Dilemmas in the Management of Osteoporosis in Younger Adults

被引:13
作者
Herath, Madhuni [1 ,2 ,3 ]
Cohen, Adi [4 ]
Ebeling, Peter R. [1 ,3 ]
Milat, Frances [1 ,2 ,3 ]
机构
[1] Monash Hlth, Dept Endocrinol, Clayton, Vic, Australia
[2] Hudson Inst Med Res, Ctr Endocrinol & Metab, 27-31 Wright St, Clayton, Vic 3168, Australia
[3] Monash Univ, Sch Clin Sci, Dept Med, Clayton, Vic, Australia
[4] Columbia Univ, Dept Med, Coll Phys & Surg, New York, NY USA
基金
澳大利亚国家健康与医学研究理事会; 英国医学研究理事会;
关键词
OSTEOPOROSIS; FRACTURE; BONE DENSITY; BONE QUALITY; PREMENOPAUSAL; YOUNG ADULT; FRACTURE RISK ASSESSMENT; FRACTURE PREVENTION; SCREENING; THERAPEUTICS; BONE-MINERAL DENSITY; GLUCOCORTICOID-INDUCED OSTEOPOROSIS; LACTATION-ASSOCIATED OSTEOPOROSIS; ADJUVANT ENDOCRINE THERAPY; CONNECTIVE-TISSUE DISEASE; PREMENOPAUSAL WOMEN; ZOLEDRONIC ACID; BREAST-CANCER; DOUBLE-BLIND; CYSTIC-FIBROSIS;
D O I
10.1002/jbm4.10594
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Osteoporosis in premenopausal women and men younger than 50 years is challenging to diagnose and treat. There are many barriers to optimal management of osteoporosis in younger adults, further enhanced by a limited research focus on this cohort. Herein we describe dilemmas commonly encountered in diagnosis, investigation, and management of osteoporosis in younger adults. We also provide a suggested framework, based on the limited available evidence and supported by clinical experience, for the diagnosis, assessment, and management of osteoporosis in this cohort. (c) 2021 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research.
引用
收藏
页数:26
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