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Prevention of low bone mass to achieve high bone density in Mexico: position of the Mexican Association for Bone and Mineral Metabolism

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Abstract

Summary

In Mexico, osteoporosis is a public health problem. In this document, the Mexican Association for Bone and Mineral Metabolism defines its position on calcium, vitamin D supplement use, and physical activity as an effective, safe, and cost-effective initiatives to prevent low bone mass.

Introduction

In Mexico, osteoporosis is a public health problem that is expected to increase in the decades ahead. Generally, modifiable risk factors for bone health are related with lifestyles, especially nutrition and physical activity.

Methods

In this position paper, the Mexican Association for Bone and Mineral Metabolism (AMMOM, by its acronym in Spanish), which is a multidisciplinary group of researchers, dietitians, epidemiologists, nurses, and physicians who study bone and related tissues and communicate the best strategies for diagnosis, treatment, and prevention of bone problems, aims to analyze the association between nutrition and bone health, risk behaviors for low bone mass, and the economic impact that prevention of low bone mass represents for the health care system.

Results

Addressing therapeutic management with pharmacological and non-pharmacological approaches, we emphasize the important role the patient plays in the doctor–patient relationship, both in the consulting room and in daily life. Furthermore, the AMMOM defines its position on calcium and vitamin D supplement use as an effective, safe, and cost-effective initiative to prevent low bone mass.

Conclusions

In summary, most research and clinical practice related to osteoporosis have focused on diagnosis and treatment, but general measures for primary prevention based on addressing modifiable risk factors as a public health priority to delay the onset of loss of bone mass have not been considered by Mexican authorities. Consequently, the AMMOM task force also seeks to provide information on concrete actions to prevent low bone mass.

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Contributors

All the authors were involved in the conceptual design of the manuscript. RE, PC, EDG, MAAB, MF, PD, SJ, MPPR, FS, PL, and VM prepared a section of the first version of the manuscript. EDG reviewed and edited the first version of the manuscript. All the authors reviewed and approved the final version of the manuscript.

Funding

This paper was supported by Pfizer Mexico, SA de CV, which allowed the experts’ meetings. All the authors received an honorarium from Pfizer in connection with the development of this manuscript.

Medical writing support was provided by Dr. Karim Majluf Cruz at ByronMuller and was funded by Pfizer.

Editorial support was provided by Dr. Edgar Denova and was funded by Pfizer.

Author information

Authors and Affiliations

  1. Departamento de Reumatología, Instituto Nacional de Rehabilitación, Ciudad de México, Mexico

    Rolando Espinosa

  2. Unidad de Investigación en Epidemiología Clínica, Hospital Infantil de México Federico Gómez, Ciudad de México, Mexico

    Patricia Clark

  3. Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México, Mexico

    Patricia Clark

  4. Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Universidad No. 655, Colonia Santa María Ahuacatitlán, C.P. 62100, Cuernavaca, Mexico

    Edgar Denova-Gutiérrez & Mario Flores

  5. Facultad de Ciencias Naturales, Universidad Autónoma de Querétaro, Querétaro, Mexico

    María de los Ángeles Aguilera-Barreiro

  6. Instituto Nacional de Rehabilitación, Ciudad de México, Mexico

    Pilar Diez

  7. Sanatorio San José Satélite, Naucalpan, Mexico

    Pilar Diez

  8. Servicio de Ortopedia y Traumatología, Hospital Angeles de las Lomas, Ciudad de México, Mexico

    Salomón Jasqui

  9. Facultad de Medicina, Universidad Anáhuac, Ciudad de México, Mexico

    Salomón Jasqui

  10. Servicios Médicos de la Peña, Guadalajara, Mexico

    María del Pilar De la Peña

  11. Servicio de Ortopedia, Hospital Angeles Metropolitano, Ciudad de México, Mexico

    Federico Cisneros-Dreinhofer

  12. Unidad de Investigación en Epidemiologia Clínica, Instituto Mexicano del Seguro Social, Ciudad de México, Mexico

    Pilar Lavielle

  13. Clínica Integral de Menopausia, Centro Medico Dalinde, Ciudad de México, Mexico

    Víctor Mercado

Authors
  1. Rolando Espinosa
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  2. Patricia Clark
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  3. Edgar Denova-Gutiérrez
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  4. María de los Ángeles Aguilera-Barreiro
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  5. Mario Flores
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  6. Pilar Diez
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  7. Salomón Jasqui
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  9. Federico Cisneros-Dreinhofer
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Correspondence to Edgar Denova-Gutiérrez.

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Espinosa, R., Clark, P., Denova-Gutiérrez, E. et al. Prevention of low bone mass to achieve high bone density in Mexico: position of the Mexican Association for Bone and Mineral Metabolism. Arch Osteoporos 13, 105 (2018). https://doi.org/10.1007/s11657-018-0520-y

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