Women's Health Medicine
Volume 3, Issue 4 , Pages 152-154, 1 July 2006

Who is at risk of osteoporosis?

  • Elaine Dennison, MB BChir MA MRCP MSc PhD

      Affiliations

    • Elaine Dennison MB BChir MA MRCP MSc PhD is Reader and Honorary Consultant in Rheumatology at the MRC Epidemiology Resource Centre, Southampton General Hospital.
  • ,
  • Judith Medley, BM BCh MRCP

      Affiliations

    • Judith Medley BM BCh MRCP is Specialist Registrar in Rheumatology at the MRC Epidemiology Resource Centre, Southampton General Hospital.
  • ,
  • Cyrus Cooper, MA DM FRCP FMedSci

      Affiliations

    • Cyrus Cooper MA DM FRCP FMedSci is Director and Professor of Rheumatology at the MRC Epidemiology Resource Centre, Southampton General Hospital.

Abstract 

This contribution assesses who is at risk of osteoporosis, by delineating the key risk factors involved in the condition. Osteoporosis represents a major public health problem through its association with fragility fractures, primarily of the hip, spine and distal forearm. Some risk factors for fragility fracture act through bone mineral density (BMD), for example female gender, asian or Caucasian race, premature menopause, primary or secondary amenorrhoea, primary and secondary hypogonadism in men, prolongued immobilisation, low dietary calcium intake, vitamin D deficiency. However, a number of others contribute significantly to fracture risk over and above their association with BMD (age, high bone turnover, poor visual acuity, neuromuscular disorders, previous fragility fracture, glucocorticoid therapy, family history of hip fracture, low body weight, cigarette smoking, excess alcohol consumption).

Keywords:  osteoporosis , risk factors , fragility fracture , bone mineral density

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PII: S1744-1870(06)70189-5

doi:10.1383/wohm.2006.3.4.152

Women's Health Medicine
Volume 3, Issue 4 , Pages 152-154, 1 July 2006