Treatment FAQ

which of the following is not related to the prevention and/or treatment of osteoporosis in women

by Dr. Tianna Herman MD Published 2 years ago Updated 2 years ago

What is the nurse's most important instruction regarding exercise for osteoporosis?

Apr 20, 2017 · Estrogen/Estrogen + Progesterone are no longer recommended as a first-line therapy for the prevention of osteoporosis, especially after the age of 60. Before the age of 60, estrogen is considered only if the woman has menopausal symptoms. Progesterone should be added if the woman has uterus.

What is the clinician’s Guide to prevention and treatment of osteoporosis?

Aug 17, 2020 · An estrogen agonist/antagonist, also known as a selective estrogen receptor modulator (SERM), and tissue-selective estrogen complex (TSEC), are both approved to treat and prevent osteoporosis in postmenopausal women. They are not estrogen, but they have estrogen-like effects on some tissues and estrogen-blocking effects on other tissues.

What is the best treatment for osteoporosis in women?

Oct 17, 2021 · Autoimmune Diseases. Autoimmune diseases can increase the risk of developing osteoporosis and occur more often in women than in men. 9. Autoimmune diseases that affect women more often than men and can lead to osteoporosis include rheumatoid arthritis, systemic lupus erythematosus, and multiple sclerosis.

Is osteoporosis just a disease of women?

Important risk factors for osteoporosis-related fractures that can be treated are physical inactivity, low weight, tobacco smoking, high alcohol consumption, tendency to fall, impaired vision, low exposure to sunlight, and use of corticosteroids. Osteoporosis is only one of several risk factors for fractures.

What are the prevention of osteoporosis?

Diet, vitamin D and weight-bearing exercise can help to prevent osteoporosis. If you have osteoporosis, medical treatment can prevent further bone loss and reduce your risk of bone fractures.

What are 3 treatments used for the treatment and prevention of osteoporosis?

Treatments for established osteoporosis may include exercise, vitamin and mineral supplements, and medications. Exercise and supplementation are often suggested to help you prevent osteoporosis. Weight-bearing, resistance and balance exercises are all important.Apr 27, 2020

What is the best treatment for osteoporosis of the spine?

Bisphosphonates are usually the first choice for osteoporosis treatment. These include: Alendronate (Fosamax), a weekly pill. Risedronate (Actonel), a weekly or monthly pill.

What are the two most effective ways to prevent osteoporosis?

How to prevent osteoporosis
  • Get the calcium and vitamin D you need every day. ...
  • Do regular weight-bearing and muscle-strengthening exercises. ...
  • Eat foods that are good for bone health. ...
  • Don't smoke and don't drink too much alcohol.

When does prevention of osteoporosis start quizlet?

The prevention of osteoporosis should start in middle age, to counter the gradual loss of bone density as we get old. The prevention of osteoporosis should begin with children while bones are still growing. Children should increase their bone mass to provide additional protection from osteoporosis in the future.

How can I prevent osteoporosis during menopause?

Reducing the risk of osteoporosis during menopause
  1. Aim for 1,300 mg of dietary calcium intake every day. ...
  2. Do regular and appropriate weight-bearing physical activity , including resistance training exercise with weights (always do this type of exercise under supervision).
  3. Maintain adequate vitamin D levels.

What causes osteoporosis of the spine?

A lifelong lack of calcium plays a role in the development of osteoporosis. Low calcium intake contributes to diminished bone density, early bone loss and an increased risk of fractures. Eating disorders. Severely restricting food intake and being underweight weakens bone in both men and women.Aug 21, 2021

How is neck osteoporosis treated?

Treatment for osteoporosis typically involves lifestyle changes to diet and exercise, as well as medication that slows down the rate of bone breaking down (called bone resorption), increases bone formation, or both.

What treatments are available for osteoporosis?

Treatment
  • Alendronate (Binosto, Fosamax)
  • Ibandronate (Boniva)
  • Risedronate (Actonel, Atelvia)
  • Zoledronic acid (Reclast, Zometa)
Aug 21, 2021

Is osteoporosis a preventable disease?

