Skip to main content

Prevention in Old Age: Pharmacologic and Non-Pharmacologic Strategies to Prevent Hip Fracture

  • Chapter
Osteoporosis in Clinical Practice
  • 149 Accesses

Abstract

Hip fractures among the elderly are a worldwide epidemic, and the number of these fractures is expected to rise dramatically as the populations age. In addition to high financial costs, femoral neck fractures are associated with high morbidity, high risk for long-term institutionalization, and increased risk of death. Considering the magnitude of the problem, any substantial reduction in the hip fracture burden depends on prevention. In view of the complex pathogenesis of hip fractures, preventive strategies should focus on the frequency of falling in the elderly as well as on the prevalence of compromised femoral integrity as a consequence of bone loss.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Suggested Reading

  • Boonen S, Dequeker J. (1996) Strategies for the prevention of senile (type H) osteoporosis. J Int Med 239: 383–91.

    Article  CAS  Google Scholar 

  • Chapuy M, Arlot M, Duboeuf F et al. (1992) Vitamin D3 and calcium to prevent hip fractures in elderly women. N Engl J Med 327: 1637–42.

    Article  PubMed  CAS  Google Scholar 

  • Cummings SR, Nevitt MC, Browner WS et al. (1995) Risk factors for hip fracture in white women. N Eng J Med 332: 767–73.

    Article  CAS  Google Scholar 

  • Felson D, Zhang Y, Hannan M, Kiel D, Wilson P, Anderson J. (1993) The effect of postmenopausal estrogen therapy on bone density in elderly women. N Engl J Med 329: 1141–6.

    Article  PubMed  CAS  Google Scholar 

  • Lips P, Graafmans W, Ooms M et al. (1996) Vitamin D supplementation and fracture incidence in elderly persons. Ann Intern Med 124: 400–6.

    PubMed  CAS  Google Scholar 

  • McKane WR, Khosla S, Egan KS et al. (1996) Role of calcium intake in modulating age-related increases in parathyroid function and bone resorption. J Clin Endocrinol Metab 81:1699–1703.

    Article  PubMed  CAS  Google Scholar 

  • Lauritzen JB, Petersen MM, Lund B. (1993) Effect of external hip protectors on hipfractures. Lancet 341: 11–13.

    Article  PubMed  CAS  Google Scholar 

  • Tinetti M, Baker D, McAvay G et al. (1994) A multifactorial intervention to reduce the risk of falling among elderly people in the community. N Engl J Med 331: 821–7.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer-Verlag London Limited

About this chapter

Cite this chapter

Boonen, S. (1998). Prevention in Old Age: Pharmacologic and Non-Pharmacologic Strategies to Prevent Hip Fracture. In: Geusens, P. (eds) Osteoporosis in Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-4471-3382-7_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-3382-7_19

  • Publisher Name: Springer, London

  • Print ISBN: 978-3-540-76223-2

  • Online ISBN: 978-1-4471-3382-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics