A decrease in BMD suggests noncompliance, inadequate calcium and vitamin D supplementation, an unidentified secondary cause of osteoporosis, or treatment failure. Importantly, this recommendation applies only to asymptomatic men who have no history of low-trauma fractures, who have no conditions that may cause secondary osteoporosis, and who are not taking Se hela listan på aafp.org Secondary osteoporosis: a review of the recent evidence. The causes of secondary osteoporosis are numerous, and an understanding of their characteristics with respect to bone density and potential fracture risk is essential in the management of osteoporosis. A heightened awareness of the possibility of their existence is necessary to provide Secondary osteoporosis is less common than primary osteoporosis. It may be suspected in patients who present with a fragility fracture despite having no risk factors for osteoporosis. In addition, secondary osteoporosis should be considered if the bone density Z-score is –2.5 or less.

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Zoledronic acid is an intravenous infusion that is administered once per year for osteoporosis treatment and prevention. In cases of secondary osteoporosis, the loss of bone mass is caused by certain lifestyle behaviors, diseases, or medications. Some of the most common causes of secondary osteoporosis in men include exposure to glucocorticoid medications, hypogonadism (low levels of testosterone), alcohol abuse, smoking, gastrointestinal disease, hypercalciuria, and immobilization. Osteoporosis is classified as primary (Type 1, postmenopausal osteoporosis; Type 2, age-associated osteoporosis; and idiopathic, which can affect juveniles, premenopausal women, and middle-aged men) and secondary osteoporosis (which results from an identifiable cause of bone mass loss). Definition (NCI_NCI-GLOSS) Oral alendronic acid, risedronate and ibandronic acid are used for the primary and secondary prevention of osteoporotic fragility fractures. They are recommended first line where 10‐year probability of fragility fracture is above the treatment threshold. IV ibandronic acid and zoledronic acid are also used for primary and secondary prevention.

Secondary osteoporosis - an endocrinological approach focusing on underlying mechanisms. Polymeris A, Michalakis K, Sarantopoulou V. Osteoporosis is a major and increasingly serious public health problem not only in postmenopausal women and people over 70 years old (primary osteoporosis) but also in men under 70 years and premenopausal women (secondary osteoporosis). Secondary osteoporosis is associated with a substantial minority of osteoporotic fractures in women perhaps with a majority of osteoporotic related fractures in men.

1 After age 50 years, the prevalence of osteoporosis is greater in women than in men (15.4% vs 4.3%, respectively). 1 The prevalence of osteoporosis varies by race/ethnicity and is highest in Mexican American (13.4%) and non-Hispanic white adults (10.2%) and Bisphosphonates slow bone loss, improve BMD and reduce fracture rates. 19–21 Alendronate, risedronate and zoledronic acid are PBS listed and recommended as first line therapy in men and women for primary and secondary prevention of vertebral, nonvertebral and hip fractures (Table 1). 3 Etidronate is PBS listed for the secondary prevention of osteoporosis.

Secondary osteoporosis aafp

5). Men and women of any age with conditions known to be secondary causes of osteoporosis No Every 2–10 years depending on initial T-score See p. 5 for secondary causes of osteoporosis.

This activity highlights the role of the interprofessional team in the management of patients with osteoporosis. Objectives: Outline the causes of secondary osteoporosis. Osteoporosis update Diagnosis & Management from: AAFP, NOF, AACE, Uptodate 2017 Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If you continue browsing the site, you agree to the use of cookies on this website. Secondary osteoporosis resulting from specific clinical disorders may be potentially reversible, and thus continuous efforts to find and adequately treat the secondary causes of skeletal fragility Risk factors for osteoporosis include female gender, non-Hispanic white ethnicity, smoking, and low BMI. Secondary prevention of fractures is an important component of care following a hip fracture. If a patient with untreated osteoporosis has a fracture, start pharmacotherapy to prevent future fracture. SECONDARY OSTEOPOROSIS Drugs and Diseases that can Cause Bone Loss, Falls and/or Fractures T here are several well known risk factors for osteoporosis and osteoporotic fractures such as age, sex, low body weight, a low bone mineral density, a past fragility fracture, having a parent who had a hip fracture and a past history of fall(s).
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Secondary osteoporosis aafp

Information about symptoms, health and lifestyle habits will help de Osteoporosis is a condition characterized by a decrease in the density of bone, leading to reduced bone strength and fragile bones that are prone to fracture. There are many conditions and risk factors believed to cause osteoporosis, includ I’ve been reading about osteoporosis and this is what I’ve seen so far: An individual builds bone until about age 30 then they begin to lose bone. Osteo meds do not help you build bone, they may actually prevent the natural bone building pr Learn about osteoporosis—a disease that weakens bones—including risk factors, early signs and osteopenia, bone density testing, treatment, and prevention. Osteoporosis is a disease that weakens bones to the point where they break easily—mos Osteoporosis often starts silently and may not be found until a bone fractures. But sometimes, symptoms appear.

There are many conditions and risk factors believed to cause osteoporosis, includ Learn about osteoporosis—a disease that weakens bones—including risk factors, early signs and osteopenia, bone density testing, treatment, and prevention.
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Secondary contributors to bone loss in osteoporosis related hip fractures.