Osteoporosis is a largely preventable disease that is characterized by “holey” bones, or bones that are porous and have a low density. Osteoporosis is associated with an increased risk of fractures. This condition can often be reduced, eliminated, or prevented by following healthy lifestyle guidelines.

How can I prevent osteoporosis in my 30s?

These steps can help prevent osteoporosis.
  1. Hit your calcium quota. ...
  2. Take in calcium from food or supplements. ...
  3. Add vitamin D. ...
  4. Fit in potassium and protein. ...
  5. Get weight-bearing exercise regularly. ...
  6. Cut back on caffeine and alcohol. ...
  7. Quit smoking.

How to treat osteoporosis in women?

If the fracture risk is low or moderate, you may only need to implement certain lifestyle changes, such as exercising more or taking vitamin D and calcium supplements. For those at greater risk of fracture, medications and lifestyle changes are needed to help limit fractures.

How to prevent osteoporosis?

Avoiding things that could decrease your bone mass (such as smoking and excessive alcohol use), exercising regularly, and eating a diet with the recommended daily amounts of vitamins and minerals can all help .

What happens to estrogen during menopause?

During menopause, levels of the hormone estrogen decrease in the body. Estrogen plays a role in the healthy functioning of the reproductive system. A decrease in estrogen also leads to an increase in osteoclasts, which are cells that break down bones. 13 This leads to increased risk of osteoporosis in postmenopausal women. 4

Why is osteoporosis considered a silent disease?

Osteoporosis is often referred to as a silent disease because the majority of people with the condition will not experience any symptoms until they have fractured a bone. 2 If symptoms do appear, they often include: 16

What is the most common bone disease?

Osteoporosis means “porous bone." It is the most common form of bone disease and can occur as part of the natural aging process. 2

Why is osteoporosis higher in women?

The risk of osteoporosis is higher in women because women have smaller and thinner bones than men. 4 There are also other factors that can increase a woman's risk of developing osteoporosis. 3 5

What are the benefits of vitamin D and calcium?

Vitamin D and calcium play a role in the health of bones. If a person does not get enough of either throughout their life, they are more at risk for osteoporosis. Women are more likely than men to have lower levels of vitamin D and calcium, which adds to their osteoporosis risk. 7 8

What is the best treatment for osteoporosis in elderly women?

Pharmacotherapy: Calcium and vitamin D are shown to reduce the risk for hip fracture and other fractures, except vertebral fractures, in elderly women. Alendronate and risedronate (bisphosphonates ) are shown to reduce the number of fractures, mainly vertebral fractures, in postmenopausal women with osteoporosis.

What are the risk factors for osteoporosis?

Important risk factors for osteoporosis-related fractures that can be treated are physical inactivity, low weight, tobacco smoking, high alcohol consumption, tendency to fall, impaired vision, low exposure to sunlight, and use of corticosteroids.

How many women in Sweden have osteoporosis?

Osteoporosis is a common condition in Sweden. One in three women aged 70 through 79 years is found to have osteoporosis, revealed by measuring bone density in the hip. Osteoporosis may lead to fractures following minor stress on the bone.

How does physical activity affect bone density?

Physical exercise for at least 30 minutes, 2 to 3 times per week, has a positive effect on bone density in both girls and boys. This effect probably remains throughout young adulthood. Physical activity is particularly important in children and teenagers, when maximum bone mass is formed.

How can we reduce the number of falls among elderly people?

To reduce the number of falls among elderly, the following interventions are shown to be important: individually designed muscle strength and balance training, interventions against the risk for falls at home, and a combination of training and modification of risk for falls, including a reduction in medication.

Does vitamin D help with hip fractures?

