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Medical Treatment of Age Related Osteoporosis

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Osteoporosis in Older Persons

Abstract

Osteoporosis risk and complications increase with age. The syndrome of osteoporosis of old age is different from postmenopausal osteoporosis because both men and women are affected as they age. The aim of osteoporosis treatment is to prevent fractures by preventing falls and strengthening the skeleton. Bone mineral density (BMD) is used as a guide to predict future fracture risk. Numerous clinical trials have tested the efficacy of both nutritional supplements (calcium and vitamin D) and pharmacologic therapies to reduce fracture risk in those with osteoporosis. However, not all trials included patients who were very old, despite the fact that they are at increased risk of fractures. Trials also sometimes demonstrated efficacy in preventing only certain types of fractures but not others. This chapter reviews the evidence supporting osteoporosis treatments.

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Authors and Affiliations

  1. Department of Internal Medicine, McMaster University, Hamilton, ON, L8S 4K1, Canada

    Eric Kai-Chung Wong BSc, MD & Lisa Ha-Yeon Kim BHSc, MD

  2. Geriatric Medicine, McMaster University, St. Peter’s Hospital, 88 Maplewood Ave, Hamilton, ON, L8M 1W9, Canada

    Alexandra Papaioannou BScN, MD, MSc, FRCP(C), FACP

  3. Department of Medicine, McMaster University, Hamilton, ON, L8S 4L8, Canada

    Alexandra Papaioannou BScN, MD, MSc, FRCP(C), FACP

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  1. Eric Kai-Chung Wong BSc, MD
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  2. Lisa Ha-Yeon Kim BHSc, MD
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  3. Alexandra Papaioannou BScN, MD, MSc, FRCP(C), FACP
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Correspondence to Eric Kai-Chung Wong BSc, MD .

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Editors and Affiliations

  1. Australian Institute for Musculoskeletal Science, The University of Melbourne and Western Health, Saint Albans, Victoria, Australia

    Gustavo Duque

  2. Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA

    Douglas P. Kiel

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Wong, E.KC., Kim, L.HY., Papaioannou, A. (2016). Medical Treatment of Age Related Osteoporosis. In: Duque, G., Kiel, D. (eds) Osteoporosis in Older Persons. Springer, Cham. https://doi.org/10.1007/978-3-319-25976-5_12

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