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Non-pharmacological management of osteoporosis: a consensus of the Belgian Bone Club

(2011) OSTEOPOROSIS INTERNATIONAL. 22(11). p.2769-2788
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Abstract
This consensus article reviews the various aspects of the non-pharmacological management of osteoporosis, including the effects of nutriments, physical exercise, lifestyle, fall prevention, and hip protectors. Vertebroplasty is also briefly reviewed. Non-pharmacological management of osteoporosis is a broad concept. It must be viewed as an essential part of the prevention of fractures from childhood through adulthood and the old age. The topic also includes surgical procedures for the treatment of peripheral and vertebral fractures and the post-fracture rehabilitation. The present document is the result of a consensus, based on a systematic review and a critical appraisal of the literature. Diets deficient in calcium, proteins or vitamin D impair skeletal integrity. The effect of other nutriments is less clear, although an excessive consumption of sodium, caffeine, or fibres exerts negative effects on calcium balance. The deleterious effects of tobacco, excessive alcohol consumption and a low BMI are well accepted. Physical activity is of primary importance to reach optimal peak bone mass but, if numerous studies have shown the beneficial effects of various types of exercise on bone mass, fracture data as an endpoint are scanty. Fall prevention strategies are especially efficient in the community setting, but less evidence is available about their effectiveness in preventing fall-related injuries and fractures. The efficacy of hip protectors remains controversial. This is also true for vertebroplasty and kyphoplasty. Several randomized controlled studies had reported a short-term advantage of vertebroplasty over medical treatment for pain relief, but these findings have been questioned by recent sham-controlled randomized clinical studies.
Keywords
QUALITY-OF-LIFE, VITAMIN-D DEFICIENCY, CALCIUM-PHOSPHATE CEMENT, NURSING-HOME RESIDENTS, EYE CATARACT-SURGERY, LIVING OLDER-PEOPLE, INDIVIDUAL PATIENT DATA, EXTERNAL HIP PROTECTORS, Physical exercise, Treatment, Vertebroplasty, RANDOMIZED CONTROLLED-TRIAL, VERTEBRAL COMPRESSION FRACTURES, Osteoporosis, Nutrition, Lifestyle

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Citation

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Chicago
Body, JJ, P Bergmann, S Boonen, Y Boutsen, O Bruyere, JP Devogelaer, Stefan Goemaere, et al. 2011. “Non-pharmacological Management of Osteoporosis: a Consensus of the Belgian Bone Club.” Osteoporosis International 22 (11): 2769–2788.
APA
Body, J., Bergmann, P., Boonen, S., Boutsen, Y., Bruyere, O., Devogelaer, J., Goemaere, S., et al. (2011). Non-pharmacological management of osteoporosis: a consensus of the Belgian Bone Club. OSTEOPOROSIS INTERNATIONAL, 22(11), 2769–2788.
Vancouver
1.
Body J, Bergmann P, Boonen S, Boutsen Y, Bruyere O, Devogelaer J, et al. Non-pharmacological management of osteoporosis: a consensus of the Belgian Bone Club. OSTEOPOROSIS INTERNATIONAL. 2011;22(11):2769–88.
MLA
Body, JJ, P Bergmann, S Boonen, et al. “Non-pharmacological Management of Osteoporosis: a Consensus of the Belgian Bone Club.” OSTEOPOROSIS INTERNATIONAL 22.11 (2011): 2769–2788. Print.
@article{1978781,
  abstract     = {This consensus article reviews the various aspects of the non-pharmacological management of osteoporosis, including the effects of nutriments, physical exercise, lifestyle, fall prevention, and hip protectors. Vertebroplasty is also briefly reviewed. Non-pharmacological management of osteoporosis is a broad concept. It must be viewed as an essential part of the prevention of fractures from childhood through adulthood and the old age. The topic also includes surgical procedures for the treatment of peripheral and vertebral fractures and the post-fracture rehabilitation. The present document is the result of a consensus, based on a systematic review and a critical appraisal of the literature. Diets deficient in calcium, proteins or vitamin D impair skeletal integrity. The effect of other nutriments is less clear, although an excessive consumption of sodium, caffeine, or fibres exerts negative effects on calcium balance. The deleterious effects of tobacco, excessive alcohol consumption and a low BMI are well accepted. Physical activity is of primary importance to reach optimal peak bone mass but, if numerous studies have shown the beneficial effects of various types of exercise on bone mass, fracture data as an endpoint are scanty. Fall prevention strategies are especially efficient in the community setting, but less evidence is available about their effectiveness in preventing fall-related injuries and fractures. The efficacy of hip protectors remains controversial. This is also true for vertebroplasty and kyphoplasty. Several randomized controlled studies had reported a short-term advantage of vertebroplasty over medical treatment for pain relief, but these findings have been questioned by recent sham-controlled randomized clinical studies.},
  author       = {Body, JJ and Bergmann, P and Boonen, S and Boutsen, Y and Bruyere, O and Devogelaer, JP and Goemaere, Stefan and Hollevoet, Nadine and Kaufman, Jean and Milisen, K and Rozenberg, S and Reginster, JY},
  issn         = {0937-941X},
  journal      = {OSTEOPOROSIS INTERNATIONAL},
  keyword      = {QUALITY-OF-LIFE,VITAMIN-D DEFICIENCY,CALCIUM-PHOSPHATE CEMENT,NURSING-HOME RESIDENTS,EYE CATARACT-SURGERY,LIVING OLDER-PEOPLE,INDIVIDUAL PATIENT DATA,EXTERNAL HIP PROTECTORS,Physical exercise,Treatment,Vertebroplasty,RANDOMIZED CONTROLLED-TRIAL,VERTEBRAL COMPRESSION FRACTURES,Osteoporosis,Nutrition,Lifestyle},
  language     = {eng},
  number       = {11},
  pages        = {2769--2788},
  title        = {Non-pharmacological management of osteoporosis: a consensus of the Belgian Bone Club},
  url          = {http://dx.doi.org/10.1007/s00198-011-1545-x},
  volume       = {22},
  year         = {2011},
}

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