Kidney and Metabolic Bone Diseases Vol.30 No.2(3)

Theme Management of osteoporosis : an update
Title Prevention of osteoporosis
Publish Date 2017/03
Author Hideaki Ishibashi Department of Orthopaedic Surgery, Ina Hospital / The Orthopaedic Institute for the Elderly
[ Summary ] Reduction of osteoporotic fractures in elderly people is an important issue in Japan, due to the aging of our population. It is directly linked to the extension of healthy life spans. To prevent fractures, we need to prevent osteoporosis and falls. To prevent osteoporosis, it is important to maximize bone mass increase during the growth phase by encouraging appropriate exercise and nutritional intake. These measures should be taken in early adulthood, to prevent bone loss later. Nutrition, including sufficient intake of protein, calcium, vitamin D, and vitamin K is important. In terms of exercise, middle to high intensity exercise, motion including impact, and jumping are effective in maintaining bone mass. In middle to old age, attention should be paid to exercise habits and sufficient nutrition intake, as well as checking bone mineral density with spinal x-rays during checkups to detect osteoporosis and asymptomatic vertebral fractures.
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