Reumatizam, Vol. 55 No. 1, 2008.
Professional paper
Recommendations of the Croatian Society for Rheumatology for prevention, diagnostics and treatment of post-menopausal osteoporosis
Božidar Ćurković
; Clinic for Rheumatic Diseases and Rehabilitation, Clinical Hospital Centre Zagreb, Zagreb, Croatia
Simeon Grazio
; Clinic for Rheumatology, Physical Medicine and Rehabilitation, Clinical Hospital “Sestre milosrdnice”, Zagreb, Croatia
Đurđica Babić-Naglić
; Clinic for Rheumatic Diseases and Rehabilitation, Clinical Hospital Centre Zagreb, Zagreb, Croatia
Branimir Anić
; Department for Clinical Immunology and Rheumatology, Clinic for Internal Medicine, Clinical Hospital Centre Zagreb, Zagreb, Croatia
Tonko Vlak
; Department for Physical Medicine, Rehabilitation and Rheumatology, Clinical Hospital Centre Split, Split, Croatia
Marino Hanih
; Department for Rheumatic Diseases, Physical Medicine and Rehabilitation, General Hospital “Dr. Josip Benčević”, Slavonski Brod, Croatia
Abstract
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.
Keywords
postmenopausal osteoporosis; prevention; diagnostics; treatment
Hrčak ID:
125318
URI
Publication date:
1.7.2008.
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