Pharmacotherapy: Calcium and vitamin D are shown to reduce the risk for hip fracture and other fractures, except vertebral fractures , in elderly women. Alendronate and risedronate (bisphosphonates) are shown to reduce the number of fractures, mainly vertebral fractures, in postmenopausal women with osteoporosis. Estrogen has been shown to reduce the number of fractures, but its applicability is limited due to increased risk for undesirable side effects. Selective estrogen-receptor modulators (SERM) are shown to reduce the risk for vertebral fractures in postmenopausal women with osteoporosis.

Is osteoporosis a risk factor for hip fracture?

Osteoporosis is only one of several risk factors for fractures. Bone density measurement has little likelihood of predicting hip fracture in individuals who are otherwise at small risk for fracture. Important risk factors that cannot be influenced include old age, female gender, previous fracture, and heredity.

Which is better for oral absorption: calcium citrate or calcium citrate?

Calcium citrate: more expensive but has the best oral absorption, especially in pts taking H2-blockers or PPIs.

What happens to old bone after it is resorbed?

Old bone is resorbed, after which new bone is deposited.

What is the endogenous chain of teriparatide?

Recombinant human parathyroid hormone (PTH). Endogenous PTH is a chain of 84 amino acids. Teriparatide is a chain of the first 34 amino acids. Intermittent administration of exogenous 1-34 PTH results in preferential BONE FORMATION.

What hormone is produced by the thyroid gland in response to high levels of plasma calcium?

Calcitonin is a hormone produced by the thyroid gland in response to high levels of plasma calcium. Explain the major functions of Calcitonin. 1) Inhibits the resorption of calcium from bone (inhibits Ca++ removal from bone) 2) Increases renal exretion of calcium.

Is osteoporosis silent?

Osteoporosis is a common disease of the bones & is often silent until a fracture occurs, making screening important. Characterized by low bone mass & increased bone fragility. Pateints are susceptible to fractures from minor traumatic events such as coughing, rolling over in bed, walking, or falling.

Does raloxifene help with osteoporosis?

Treatment & prevention of osteoporosis in post-menopausal women AND also FDA approved to prevent breast cancer in women with estrogen sensitive breast cancer. Raloxifene will NOT treat menopausal symptoms - it is not a simple estrogen alternative - there are differences.

Is Ca++ better than placebo?

There are few head to head trials comparing one prescription drug to another. Ca++ alone reduces risk of fractures & increases bone density better than placebo but not as well as prescription options. Ca++ plus a prescription drug is more effective than Ca++ alone & more effective than a prescription drug along.

How to prevent osteoporosis in postmenopausal women?

To specifically prevent osteoporosis in postmenopausal women, increased calcium and vitamin D intake and weight bearing exercises (e.g. walking) are the best methods. A patient started Alendronate (Fosamax) once a week for the treatment of osteoporosis.

What is the name of the medication given to a client with osteoporosis?

Alendronate (Fosamax) is given to a client with osteoporosis. The nurse advises the client to?

Why is osteoporosis a degenerative disease?

Osteoporosis is a degenerative metabolic bone disorder in which the rate of bone resorption accelerates and the rate of bone formation decelerates, thus decreasing bone density. Postmenopausal women are at increased risk for this disorder because of the loss of estrogen.

What is the purpose of alendronate?

Alendronate (Fosamax) is prescribed for a patient with osteoporosis. The nurse teaches the patient that. a )the drug must be taken with food to prevent GI side effects. b )bisphosphonates prevent calcium from being taken from the bones.

What prevents calcium from being taken from the bones?

b )bisphosphonates prevent calcium from being taken from the bones.

Is weight bearing exercise good for osteoporosis?

A: Weight bearing exercises are beneficial in the treatment of osteoporosis. B, C, D: Although loss of bone cannot be substantially reversed, further loss can be greatly reduced if the client includes weight bearing exercises along with estrogen replacement and calcium supplements in their treatment protocol.

Is alendronate contraindicated with ACE inhibitors?

A&B: ACE inhibitors are not contraindicated with alendronate and there is no iodine allergy relationship . C: The patient should not eat or drink for 30 minutes after administration and should not lie down. The nurse is instructing a 65-year-old female client diagnosed with osteoporosis.

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