Osteoporosis is caused by an imbalance between bone resorption by osteoclasts and bone formation by osteoblasts. This imbalance is often due to estrogen deficiency in menopausal women. Management of osteoporosis includes lifestyle changes like adequate calcium, vitamin D, and protein intake. It also involves assessing fracture risk based on clinical factors like age, sex, BMI, previous fractures, glucocorticoid use, smoking, and alcohol intake to determine if pharmacological intervention is needed. Exercise is important for both prevention and treatment of osteoporosis, with sports programs tailored to each individual's age, abilities, and circumstances.
Osteoporosis is caused by an imbalance between bone resorption by osteoclasts and bone formation by osteoblasts. This imbalance is often due to estrogen deficiency in menopausal women. Management of osteoporosis includes lifestyle changes like adequate calcium, vitamin D, and protein intake. It also involves assessing fracture risk based on clinical factors like age, sex, BMI, previous fractures, glucocorticoid use, smoking, and alcohol intake to determine if pharmacological intervention is needed. Exercise is important for both prevention and treatment of osteoporosis, with sports programs tailored to each individual's age, abilities, and circumstances.
Osteoporosis is caused by an imbalance between bone resorption by osteoclasts and bone formation by osteoblasts. This imbalance is often due to estrogen deficiency in menopausal women. Management of osteoporosis includes lifestyle changes like adequate calcium, vitamin D, and protein intake. It also involves assessing fracture risk based on clinical factors like age, sex, BMI, previous fractures, glucocorticoid use, smoking, and alcohol intake to determine if pharmacological intervention is needed. Exercise is important for both prevention and treatment of osteoporosis, with sports programs tailored to each individual's age, abilities, and circumstances.
Step 1 Fracture : is a complete or incomplete break in a bone resulting from the application of excessive force Diet : food and drink considered in terms of
its qualities, composition, and its effects on
health Step 2 1. what is the etiologi of this scenario ? 2. what is the management of this scenario ? 3. what is the risk factor of this scenario ? Step 3 1.etiology The most common cause of osteoporosis arises from oestrogen deficiency that begins some years before the time of menopause. The skeleton comprises approximately 20% trabecular bone and 80% cortical bone and undergoes a continual process of resorption and formation, governed by the activity of bone cells in bone remodelling units.3 Approximately 10% of the adult skeleton is remodelled every year. Oestrogen deficiency accelerates the normal turnover of bone tissue, but the net activity of bone resorbing cells (osteoclasts) is greater than that of bone forming cells (osteoblasts). 2. Management Acute Fracture The management of acute fracture is not different from that of a non-osteoporotic fracture. It is important to restore mobility as soon as possible since immobilisation is an important cause of bone loss. Lifestyle Advice This includes adequate intakes of protein, calcium and vitamin D. Intakes of 1000 mg/day of calcium, 800 IU of vitamin D and of 1 g/kg body weight of protein are recommended. Smoking and high intakes of alcohol are recognised risk factors for fractures and are to be avoided. Many fractures occur after a fall and strategies for the avoidance of falls should be considered. Assessment of Fracture Risk The longer term management of osteoporosis requires the assessment of future fracture risk which, in turn, determines the need for intervention. At present there is no accepted policy for population screening in the UK to identify individuals with osteoporosis or those at high risk of fracture. 3. Clinical risk factors used for the assessment of fracture probability Age Sex
Low body mass index (≤19kg/m2)
Previous fragility fracture, particularly of the hip, wrist
and spine including
morphometric vertebral fracture
Parental history of hip fracture
Current glucocorticoid treatment (any dose, by mouth
for 3 months or more)
Current smoking
Alcohol intake of 3 or more units daily
Summary So that play a role in the occurrence of osteoporosis directly is the number and activity of cells osteoclast to absorb the bones influenced by mediatormediator, that which is affected by the onset of mediator-mediator levels of estrogen. Sport is really an important part on is prevention
and treatment of the osteoporosis.Sports program
for patients osteoporosis very different to sport for prevention osteoporosis. Kind of a good sport is with the imposition and exercise plus strength training muscle that is tailored to the age and circumstances of each individual. THANKYOUU….