Reference : L'ostéoporose d'involution chez la femme
Scientific journals : Article
Human health sciences : Rheumatology
http://hdl.handle.net/2268/118112
L'ostéoporose d'involution chez la femme
French
[en] Postmenopausal Osteoporosis in Women
Reginster, Jean-Yves mailto [Université de Liège - ULg > Département des sciences de la santé publique > Epidémiologie et santé publique >]
Devogelaer, J. P. [> > > >]
Kaufman, J. M. [> > > >]
Appelboom, T. [> > > >]
Vanhaelst, L. [> > > >]
Apr-1999
Revue Médicale de Liège
54
4
335-40
Yes (verified by ORBi)
International
0370-629X
[en] Postmenopausal osteoporosis is now considered a major public health problem in aging women, due to the burden related to the consequent fractures. Over recent years, several pharmacological approaches were developed for the prevention and treatment of osteoporosis. Besides regular physical exercise and calcium rich diet, calcium supplementation can be suggested to both genders, after seventy years as well as systematic vitamin D supplementation in order to cope with the frequent lack observed in our country. Hormone replacement therapy is the first choice in prevention of postmenopausal osteoporosis. Based on a careful evaluation of the needs of a postmenopausal woman as well as on the risk/benefit ratio derived from her individual risk factors, selective estrogen receptor modulators (raloxifene) or second generation bisphosphonates (alendronate) can be considered as alternative to estrogens. Due to its prohibitive cost, nasal calcitonin should be only considered for very specific cases. In osteoporosis confirmed by bone densitometry or by occurrence of fractures, bisphosphonate (alendronate) reduces subsequent fracture rate. Fluoride salts can, in some cases, improve spinal symptomatic osteoporosis. The use of etidronate, a molecule from the past, should be avoided as much as possible and, at any rate, strictly restricted to its legal indication including women with several vertebral crush fractures and severely decreased bone mineral density.
http://hdl.handle.net/2268/118112

File(s) associated to this reference

Fulltext file(s):

FileCommentaryVersionSizeAccess
Open access
L'ostéoporose d'involution chez la femme.pdfPublisher postprint1.15 MBView/Open

Bookmark and Share SFX Query

All documents in ORBi are protected by a user license.