Podcast
Questions and Answers
What is the prevalence of osteoporosis in men aged 50 years?
What is the prevalence of osteoporosis in men aged 50 years?
- 1 in 4
- 1 in 5 (correct)
- 1 in 2
- 1 in 3
Which type of fracture is most common due to osteoporosis?
Which type of fracture is most common due to osteoporosis?
- Spine
- Hip (correct)
- Wrist
- Other
What is the estimated total number of hip fractures in 2050?
What is the estimated total number of hip fractures in 2050?
- 742 thousand
- 1.66 million
- 378 thousand
- 6.26 million (correct)
What factor, other than decreased Bone Mineral Density (BMD), contributes to increased fractures in the elderly?
What factor, other than decreased Bone Mineral Density (BMD), contributes to increased fractures in the elderly?
What is the estimated prevalence of osteoporosis in individuals over 50 years old in Ireland?
What is the estimated prevalence of osteoporosis in individuals over 50 years old in Ireland?
What is the average hospital stay for patients with hip fractures in Ireland?
What is the average hospital stay for patients with hip fractures in Ireland?
What is the immediate mortality rate after hip fracture in Ireland?
What is the immediate mortality rate after hip fracture in Ireland?
What percentage of individuals with hip fractures require long-term care?
What percentage of individuals with hip fractures require long-term care?
At what age is peak bone mass achieved?
At what age is peak bone mass achieved?
When does age-related bone loss typically begin?
When does age-related bone loss typically begin?
What causes uncoupling of bone resorption and formation, leading to bone loss?
What causes uncoupling of bone resorption and formation, leading to bone loss?
What percentage of women with osteoporosis are unaware of their condition?
What percentage of women with osteoporosis are unaware of their condition?
What is the gold standard for osteoporosis diagnosis?
What is the gold standard for osteoporosis diagnosis?
How much does the cost of falls and fractures amount to annually in Ireland?
How much does the cost of falls and fractures amount to annually in Ireland?
What percentage of individuals with hip fractures regain their independence?
What percentage of individuals with hip fractures regain their independence?
How many hip fractures occur annually in Ireland?
How many hip fractures occur annually in Ireland?
What does BMD measure deviations from?
What does BMD measure deviations from?
Which criterion classifies BMD levels as normal, osteopenia, osteoporosis, or established osteoporosis?
Which criterion classifies BMD levels as normal, osteopenia, osteoporosis, or established osteoporosis?
What is the effect of bisphosphonates on BMD in the spine during the first 3 years of treatment?
What is the effect of bisphosphonates on BMD in the spine during the first 3 years of treatment?
What is essential for the management of osteoporosis in men?
What is essential for the management of osteoporosis in men?
What does Z-score measure deviations from?
What does Z-score measure deviations from?
What is the effect of bisphosphonates on BMD in the hip during the first 3 years of treatment?
What is the effect of bisphosphonates on BMD in the hip during the first 3 years of treatment?
What does plain radiography show after 30-80% bone mineral loss?
What does plain radiography show after 30-80% bone mineral loss?
What is the role of vitamin D supplements in relation to BMD, fracture risk, and falls?
What is the role of vitamin D supplements in relation to BMD, fracture risk, and falls?
What is vital for bone health according to the text?
What is vital for bone health according to the text?
What is involved in osteoporosis prevention according to the text?
What is involved in osteoporosis prevention according to the text?
What is the effect of calcium intake and vitamin D sources on osteoporosis prevention?
What is the effect of calcium intake and vitamin D sources on osteoporosis prevention?
What is the evidence for continuing bisphosphonates after 3 years, especially in the context of multimorbidity and frailty?
What is the evidence for continuing bisphosphonates after 3 years, especially in the context of multimorbidity and frailty?
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Study Notes
Osteoporosis Diagnosis and Treatment Overview
- BMD can be expressed as T-score or Z-score and is an independent predictor of fragility fractures
- Plain radiography shows lucency after 30-80% bone mineral loss
- T-score measures deviations from mean BMD of young healthy adults and is used in post-menopausal women and men over 50
- Z-score measures deviations from mean BMD of the same age and gender population
- WHO criteria for T-scores classify BMD levels as normal, osteopenia, osteoporosis, or established osteoporosis
- Bisphosphonates inhibit bone resorption and improve mineralization, increasing BMD by 5-8% in spine and 2-4% in hip during the first 3 years of treatment
- There is no consistent evidence for continuing bisphosphonates after 3 years, especially in the context of multimorbidity and frailty
- Prevention of osteoporosis includes lifestyle measures, calcium intake, and vitamin D sources
- Vitamin D supplements may have a beneficial effect on BMD, fracture risk, and falls
- Bone-sparing foods with low PRAL values and vitamin K are vital for bone health
- Osteoporosis prevention involves a varied and healthy diet, achieving good peak bone mass, maintaining a healthy body weight, and staying active
- Osteoporosis affects 20% of men, with lifestyle measures and treatment of underlying causes being essential for management
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