Skip to main content

Osteoporosis: Diagnosis, Risk Factors, and Prevention

  • Chapter
  • First Online:
Non-Pharmacological Management of Osteoporosis

Abstract

Osteoporosis, as a multifaceted disorder, requires a multidisciplinary approach to achieve the most successful management. Osteoporosis, in general, is a preventable disorder. Maintenance of bone mass depends on several factors, including proper level of physical activity (PA), hormones, and nutrition. Early diagnosis of low bone mass and provision of measures to prevent further bone loss are essential. Application of proper mechanical load can stimulate osteogenic activity. The best preventive measures start in childhood, including proper nutrition and PA. Later in life, the level of PA plays a significant role. Maintaining a moderate level of PA through a regular exercise program, combined with a balanced diet and proper calcium and vitamin D intake, is fundamental to bone and muscle health. Prevention of falls and fractures need to be addressed. Both indication and type of spinal orthosis need to be addressed. In the case of osteoporosis and fragility, an exercise program needs to be prescribed according to the level of bone mineral density (BMD), while being progressive and challenging. These exercises will be discussed in detail in a chapter devoted to exercise.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. National Osteoporosis Foundation, editor. Clinician’s guide to prevention and treatment of osteoporosis. Washington, DC: National Osteoporosis Foundation; 2013.

    Google Scholar 

  2. Kurmen Figueroa DA and Sinaki M. Synergy between the rehabiliation of osteoporosis program-excercise andpharmacologicagents in the prevention of vertebral compression fractures. Am J Phys Med Rehabil. 2008;87(3):S9–10.

    Google Scholar 

  3. Sinaki M. Prevention and treatment of osteoporosis. In: Braddom R, editor. Physical medicine and rehabilitation. 3rd ed. Philadelphia: Elsevier; 2007. p. 929–49.

    Google Scholar 

  4. Delmas PD, Hardy P, Garnero P, Dain M. Monitoring individual response to hormone replacement therapy with bone markers. Bone. 2000;26(6):553–60.

    Article  CAS  PubMed  Google Scholar 

  5. Genant HK, Vogler JB, Block JE. Radiology of osteoporosis. In: Riggs Jr BL, Melton III U, editors. Osteoporosis: etiology, diagnosis, and management. New York: Raven Press; 1988. p. 181–220.

    Google Scholar 

  6. Wahner HW, Fogelman I. The evaluation of osteoporosis: dual energy x-ray absorptiometry in clinical practice. Metabolic Bone Disease. London: Martin Dunitz Ltd.; 1994. p. 296.

    Google Scholar 

  7. Burckhardt P, Michel C. The peak bone mass concept. Clin Rheumatol. 1989;8(Suppl 2):16–21.

    Article  PubMed  Google Scholar 

  8. Sinaki M, Limburg PJ, Wollan PC, Rogers JW, Murtaugh PA. Correlation of trunk muscle strength with age in children 5 to 18 years old. Mayo Clin Proc. 1996;71(11):1047–54.

    Article  CAS  PubMed  Google Scholar 

  9. Sinaki M, Itoi E, Wahner HW, Wollan P, Gelzcer R, Mullan BP, Collins DA, Hodgson SF. Stronger back muscles reduce the incidence of vertebral fractures: a prospective 10 year follow-up of postmenopausal women. Bone. 2002;30(6):836–41.

    Google Scholar 

  10. Sinaki M, Grubbs NC. Back strengthening exercises: quantitative evaluation of their efficacy for women aged 40 to 65 years. Arch Phys Med Rehabil. 1989;70(1):16–20.

    CAS  PubMed  Google Scholar 

  11. Newcomer K, Sinaki M. Low back pain and its relationship to back strength and physical activity in children. Acta Paediatr. 1996;85(12):1433–9.

    Article  CAS  PubMed  Google Scholar 

  12. Sinaki M. Yoga spinal flexion positions and vertebral compression fracture in osteopenia or osteoporosis of spine: case series. Pain Pract. 2013;13(1):68–75.

    Article  PubMed  Google Scholar 

  13. Sinaki M, Fitzpatrick LA, Ritchie CK, Montesano A, Wahner HW. Site-specificity of bone mineral density and muscle strength in women: job-related physical activity. Am J Phys Med Rehabil. 1998;77(6):470–6.

    Article  CAS  PubMed  Google Scholar 

  14. Fehling PC, Alekel L, Clasey J, Rector A, Stillman RJ. A comparison of bone mineral densities among female athletes in impact loading and active loading sports. Bone. 1995;17(3):205–10.

    Article  CAS  PubMed  Google Scholar 

  15. Emslander HC, Sinaki M, Muhs JM, Chao EY, Wahner HW, Bryant SC, Riggs BL, Eastell R. Bone mass and muscle strength in female college athletes (runners and swimmers). Mayo Clin Proc. 1998;73(12):1151–60.

    Google Scholar 

  16. Frost HM. A determinant of bone architecture. The minimum effective strain. Clin Orthop Relat Res. 1983;175:286–92.

    Google Scholar 

  17. Frost HM. Why do marathon runners have less bone than weight lifters? A vital-biomechanical view and explanation. Bone. 1997;20(3):183–9.

    Article  CAS  PubMed  Google Scholar 

  18. Lanyon LE. Using functional loading to influence bone mass and architecture: objectives, mechanisms, and relationship with estrogen of the mechanically adaptive process in bone. Bone. 1996;18(1 Suppl):37S–43S.

    Article  CAS  PubMed  Google Scholar 

  19. Sinaki M. Musculoskeletal challenges of osteoporosis. Aging Clin Exp Res J. 1998;10(3):249–62.

    Google Scholar 

  20. Elliott WT. Pharmacology watch: HRT, estrogen, and postmenopausal women: year-old WH1 study continues to raise questions. Critical Care Alert. 2003;July:1.

    Google Scholar 

  21. Pfeifer M, Begerow B, Minne HW, Schlotthauer T, Pospeschill M, Scholz M, et al. Vitamin D status, trunk muscle strength, body sway, falls, and fractures among 237 postmenopausal women with osteoporosis. Exp Clin Endocrinol Diabetes. 2001;109(2):87–92.

    Article  CAS  PubMed  Google Scholar 

  22. Pfeifer M, Minne HW. [The role of vitamin D in the treatment of osteoporosis in the elderly]. Med Klin (Munich). 2006;101 Suppl 1:15–9.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mehrsheed Sinaki MD, MS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Sinaki, M., Pfeifer, M. (2017). Osteoporosis: Diagnosis, Risk Factors, and Prevention. In: Sinaki, M., Pfeifer, M. (eds) Non-Pharmacological Management of Osteoporosis. Springer, Cham. https://doi.org/10.1007/978-3-319-54016-0_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-54016-0_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54014-6

  • Online ISBN: 978-3-319-54016-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics