Diagnosis and management of osteoporosis in the older senior

Sheryl F Vondracek, Sunny A LinneburDepartment of Clinical Pharmacy, School of Pharmacy C238-L15, University of Colorado Denver, Aurora, CO, USAAbstract: The older senior is at high risk for osteoporosis. It is important for healthcare providers to be fully aware of the potential risks and benefits...

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Autores principales:	Sheryl F Vondracek, Sunny A Linnebur
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2009
Materias:	osteoporosis aged elderly 80 and over senior diphosphonates Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/4c56fdc5764049a7be72333e2280a8fa
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spelling	oai:doaj.org-article:4c56fdc5764049a7be72333e2280a8fa2021-12-02T07:51:53ZDiagnosis and management of osteoporosis in the older senior1178-1998https://doaj.org/article/4c56fdc5764049a7be72333e2280a8fa2009-03-01T00:00:00Zhttps://www.dovepress.com/diagnosis-and-management-of-osteoporosis-in-the-older-senior-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Sheryl F Vondracek, Sunny A LinneburDepartment of Clinical Pharmacy, School of Pharmacy C238-L15, University of Colorado Denver, Aurora, CO, USAAbstract: The older senior is at high risk for osteoporosis. It is important for healthcare providers to be fully aware of the potential risks and benefits of diagnosing and treating osteoporosis in the older senior population. Data indicate that bone mineral density testing is under-utilized and drug therapy is often not initiated when indicated in this population. Bone mineral density testing with central dual energy x-ray absorptiometry is essential and cost-effective in this population. All older seniors should be educated on a bone-healthy lifestyle including age-appropriate weightbearing exercise and smoking cessation if necessary. It is important to remember that falls play a very important role in the risk for osteoporotic fractures, especially in the older senior. All older seniors should be evaluated annually for falls and strategies should be implemented to reduce fall risk in this population. The risk for vitamin D insufficiency and deficiency is high in the older senior and can contribute to falls and fractures. Adequate intakes of calcium and vitamin D are important and deficiencies need to be treated. Data on osteoporosis drug therapy in the older senior are lacking. Based on data from subgroup analyses of large osteoporosis trials in postmenopausal women, current osteoporosis therapies appear safe and efficacious in the older senior and most will live long enough to derive a benefit from these therapies. Further studies are needed in older seniors, especially men, to better understand the risks and benefits of pharmacologic therapy for the management of osteoporosis.Keywords: osteoporosis, aged, elderly, eighty and over, senior, diphosphonatesSheryl F VondracekSunny A LinneburDove Medical Pressarticleosteoporosisagedelderlyaged80 and overseniordiphosphonatesGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 4, Pp 121-136 (2009)
institution	DOAJ
collection	DOAJ
language	EN
topic	osteoporosis aged elderly aged 80 and over senior diphosphonates Geriatrics RC952-954.6
spellingShingle	osteoporosis aged elderly aged 80 and over senior diphosphonates Geriatrics RC952-954.6 Sheryl F Vondracek Sunny A Linnebur Diagnosis and management of osteoporosis in the older senior
description	Sheryl F Vondracek, Sunny A LinneburDepartment of Clinical Pharmacy, School of Pharmacy C238-L15, University of Colorado Denver, Aurora, CO, USAAbstract: The older senior is at high risk for osteoporosis. It is important for healthcare providers to be fully aware of the potential risks and benefits of diagnosing and treating osteoporosis in the older senior population. Data indicate that bone mineral density testing is under-utilized and drug therapy is often not initiated when indicated in this population. Bone mineral density testing with central dual energy x-ray absorptiometry is essential and cost-effective in this population. All older seniors should be educated on a bone-healthy lifestyle including age-appropriate weightbearing exercise and smoking cessation if necessary. It is important to remember that falls play a very important role in the risk for osteoporotic fractures, especially in the older senior. All older seniors should be evaluated annually for falls and strategies should be implemented to reduce fall risk in this population. The risk for vitamin D insufficiency and deficiency is high in the older senior and can contribute to falls and fractures. Adequate intakes of calcium and vitamin D are important and deficiencies need to be treated. Data on osteoporosis drug therapy in the older senior are lacking. Based on data from subgroup analyses of large osteoporosis trials in postmenopausal women, current osteoporosis therapies appear safe and efficacious in the older senior and most will live long enough to derive a benefit from these therapies. Further studies are needed in older seniors, especially men, to better understand the risks and benefits of pharmacologic therapy for the management of osteoporosis.Keywords: osteoporosis, aged, elderly, eighty and over, senior, diphosphonates
format	article
author	Sheryl F Vondracek Sunny A Linnebur
author_facet	Sheryl F Vondracek Sunny A Linnebur
author_sort	Sheryl F Vondracek
title	Diagnosis and management of osteoporosis in the older senior
title_short	Diagnosis and management of osteoporosis in the older senior
title_full	Diagnosis and management of osteoporosis in the older senior
title_fullStr	Diagnosis and management of osteoporosis in the older senior
title_full_unstemmed	Diagnosis and management of osteoporosis in the older senior
title_sort	diagnosis and management of osteoporosis in the older senior
publisher	Dove Medical Press
publishDate	2009
url	https://doaj.org/article/4c56fdc5764049a7be72333e2280a8fa
work_keys_str_mv	AT sherylfvondracek diagnosisandmanagementofosteoporosisintheoldersenior AT sunnyalinnebur diagnosisandmanagementofosteoporosisintheoldersenior
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Diagnosis and management of osteoporosis in the older senior

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