S. Boonen et J. Dequeker, STRATEGIES FOR THE PREVENTION OF SENILE (TYPE-II) OSTEOPOROSIS - AN UPDATE, Journal of internal medicine, 239(5), 1996, pp. 383-391
Hip fractures in the elderly represent a global issue, associated with
significant morbidity and mortality. Considering the magnitude of the
problem, any substantial reduction in the hip fracture burden depends
on prevention. In view of the complex pathogenesis of senile (type II
) osteoporosis, preventive strategies should focus on the frequency of
falling in the elderly as well as on the prevalence of compromised fe
moral integrity as a consequence of bone loss. Although many risk fact
ors for senile osteoporosis are potentially preventible or reversible
with targeted interventions, the beneficial effects of most strategies
have not yet been adequately documented, indicating the need for addi
tional long-term controlled studies.