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Home/Longer Life, Poorer Quality of Life for Women

Longer Life, Poorer Quality of Life for Women

October 24, 2013 1 min read Premium comments

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Longer Life, Poorer Quality of Life for Women
Osteoporosis / Source: Wikimedia Commons and BruceBlaus
Secondary

According to a new report just published by the International Osteoporosis Foundation (IOF), women may expect to live longer but their quality of life will be seriously jeopardized if action to protect their bone health is not taken.

IOF President Professor John A. Kanis urged in the October 10, 2013 news release, “The time to act is now, those of us working in the non-communicable disease (NCD) community congratulated governments for their commitment to reduce the NCD burden by 25% by 2025, at the World Health Assembly in 2012. As advocates for bone, muscle and joint health we have identified cost-effective evidence-based solutions that can be implemented immediately, which will not only save lives but reduce health care costs, and ultimately help governments reach this target.”

“Although the earlier prevention begins the better, when a woman reaches menopause she must not delay any longer. Menopause is the critical time to take preventive measures against bone loss and muscle weakness that can lead to osteoporosis, falls and fractures, ” said report co-author Professor Bess Dawson Hughes, Director of the Bone Metabolism Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University in Boston.

The report also emphasizes secondary fracture prevention. “An individual who has experienced a fracture is at double the risk of suffering a second fracture as compared to a person without fractures. In postmenopausal women, a broken wrist or a spinal fracture is often the harbinger of more fractures to come and should be taken as a warning that testing and preventive treatment is needed. Given that 20% of those who suffer a hip fracture die within one year, it is not only unacceptable but unjust not to take action to change this, ” said Professor Cyrus Cooper, chair of the IOF Committee of Scientific Advisors.

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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