Secondary fracture prevention: Drug treatment, fall prevention and nutrition requirements

被引：5
作者：
Geusens, P. [1 ,2 ]
Lems, W. F. [3 ]
Bours, S. [1 ]
Bergh, J. P. Vd [2 ,4 ,5 ]
机构：
[1] Maastricht Univ, Med Ctr, CAPHRI Care & Publ Hlth Res Inst, Subdiv Rheumatol,Dept Internal Med, POB 5800, NL-6202 AZ Maastricht, Netherlands
[2] Hasselt Univ, Biomed Res Ctr, Agomlaan,Gebouw D, B-3590 Diepenbeek, Belgium
[3] Amsterdam Rheumatol & Immunol Ctr, Amsterdam, Netherlands
[4] Maastricht Univ, Med Ctr, NUTRIM Sch Nutr & Translat Res Metab, Dept Internal Med, POB 5800, NL-6202 AZ Maastricht, Netherlands
[5] VieCuri Med Ctr, Dept Internal Med, Tegelseweg 210, NL-5912 BL Venlo, Netherlands
来源：
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY | 2019年 / 33卷 / 02期
关键词：
Imminent fracture risk; Drug treatment; Fall prevention; Nutrition; VITAMIN-D SUPPLEMENTATION; LIAISON SERVICE MODELS; DIETARY-PROTEIN INTAKE; HIP FRACTURE; POSTMENOPAUSAL WOMEN; VERTEBRAL FRACTURES; OSTEOPOROTIC FRACTURES; SUBSEQUENT FRACTURES; RANDOMIZED-TRIAL; ZOLEDRONIC ACID;
D O I：
10.1016/j.berh.2019.04.005
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
In view of the high imminent risk for subsequent fractures, evaluation as early as possible after the fracture will result in early decisions about drug treatment, fall prevention and nutritional supplements. Drug treatment includes anti-resorptive and bone forming agents. Anti-resorptive therapy with broad spectrum fracture prevention and early anti-fracture effects are the first choice. In patients with multiple or severe VFs, the bone forming agent teriparatide should be considered. Adequate calcium and vitamin D are needed in all patients, together with appropriate nutrition, including adequate protein intake. (C) 2019 Elsevier Ltd. All rights reserved.
引用
收藏
页码：290 / 300
页数：11
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