2007
DOI: 10.1007/s10354-007-0486-7
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Treatment and prevention of osteoporosis

Abstract: Osteoporosis is recognized as a major health threat. The number of patients will certainly grow with the aging of the population. While preventive strategies, such as calcium, vitamin D, exercise and reduced risk factors may diminish the impact of menopause and age-regulated bone loss, many patients will become candidates for pharmacologic therapy. A variety of options are available, including HRT, bisphosphonates, SERMs, calcitonin, strontium ranelate, teriparatid. New forms of treatment are appearing on the … Show more

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Cited by 10 publications
(5 citation statements)
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References 8 publications
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“…Given the increased number of active osteoclasts in the periosteum of osteoporotic rats, the relatively stable osteogenic activity might therefore be inadequate to offset the bone resorption, which would consequently incur the net bone loss and strength decrease. This failed adaptation of bone to the bone resorption could be the result of the estrogen withdrawal in the osteoporotic rats since the estrogen is believed to be able to preserve the bone mass and decrease the bone resorption activity (Blahos 2007; Kameda et al 1997). According to these findings, periosteum seems playing more destructive roles in osteoporosis, and new periosteum-targeting medicines or operations could be developed to suppress the bone resorption and enhance the osteogenic activities in periosteum, especially in metaphyseal area.…”
Section: Discussionmentioning
confidence: 99%
“…Given the increased number of active osteoclasts in the periosteum of osteoporotic rats, the relatively stable osteogenic activity might therefore be inadequate to offset the bone resorption, which would consequently incur the net bone loss and strength decrease. This failed adaptation of bone to the bone resorption could be the result of the estrogen withdrawal in the osteoporotic rats since the estrogen is believed to be able to preserve the bone mass and decrease the bone resorption activity (Blahos 2007; Kameda et al 1997). According to these findings, periosteum seems playing more destructive roles in osteoporosis, and new periosteum-targeting medicines or operations could be developed to suppress the bone resorption and enhance the osteogenic activities in periosteum, especially in metaphyseal area.…”
Section: Discussionmentioning
confidence: 99%
“…There is a large body of scientific evidence derived from randomized controlled trials concerning the treatment of osteoporosis in postmenopausal women; for a detailed discussion the reader is referred elsewhere [1,48] . To summarize, a number of substances were shown to be effective against both vertebral and nonvertebral fractures: three different aminobisphosphonates (alendronate, risedronate, zoledronic acid), teriparatide, strontium ranelate and hormone replacement therapy (the lattermost is no longer recommended for the prevention or treatment of osteoporosis).…”
Section: Osteoporosis-specific Medicationmentioning
confidence: 99%
“…Subjects with conditions suspected of affecting any biases were excluded from the study. Subjects were also excluded if they had been receiving corticoid, estrogen, androgen, T3 (triiodothyronine)-T4 (thyroxine) therapy or diphenylhydantoin, vitamin D, bisphosphonate, calcitonin, fluoride, thiazide diuretics, or barbiturates for more than 6 months, as all these drugs affect any biases 33,34,35,36,37,38). Since it was impossible to obtain a population-based register for technical and legal reasons, the selection of control subjects meeting the inclusion/exclusion criteria was made from volunteers (students, hospital workers, patients' relatives, etc.)…”
Section: Methodsmentioning
confidence: 99%