Specific Considerations in Geriatric Athletes
Osteoporosis affects more than 10 million people in the United States, with an estimated 1.5 million osteoporotic fractures annually costing approximately $17 billion annually. Risk factors for osteoporosis include physical inactivity, low body weight, low dietary intake of calcium and vitamin D, excessive alcohol use, smoking, certain medications or medical conditions, late menarche and early menopause, personal history of low-trauma fractures, family history of osteoporosis or low-trauma fractures, white or Asian race, and female sex. Hip fractures lead to death within 1 year in 20% of cases. One-third of patients with hip fracture require nursing home placement, and fewer than one-third regain their prefracture level of physical function. Screening and preventive measures are still not regularly being recommended and implemented in primary care despite current clinical knowledge about osteoporosis and hip fractures. Exercise programs for geriatric athletes should include lower body weight-bearing, balance, and flexibility in order to maintain or improve function of the hip and pelvis and to prevent falls and hip fractures.
KeywordsBone Mineral Density Normal Bone Mineral Density Bone Mineral Density Testing Open Reduction Internal Fixation United States Preventative Service Task Force
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