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New guide on osteoporosis treatment, prevention offered.



THE NATIONAL Osteoporosis Foundation The National Osteoporosis Foundation (NOF) is an American voluntary health organization dedicated to osteoporosis and bone health. Its headquarters are in Washington, D.C..  has released a new clinician's guide to help U.S. health care providers make the best treatment decisions and better predict those at risk for fractures Fractures Definition

A fracture is a complete or incomplete break in a bone resulting from the application of excessive force.
Description
.

The Clinician's Guide to Prevention and Treatment of Osteoporosis osteoporosis (ŏs'tēō'pərō`sĭs), disorder in which the normal replenishment of old bone tissue is severely disrupted, resulting in weakened bones and increased risk of fracture; osteopenia , released in late February, goes beyond the traditional guidelines guidelines,
n.pl a set of standards, criteria, or specifications to be used or followed in the performance of certain tasks.
 and includes advice for black, Asian, Hispanic and other women as well as men ages 50 and older. Osteoporosis is a major public health problem that can lead to chronic pain, disability and even death. Each year broken bones This article or section has multiple issues:
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 due to low bone mass or osteoporosis cause more than 432,000 hospital admissions, almost 2.5 million medical office visits and about 180,000 nursing home admissions, according to according to
prep.
1. As stated or indicated by; on the authority of: according to historians.

2. In keeping with: according to instructions.

3.
 statistics from the National Osteoporosis Foundation.

The new clinician's guide "dramatically alters the approach to assessing fracture risk and treatment," said Bess Dawson-Hughes, chair of the guide's development committee and past president of the National Osteoporosis Foundation. "The guide provides evidence-based recommendations to help health care providers better identify people at risk for developing osteoporosis and fractures and assures that those at highest risk are recommended for treatment to lower that risk."

Among those recommendations is a recently released algorithm on "absolute fracture," which is also referred to as a 10-year fracture model and 10-year fracture probability. It estimates the likelihood of a person breaking a bone due to low bone mass or osteoporosis over a 10-year period.

Absolute fracture risk methodology provides an improved method to assure that people with highest fracture risk get treated, according to the guide. Those at greatest risk of fracture include postmenopausal post·men·o·paus·al
adj.
Of or occurring in the time following menopause.


postmenopausal Change of life Gynecology adjective Referring to the time in ♀ when menstrual periods stop for ≥ 1 yr
 women and older men with a diagnosis of osteoporosis or those with a clinical diagnosis based on having sustained a spine or hip fracture hip fracture Orthopedic surgery A femoral fracture which affects 1/6 white ♀–US during life Epidemiology 250,000/yr–US Specifics Proximal femur; 90+% femoral neck, intertrochanteric; 5-10% are subtrochanteric Risk factors Tall, thin ♀, . Absolute fracture risk calculations also help resolve many questions about management for people living with low bone mass, or osteopenia.

The algorithm used in the guide takes into account not only bone mineral density bone mineral density
n.
See bone density.


bone mineral density A measurement of bone mass, expressed as the amount of mineral–in grams divided by the area scanned in cm2. See Bone densitometry.
 but also nine specific clinical risk factors for osteoporosis and related fractures.

"To be able to better identify and treat those patients at risk for osteoporosis and costly fractures will have a positive impact on the medical, emotional and economic burden that osteoporosis bears on this country," said Ethel Siris, MD, president of the National Osteoporosis Foundation.

The osteoporosis guide also provides recommendations for clinicians on when to perform bone mineral density testing, lists risk factors for falls and gives universal recommendations for osteoporosis prevention. Those universal recommendations are summarized in five steps to bone health: get the daily recommended amounts of calcium and vitamin D vitamin D

Any of a group of fat-soluble alcohols important in calcium metabolism in animals to form strong bones and teeth and prevent rickets and osteoporosis. It is formed by ultraviolet radiation (sunlight) of sterols (see steroid) present in the skin.
, engage in regular weight-bearing and muscle-strengthening exercise, avoid smoking and excessive alcohol consumption, talk to a health care provider about bone health and have a bone density test and take medication when appropriate. The guide recommends adults older than 50 get 1,200 mg of daily calcium and 800 to 1,000 IU of vitamin D.

The guide was developed by an expert National Osteoporosis Committee in collaboration with a multi-specialty council of medical experts in the field of bone health.

The full guide as well as other information on osteoporosis is available at www.nof.org/professionals/ Clinicians_Guide.htm.
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Publication:The Nation's Health
Date:Jun 1, 2008
Words:530
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