musculoskeletal and connective tissue disorders
Osteoporosis
Prevention of Osteoporosis
The goals of prevention are 2-fold: preserve bone mass and prevent fractures. Preventive measures are indicated for the following: Postmenopausal women Older men Patients who have osteopenia Patients who already have osteoporosis (to prevent worsening) Patients taking high-dose and/or long-term systemic corticosteroids or aromatase inhibitors Patients with secondary causes for bone loss Preventive measures for all of these patients include appropriate calcium andvitamin Dintake, weight-bearing exercise, tobacco avoidance, and limiting alcohol ingestion. Patients should also be counseled on measures to reduce the risk of falls. In addition, pharmacologic therapy is indicated for most patients who have osteopenia if they are at increased risk of fracture, such as those with a high FRAX score, and patients taking corticosteroids or aromatase inhibitors. Educating patients and the community about the importance of bone health remains of utmost importance. 