Zusammenfassung
Etwa ein Viertel aller postmenopausalen Frauen in Europa haben nach jüngsten Berechnungen eine Osteoporose [2], legt man die WHO-Definition zugrunde, die von einer Knochendichte von mindestens 2,5 Standardabweichungen unterhalb des Mittelwertes junger knochengesunder Frauen ausgeht (sogenannter T-Score; WHO 1994). Zwischen Knochenmasse und Frakturrisiko besteht eine inverse Beziehung, daher kann eine Messung der Knochendichte die Abschätzung des Frakturrisikos ermöglichen, ohne jedoch eine sichere Identifizierung des Individuums, das in der Zukunft eine Fraktur erfahren wird, zu leisten. Obwohl Frauen und Männer offenbar den gleichen Gehalt an Knochenmineralsubstanz innerhalb der Wirbelkörper aufweisen [29], ist die Inzidenz der Osteoporose bei Frauen größer und wird in der Zukunft wahrscheinlich weiter ansteigen, nicht zuletzt wegen der größeren und steigenden Lebenserwartung der Frauen (Abb. 1 [12]).
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Dören, M. (2002). Selektive Östrogenrezeptormodulatoren (SERMs) bei Osteoporose. In: Hedtmann, A., Götte, S. (eds) Osteoporose. Praktische Orthopädie, vol 41. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57442-9_9
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