Kidney and Metabolic Bone Diseases Vol.31 No.2(4)

Theme Perspective of Osteoporosis Liaison Service in Japan
Title Primary fracture prevention through the Osteoporosis Liaison Service
Publish Date 2018/03
Author Shinichi Nakatoh Department of Orthopaedic Surgery, Asahi General Hospital
[ Summary ] It is difficult to prevent primary fragility fractures because the subjects have not yet experienced a fracture. The offers of the community Osteoporosis Liaison Service are important for the primary prevention of fragility fractures. The prevention, education, enlightenment, and osteoporosis examinations are included in this service. It is necessary to deliver the prevention services and osteoporosis education according to the age of the subjects. Hence, for young individuals, it is effective to include in their school education that having a high peak bone mass is important; for the middle-aged population, it is necessary to include education on the maintenance of bone quantity and the impact on risk factors, such as smokingand excessive alcohol consumption. Furthermore, early detection of osteoporosis is important, with an osteoporosis check-up being one of the few opportunities for assessing the bone mineral density in elderly women. However, there are some problems with osteoporosis checkups in Japan. Various types of professional medical staff participate in the Osteoporosis Liaison Service as osteoporosis managers. It is desired that the managers will cooperate and function as an osteoporosis project team in the community.
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