PROPHYLAXIS OF OSTEOPOROSIS – NATURE AND OPPORTUNITIES

Authors

  • Mariyana Mihaylova Medical University of Varna, Bulgaria

Keywords:

prevention, management, osteoporosis (OP), peak bone mass (PBM)

Abstract

The osteoporosis is e disease, developed as a result of disruptions in bone remodeling processes. Bones lose mineral density, bone microarchitecture is disrupted, which leads to increased likelihood of fractures.
Since its easier and cheaper to prevent the loss of bone mass, from medical and socio-economic standpoint, it’s needed to give high importance to prevention.
The goal of this paper is to highlight the main elements of prophylaxis of osteoporosis and the opportunities for management and control of the complications.
The prophylaxis of osteoporosis is built upon principles aimed towards maintenance and improvement the quality of life of every individual. The goal of first order prophylaxis is to achieve peak bone mass in children and teenagers. This implies incentivizing them to take part in various activities that have impact of bone formation. The second order prophylaxis is in adults, aged between 40 and 50, when little increases in bone mass could be achieved through physical exercises. The third order prophylaxis is for senior citizens, especially in cases suffering from osteopenia or osteoporosis. This time, the aim is to preserve the bone mass, to reduce the risk of falls, to improve posture, to reduce pain and improve the mobility and functionality of the patient. It’s important patients to be motivated the taught to control and manage their disease, through the plethora of opportunities for treatment and prophylaxis. Even though that there are many pharmaceutical products to treat osteoporosis, prophylaxis remains by far the most efficient method.

Author Biography

Mariyana Mihaylova, Medical University of Varna, Bulgaria

Department of Physiotherapy, rehabilitation, thalassotherapy and occupational diseases

References

Alghadir, A.H., Gabr, S.A., & Al-Eisa, E. (2015) ."Physical activity and lifestyle effects on bone mineral density among young adults: sociodemographic and biochemical analysis." Journal of physical therapy science 27.7, 2261-2270.

Baxter-Jones, A. D.G. (2008)."A longitudinal study of the relationship of physical activity to bone mineral accrual from adolescence to young adulthood from adolescence to young adulthood." Bone 43.6: 1101-1107.

Baxter‐Jones, A. D.G. (2011)."Bone mineral accrual from 8 to 30 years of age: an estimation of peak bone mass." Journal of Bone and Mineral Research 26.8: 1729-1739.

Bischoff-Ferrari, H.A., Dawson-Hughes, B., & Staehelin. (2009). Fall prevention with supplemental and active forms of vitamin D: a meta-analysis of randomised controlled trials. BMJ. 339:b3692.

Bonjour, J.P. (2015)."Protein intake and bone health. " Nutrition and bone health. Humana Press, New York, NY. 301-317

Bielemann, R.M., Martinez-Mesa, J., & Gigante, D.P. (2013)."Physical activity during life course and bone mass: a systematic review of methods and findings from cohort studies with young adults." BMC musculoskeletal disorders 14.1, 77.

Bonaiuti, D., Shea, B., & Iovine, R. (2002). Exercise for preventing and treating osteoporosis in postmenopausal women. Cochrane Database Syst Rev. 2

Bull, F.C., & Bauman, A.E. (2011)."Physical inactivity: the “Cinderella” risk factor for noncommunicable disease prevention." Journal of health communication 16.sup2 : 13-26.

Cooper, C., Cawley, M., & Bhalla, A. (1995). Childhood growth, physical activity, and peak bone mass in women. J Bone Miner Res. 10:940.

Cooper, C., Fall, C., & Egger, P. (1997). Growth in infancy and bone mass in later life. Ann Rheum Dis. 56:17.

Duppe, H., Cooper, C., Gardsell, P., & Johnell, O. (1997). The relationship between childhood growth, bone mass, and muscle strength in male and female adolescents. Calcif Tissue Int. 60:405.

Gunter, K. B., & Hawley, C. (2012). Almstedt, and Kathleen F. Janz. "Physical activity in childhood may be the key to optimizing lifespan skeletal health." Exercise and sport sciences reviews40.1 : 13.

Halvarsson, A. (2016). "Long-term effects of a progressive and specific balance-training programme with multi-task exercises for older adults with osteoporosis: a randomized controlled study." Clinical rehabilitation 30.11: 1049-1059.

Hernandez, C.J., Beaupre, G.S., & Carter, D.R. (2003)."A theoretical analysis of the relative influences of peak BMD, age-related bone loss and menopause on the development of osteoporosis." Osteoporosis international 14.10 : 843-847

Janz, K.F. (2010)."Early physical activity provides sustained bone health benefits later in childhood." Medicine and science in sports and exercise 42.6: 1072..

Jose, K.A. (2011)."Childhood and adolescent predictors of leisure time physical activity during the transition from adolescence to adulthood: a population based cohort study." International Journal of Behavioral Nutrition and Physical Activity8.1 : 54.

Karlsson, M.K. (2013). "Prevention of falls in the elderly—a review." Osteoporosis International 24.3: 747-762.

Lahti, A. (2018)."Long-term effects of daily physical education throughout compulsory school on duration of physical activity in young adulthood: an 11-year prospective controlled study." BMJ open sport & exercise medicine 4.1: e000360.

Lorentzon, M., Mellström, D., & Ohlsson, C. (2005). "Age of attainment of peak bone mass is site specific in Swedish men—the GOOD study." Journal of bone and mineral research 20.7: 1223-1227.

Mihaylova, M. (2018).The contribution of physical exercises to treatment and prophylaxis of osteoporosis. // World Science (Warsaw), 5, № 4 (32), 31-33.

Mihaylova, M. (2020). Physical therapy options for the treatment and prevention of Osteoporosis World Science (Warsaw), № 6(58), Vol.2, June 2020,27-3, DOI: https://doi.org/10.31435/rsglobal_ws

Mihaylova, M., & Vladeva, E. (2020). Highlights of Primary Prevention of Osteoporosis, International Trends in Science and Technology Vol.2, 7-13.

Özbaş, H., Onrat, S.T., & Özdamar, K. (2012)."Genetic and environmental factors in human osteoporosis." Molecular biology reports 39.12 : 11289-11296

Specker, B., Thiex, N.W., & Sudhagoni, R.G. (2015)."Does exercise influence pediatric bone? A systematic review." Clinical Orthopaedics and Related Research® 473.11: 3658-3672.

Thijssen, J.H. (2006).Gene polymorphisms involved in the regulation of bone quality. Gynecol Endocrinol 22:131.

Vieira, E.R. (2016). "Prevention of falls in older people living in the community." bmj 353.1: 1419.

Woo, J., Kim, Y., & Lee, C. (2012). Heterogeneous genetic associations of nucleotide sequence variants with bone mineral density by gender. Molecular biology reports, 39(3), 2259-2265..

Михайлова, М., & Филкова, С. (2017). Ролята на ранната профилактика в управлението на остеопорозата. // Варненски медицински форум, 6, № 2, 71-76.

Downloads

Published

2022-02-18

How to Cite

Mihaylova, M. (2022). PROPHYLAXIS OF OSTEOPOROSIS – NATURE AND OPPORTUNITIES. KNOWLEDGE - International Journal , 50(4), 523–527. Retrieved from https://ikm.mk/ojs/index.php/kij/article/view/4961