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Current opinion on premenopausal osteoporosis


Authors: Payer Juraj;  Smaha Juraj;  Kužma Martin;  Jackuliak Peter;  Killinger Zdenko
Authors‘ workplace: V. interná klinika LF UK a UNB, Nemocnica Ružinov, Bratislava
Published in: Clinical Osteology 2019; 24(2): 75-81
Category:

Overview

In contrast to postmenopausal subjects, diagnosis and treatment of osteoporosis in young women remain poorly defined. A low bone mineral density in premenopausal women is not associated with the same risk of fractures as in postmenopausal women, therefore diagnosis requires not only densitometry but depends on the consideration of other risk factors. Most cases of premenopausal osteoporosis are associated with chronic diseases known to affect bone metabolism. Treatment of the underlying disease may improve bone density as well as bone quality. Rarely, a bone-specific therapy may be used, although quality evidence is scarce. This article will review current opinion on definition, diagnosis and treatment of premenopausal osteoporosis.

Keywords:

DXA – prevention of osteoporosis – premenopausal osteoporosis – risk of fracture


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