Thursday, February 17, 2011

"Osteoporosis"

Osteoporosis-is a disease of bones that leads to an increased risk of fracture.[1]In osteoporosis the bone mineral density (BMD) is reduced,bone microarchitecture is deteriorating,and the amount and variety of proteins in bone is altered.Osteoporosis is defined by the World Health Organization (WHO) as a bone mineral density that is 2.5 standard deviations or more below the mean peak bone mass (average of young,healthy adults) as measured by DXA;the term "established osteoporosis" includes the presence of a fragility fracture.[2]The disease may be classified as primary type1,primarily type2, or secondary.[1]The form of osteoporosis most common in women after menopause is referred to as primary type1,primarily type2,or secondary.[1]The form of osteoporosis most common in women after menopause is referred to as primarily type1 or post menopausal osteoporosis.Primary type2 osteoporosis or senile osteoporosis occurs after age 75 and is seen in both females and males at a ratio of 2:1.Finally,secondary osteoporosis may arise at any age and affects men and women equally.This form of osteoporosis results from chronic predisposing medical problems or disease,or prolonged use of medications such as glucocorticoids,when the disease is called steroid-or glucocorticoids-induced osteoporosis (Slop or Glop).Because it can greatly increase the risk fragility fracture,osteoporosis may significantly affect life expectancy and quality of life.Osteoporosis risk can be ruduced with lifestyle changes and sometime medication;in people with osteoporosis,treatment may involve both.Lifestyle change included diet and excercise,and preventing falls.Medication includes calcium,vitamin D,bisphosphonates and several others.Fall-prevention advice includes excercises;equilibrium therapies may be included.Excercise with it's anabolic effect,may at the same time stop or reverse osteoporosis.Osteoporosis is a component of the fragility syndrome.

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