Reumatizam, Vol. 55 No. 1, 2008.
Stručni rad
Recommendations of the Croatian Society for Rheumatology for prevention, diagnostics and treatment of post-menopausal osteoporosis
Božidar Ćurković
; Klinika za reumatske bolesti i rehabilitaciju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Simeon Grazio
; Klinika za reumatologiju, fizikalnu medicinu i rehabilitaciju, Klinička bolnica “Sestre milosrdnice”, Zagreb, Hrvatska
Đurđica Babić-Naglić
; Klinika za reumatske bolesti i rehabilitaciju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Branimir Anić
; Zavod za kliničku imunologiju i reumatologiju, Klinika za unutarnje bolesti, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Tonko Vlak
; Odjel za fizikalnu medicinu, rehabilitaciju i reumatologiju, Klinički bolnički centar Split, Split, Hrvatska
Marino Hanih
; Odjel za reumatske bolesti, fizikalnu medicinu i rehabilitaciju, Opća bolnica “Dr. Josip Benčević”, Slavonski Brod, Hrvatska
Sažetak
Osteoporosis is a disease characterized by loss of bone mass and the structural deterioration of bone tissue leading to increased bone fragility and fractures. Preventive measures for osteoporosis and osteoporotic fractures include adequate calcium and vitamine D intake, adequate physical activity and reduction of the risk factors can be influenced. Currently, measurement of bone mineral density using dual energy x-ray absorptiometry (DXA) is still the gold standard for the diagnosis of osteoporosis. Non-pharmacological therapy is the integral part of the management of osteoporosis. Nitrogen-containing bisphosphonates in weekly or more prolonged (monthly) dosing intervals are now the first-line osteoporosis therapy. Oral bisphosphonates show, generally, similar efficacy on vertebral fractures risk reduction. There, might be some differences among bisphosphonates, regarding risk reduction of non-vertebral, hip and glucocortiocoid related fratures. On behalf of Croatian Society of Rheumatology of Croatian Medical Association we propose recommendations for the prevention, diagnosis and management of postmenopausal osteoporosis.
Ključne riječi
postmenopausal osteoporosis; prevention; diagnostics; treatment
Hrčak ID:
125318
URI
Datum izdavanja:
1.7.2008.
Posjeta: 1.699 *