[Osteoporosis--prevention and therapy].
If after appropriate evaluation of risk factors the decision of osteoporosis prevention is made, various advice can be given to the patients: regular physical training, diet rich in calcium (milk products), calcium and vitamin D supplementation and, during peri- and post-menopause, the early substitution of oestrogens/gestagens. When osteoporosis is already established, there are the following strategies: diminishing patients anxiety, non-narcotic analgesics and early mobilization after acute vertebra compression. After osteoporosis has passed from acute to established phase, daily physical exercise and ergonomics, sufficient calcium and low dose of vitamin D supplements are useful. Calcitonin or repetitive cycles of bisphosphonates are particularly effective in high-turnover osteoporosis. Because there is still lacking evidence of efficiency, low-dose fluorides should be only used in controlled clinical studies and in combination with calcium.
Seitz
M
M
Rheumatologische Universitätsklinik, Bern.
D000328:Adult; D000368:Aged; D045930:Anabolic Agents / Q000627:therapeutic use; D002116:Calcitonin / Q000627:therapeutic use; D002118:Calcium / Q000627:therapeutic use; D004164:Diphosphonates / Q000627:therapeutic use; D015914:Estrogen Replacement Therapy; D015444:Exercise; D005260:Female; D005459:Fluorides / Q000627:therapeutic use; D005598:Fractures, Spontaneous / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications / Q000517:prevention & control*
D045930:Anabolic Agents; D004164:Diphosphonates; D002116:Calcitonin; D005459:Fluorides; D002118:Calcium
Osteoporose--Prävention und Therapie.