What are the Japanese guidelines for osteoporosis treatment?
The Japanese Guidelines for the Prevention and Treatment of Osteoporosis recommend that the main goals when managing patients with osteoporosis are to control the risk of fracture and to maintain or improve quality of life.
How common is osteoporosis in Japan?
This study estimated that 800,000–2,600,000 Japanese men and 5,300,000–8,100,000 Japanese women aged ≥40 years would have osteoporosis at the lumbar spine, femoral neck, or total hip [ 12 ].
How can osteoporosis be prevented and treated?
Although nonpharmacological strategies are important for preventing the onset and progression of osteoporosis, pharmacological treatment can help to reduce the risk of fracture in patients who are at high risk of subsequent fractures.
Does pharmacotherapy have a role in the treatment of osteoporosis?
However, the role of pharmacotherapy in the treatment of osteoporosis and in slowing bone loss or stimulating bone formation is increasingly recognized as of equal importance by Japanese orthopedists [ 58 ].
What is the most popular treatment for osteoporosis?
Bisphosphonates are usually the first choice for osteoporosis treatment. These include: Alendronate (Fosamax), a weekly pill. Risedronate (Actonel), a weekly or monthly pill.
What is the current treatment for osteoporosis?
Bisphosphonates. For both men and women at increased risk of fracture, the most widely prescribed osteoporosis medications are bisphosphonates. Examples include: Alendronate (Binosto, Fosamax)
Do the Japanese suffer from osteoporosis?
According to population-based epidemiologic studies, the estimated number of people with osteoporosis in Japan is 15 million, and only 20% of them are under treatment. Osteoporosis is a highly undertreated disease.
Is there a permanent cure for osteoporosis?
There's no cure for osteoporosis, but there are treatments to help prevent and treat it once it's diagnosed. The goal of treatment is to protect and strengthen your bones.
What is the safest osteoporosis drug 2020?
The U.S. Food and Drug Administration today approved Evenity (romosozumab-aqqg) to treat osteoporosis in postmenopausal women at high risk of breaking a bone (fracture).
What is the best natural treatment for osteoporosis?
While more scientific research is needed on the subject, some herbs and supplements are believed to reduce or potentially stop the bone loss caused by osteoporosis.Red clover. Red clover is thought to contain estrogen-like compounds. ... Soy. ... Black cohosh. ... Horsetail. ... Acupuncture. ... Tai chi. ... Melatonin.
What country has the highest rate of osteoporosis?
The highest prevalence of osteoporosis in the studies studied in Iran with 77.3% and the lowest prevalence in the Canadian study with 1.07% [30, 85]. Osteoporosis affects both males and females.
Is miso soup good for osteoporosis?
Miso soup is a good source of calcium, isoflavones, and vitamin K, which all help in promoting and maintaining good bone health. It also reduces the risk of osteoporosis.
How can I increase my bone density without medication?
What can I do to keep my bones healthy?Include plenty of calcium in your diet. For adults ages 19 to 50 and men ages 51 to 70, the Recommended Dietary Allowance (RDA) is 1,000 milligrams (mg) of calcium a day. ... Pay attention to vitamin D. ... Include physical activity in your daily routine. ... Avoid substance abuse.
What is the best doctor to see for osteoporosis?
Osteoporosis is caused by bone loss due to hormones, so you'd actually want to see an endocrinologist to manage your care. While orthopedists do deal with other issues of the bone like joint problems and bone injuries that are symptoms of osteoporosis, endocrinologists treat the root cause.
What foods to avoid if you have osteoporosis?
7 Foods to Avoid When You Have OsteoporosisSalt. ... Caffeine. ... Soda. ... Red Meat. ... Alcohol. ... Wheat Bran. ... Liver and Fish Liver Oil.
Abstract
In Japan, unlike in the United States and Europe, where osteoporosis is synonymous with postmenopausal osteoporosis, the need for treatment of osteoporosis has been emphasized only for elderly women with established disease.
Keywords
Hashimoto I (1995) Methods of epidemiological survey on osteoporosis (in Japanese). Proc Jpn Osteoporosis Foundation Semin 12:19–33
Abstract
Prevalent fractures are major contributors to an increased risk of subsequent fractures, particularly in people with osteoporosis. While many studies have been conducted to assess the incidence of fracture in Japanese people with osteoporosis, far fewer have been conducted to assess the risk of subsequent fractures.
Introduction
Osteoporosis is a serious public health issue that is associated with high levels of morbidity and mortality worldwide [ 1 ]. Although most individuals with age-related bone loss are asymptomatic, progressive and unchecked bone loss is associated with increased bone fragility and a high risk of bone fracture.
