Osteoporosis in women with disabilities.
Women with physical and cognitive disabilities are at high risk for osteoporosis and osteoporosis-related fractures. Women with physical disabilities frequently are nonambulatory and have bone loss due to immobility. Women with cognitive disabilities have high rates of osteopenia and osteoporosis, likely partially due to high rates of anticonvulsant medication use. Women with Down syndrome are at especially high risk of osteopenia and osteoporosis, possibly because of lower peak bone density levels. Prevention of osteoporosis and related fractures in this population includes population-based measures, such as calcium and vitamin D supplementation and risk-based screening procedures. Primary care providers and specialists need to prioritize osteoporosis prevention strategies when taking care of women with disabilities. Future research is needed to determine optimal screening and prevention strategies in this very high risk population.
Schrager
Sarina
S
Department of Family Medicine, University of Wisconsin, Madison, Wisconsin 53715, USA. sbschrag@wisc.edu
D015992:Body Mass Index; D003072:Cognition Disorders / Q000150:complications* / Q000503:physiopathology; D018849:Controlled Clinical Trials as Topic; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D050723:Fractures, Bone / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D008607:Intellectual Disability / Q000150:complications; D015663:Osteoporosis, Postmenopausal / Q000150:complications / Q000503:physiopathology / Q000628:therapy; D011320:Primary Health Care / Q000592:standards; D011322:Primary Prevention / Q000592:standards; D012307:Risk Factors; D014481:United States; D016387:Women's Health