +17 more
TL;DR: There is little evidence that osteoporosis can usefully be tackled by a public health policy to influence risk factors such as smoking, exercise and nutrition, so the selective use of screening techniques will improve the cost-benefit ratio of intervention.
Journal Article
Consensus Development Conference : Diagnosis, Prophylaxis, and Treatment of Osteoporosis
Journal ArticleDOI
FRAX™ and the assessment of fracture probability in men and women from the UK
TL;DR: The models provide a framework which enhances the assessment of fracture risk in both men and women by the integration of clinical risk factors alone and/or in combination with BMD.