Morbidity and mortality associated with fracture in Japan
In the past two decades there has been a dramatic increase in the proportion of the Japanese population >65 years, particularly elderly women. In 2011, people aged ≥65 years comprised 23 % of Japan’s total population, which has increased from 18 % in 2001 and 12.6 % in 1991 [ 15 – 17 ].
Risk of subsequent fracture
The existence of a previous fracture confers an approximately 2-fold higher risk of subsequent fracture [ 8, 46] and is a major contributor to the risk of subsequent fractures in postmenopausal women in Japan (Table 3 ).
Pharmacological treatment for prevention of subsequent fractures
The Japanese Guidelines for the Prevention and Treatment of Osteoporosis recommend that the main goals when managing patients with osteoporosis are to control the risk of fracture and to maintain or improve quality of life.
Conclusion
Osteoporotic fracture in Japan is associated with high morbidity and mortality that results in significant financial and social costs to the individual, communities, and nation.
Acknowledgments
The study was funded by Eli Lilly and Company, manufacturer of raloxifene and teriparatide. Medical writing services were provided by Serina Stretton, PhD, and Mark Woolley, PhD, of ProScribe Medical Communications and were funded by Eli Lilly Japan K. K. All authors are employees of Eli Lilly and Company or Eli Lilly Japan K.
About Japan
Japan is special in its own way; the culture, food, people, as well as technology are envied by the world over. With old Japan, comes the ancient tradition in the form of a geisha performance, onsen (hot spring) visit in the mountains, tea ceremony, or shrine visit.
Popular Parts of Japan
Located in the Pacific Ocean, Japan is a stratovolcano archipelago. The four largest islands are Honshu, Hokkaido, Kyushu, and Shikoku. With a population of 127 million, 98% are ethnic Japanese. The country perfectly balances traditional with modern technology.
Getting Around in Japan
The main airport for international tourists is the Narita International Airport. It is located around 60km east of central Tokyo. It serves both domestic and international flights to almost every major city around the globe. There are several budget airlines that operate flights from this airport, namely Jetstar Japan, Eastar Jet, and Peach.
Tourist Visas in Japan
Citizens of 68 countries and territories can enter and stay in Japan for up to 90 days without a visa. Citizens of Indonesia, Brunei, and Thailand are granted a 15-day visa-free trip to Japan. Citizens of the United Arab Emirates are allowed to stay for 30 days without a visa.
About this Community
The Bone Health and Osteoporosis Foundation Support Community connects patients, families, friends and caregivers for support and inspiration. This community is sponsored by the Bone Health and Osteoporosis Foundation, an Inspire trusted partner.
Has anyone used the Marodyne LiV to help with their osteoporosis?
I’m 59 and diagnosed with osteoporosis last October after falling and breaking both elbows. I have been o Alendronic Acid for 5 months with some side effects so cane of it. Now taking a range of supplements and being more active. I’d love to hear from anyone who has used or knows about the Marodyne LiV plate. Thanks Mary Sign up to continue reading
Marodyne vs Juvent LIV (vibration devices)
I've been reading a few posts about low intensity vibration devices, and especially about how they compare to each other, so I thought I'd take the plunge and start a discussion ... never done this before on the internet! So, please be kind... The Marodyne device (LIVmd) and the Juvent device are basically the same technology.
Rib pain after compression fractures... looking for solutions
I am recovering from multiple compression fractures, last one 8-24, my abdominal muscles are very weak but hopefully slowly improving. My ribs (front), are so sore....at bottom. Know area comprised due to loss of height, but not sure why so sore at base of ribs..almost more sore than back.
Vit K2-7 Heart Arrhythmias and Palpitations
Dear Friends, I have already posted a discussion on which is better Vitamin K2-7 or Vitamin K2-4 and the overall consensus there seems to be that K2-4 has much less side effects.
Pain after kyphoplasty
I had a kyphoplasty done on November 2, 2016 for an L5 fracture. I have not gotten any relief from the pain and it is now two and a half months after the procedure. I do have very bad osteoporosis, (four back fractures altogether), but thought that I would get some relief.
How many people have osteoporosis in Japan?
According to population-based epidemiologic studies, the estimated number of people with osteoporosis in Japan is 15 million, and only 20% of them are under treatment. Osteoporosis is a highly undertreated disease.
What is the role of the new guideline in osteoporosis?
A greater role of the new guideline is expected than ever to promote preventive measures against osteoporosis and to increase physician's awareness to this disease.
How much does a hip fracture increase the mortality risk?
Hip fracture increases the mortality risk by approximately 10% or 20% during one year after the index fracture. Functional level of patients with hip fracture is deteriorated in 60% of them compared with pre-fracture level.
