Osteoporosis: primary prevention in the community.
The incidence of osteoporosis is increasing worldwide. It has great impact on the life of the elderly population. The most significant medical consequence of osteoporosis is fragility fracture which without proper treatment will cause severe medical and psychosocial complications. The overall cost in managing osteoporosis and its related fractures is escalating. Using bone densitometry to measure bone mineral density is useful in the diagnosis of osteoporosis but it is costly and not feasible in the community. Drugs such as estrogen replacement, raloxifene and calcitonin are effective in prevention and treatment of osteoporosis but they are also expensive. Identifying modifiable risk factors such as smoking, lack of exercise, low dietary calcium and vitamin D intake and healthy life style remain strategy in the primary prevention of osteoporosis in the community.
Department of Family Medicine, International Medical Universiti Malaysia, Jalan Rasah, Seremban 70300, Negeri Sembilan. kengyin_loh@imu.edu.my
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KY
Loh
H K
HK
Shong
D015519:Bone Density; D002118:Calcium / Q000627:therapeutic use; D050723:Fractures, Bone / Q000517:prevention & control; D006801:Humans; D015994:Incidence; D010024:Osteoporosis / Q000150:complications / Q000503:physiopathology / Q000517:prevention & control*; D011322:Primary Prevention; D012111:Residence Characteristics; D012307:Risk Factors; D014807:Vitamin D / Q000627:therapeutic use
D014807:Vitamin D; D002118:Calcium