0
Contempo 1998 |

Primary Prevention of Postmenopausal Osteoporosis

Wendy Levinson, MD; Diane Altkorn, MD
JAMA. 1998;280(21):1821-1822. doi:10.1001/jama.280.21.1821.
Text Size: A A A
Published online

Extract

MORE THAN 1 million osteoporosis-related fractures occur in the United States each year, resulting in estimated total expenditures exceeding $13 billion.1,2 Osteoporotic fractures, especially those of the hip, may be associated with a decline in functional status and quality of life and decreased survival.1 Both men and women lose bone at a rate of 0.3% to 0.5% per year beginning in the fourth decade, but at menopause, women experience accelerated bone loss at a rate of 3% to 5% per year for 5 to 7 years.3 Weight-bearing exercise may retard bone loss in postmenopausal women; since exercise also reduces the risk of cardiovascular disease and may reduce falls, advising healthy postmenopausal women to exercise is widely accepted. However, there is more controversy about what medications or supplements should be prescribed for osteoporosis prevention in healthy postmenopausal women. In this article, we review recent evidence regarding the use of calcium, vitamin D, estrogen, and bisphosphonates in the primary prevention of postmenopausal osteoporosis.

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 9

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();