Osteoporosis: protecting your bones at any age
1 in 3 women and 1 in 5 men after 50 years old
Dr. Marc Lefèvre
Rheumatologist
Bone, a living tissue that becomes fragile
Osteoporosis is characterized by a decrease in bone mass and an alteration of its microarchitecture, increasing the risk of fractures (vertebrae, femoral neck, wrist). Often silent until the first fracture.
Preventive Solutions
- Calcium intake: 1000-1200 mg/day (dairy products, mineral water, sardines)
- Vitamin D: sun exposure, supplementation (800-1000 IU/day)
- Weight-bearing physical activity: walking, light running, strength training
- Smoking cessation, moderate alcohol consumption
- Fall prevention: ophthalmology, podiatry, environment
Medication Solutions
Bisphosphonates (alendronate, risedronate, zoledronate): inhibit bone resorption, first-line treatment.
Denosumab (Prolia): subcutaneous injection every 6 months.
Teriparatide and romosozumab: anabolic treatments for severe forms.
HRT in postmenopausal women with specific indications.
Screening
Bone densitometry (BMD) after age 65 for women, or earlier if risk factors (early menopause, prolonged corticosteroid therapy, family history).
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