The impact of methods for estimating bone health and the global burden of bone disease
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| Format: | Artículo científico |
| Language: | en |
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Instituto Nacional de Salud Pública
2009
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| _version_ | 1876478659074719744 |
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| author | Zoë A Cole |
| author_facet | Zoë A Cole |
| contents | The impact of methods for estimating bone health and the global burden of bone disease Zoë A Cole Elaine M Dennison Cyrus Cooper Salud prevention Osteoporosis risk factors bone density fracture risk Osteoporosis constitutes a major public health problem through its association with age related fractures. Fracture rates are generally higher in caucasian women than in other populations. Important determinants include estrogen deficiency in women, low body mass index, cigarette smoking, alcohol consumption, poor dietary calcium intake, physical inactivity, certain drugs and illnesses. Thus, modification of physical activity and dietary calcium/vitamin D nutrition should complement high risk approaches. In addition, the recently developed WHO algorithm for evaluation of 10-year absolute risk of fracture provides a means whereby various therapies can be targeted cost-effectively to those at risk. Risk factors, together with bone mineral density (BMD) and biochemical indices of bone turnover, can be utilised to derive absolute risks of fracture and cost-utility thresholds at which treatment is justified. These data will provide the basis for translation into coherent public health strategies aiming to prevent osteoporosis both in individuals and in the general population. 2009 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10612571007 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.1 Vol.51 |
| format | Artículo científico |
| id | redalyc_10612571007 |
| institution | Redalyc |
| language | en |
| publishDate | 2009 |
| publisher | Instituto Nacional de Salud Pública |
| spellingShingle | The impact of methods for estimating bone health and the global burden of bone disease Zoë A Cole Salud prevention Osteoporosis risk factors bone density fracture risk The impact of methods for estimating bone health and the global burden of bone disease Zoë A Cole Elaine M Dennison Cyrus Cooper Salud prevention Osteoporosis risk factors bone density fracture risk Osteoporosis constitutes a major public health problem through its association with age related fractures. Fracture rates are generally higher in caucasian women than in other populations. Important determinants include estrogen deficiency in women, low body mass index, cigarette smoking, alcohol consumption, poor dietary calcium intake, physical inactivity, certain drugs and illnesses. Thus, modification of physical activity and dietary calcium/vitamin D nutrition should complement high risk approaches. In addition, the recently developed WHO algorithm for evaluation of 10-year absolute risk of fracture provides a means whereby various therapies can be targeted cost-effectively to those at risk. Risk factors, together with bone mineral density (BMD) and biochemical indices of bone turnover, can be utilised to derive absolute risks of fracture and cost-utility thresholds at which treatment is justified. These data will provide the basis for translation into coherent public health strategies aiming to prevent osteoporosis both in individuals and in the general population. 2009 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10612571007 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.1 Vol.51 |
| title | The impact of methods for estimating bone health and the global burden of bone disease |
| topic | Salud prevention Osteoporosis risk factors bone density fracture risk |
| url | https://www.redalyc.org/articulo.oa?id=10612571007 |