Peer Reviewed
Feature Article Endocrinology and metabolism
Osteoporosis in the very old
Recent articles on:
Seniors' health
Seniors' health
Abstract
Osteoporosis is a common but underdiagnosed and undertreated condition in very old patients. The deformity, morbidity and loss of independence experienced after an osteoporotic fracture is a major health concern in this population.
Key Points
- Osteoporosis is a common chronic bone disorder signifying bone failure. It frequently manifests as fragility or minimal trauma fractures.
- Osteoporosis is underdiagnosed and undertreated in the very old, particularly in the most frail. Chronological age alone should not disqualify very old patients from treatment.
- Many older people will be diagnosed with osteoporosis after a fracture has occurred. The recovery phase is an ideal time to consider the diagnosis as well as strategies for preventing fractures in future.
- Recognition of risk factors for osteoporosis and falls should help identify the most appropriate intervention for individual patients.
- Specific pharmacotherapy for osteoporosis in very old patients includes calcium and vitamin D supplements, bisphosphonates and raloxifene. Lifestyle factors should be addressed in all patients.
Purchase the PDF version of this article
Already a subscriber? Login here.