User:AHassani, PharmD Cand/sandbox

Senile Osteoporosis
What:

Senile (involutionary) is a type of primary osteoporosis which affects men and women equally over the age of 70 years characterized by testosterone deficiency in men and estrogen deficiency in women. In some cases this is accompanied by severe vitamin D deficiency and increased parathyroid hormone.

Diagnosis:

Bone densitometry is used to diagnose osteopenia (decreased bone mineral density) which is separate from osteoporosis due to bone densitometer providing no information on the quality of the bone being measured.

Treatment:

Calcium and Vitamin D3 intake from diet or supplementation are crucial in the ethiopathogenesis of this disease; therefore, the effective treatment should comprise of non pharmacological methods (such as a modified diet with more calcium and vitamin D3. exercising, and weight loss), fall prevention, and individually chosen pharmacological intervention. Given hip fracture is a devastating complication of osteoporosis, Vit D3 combined with calcium are used as primary prevention, along with alendronate, residronate, strontrium and zoledronic acid which have proven efficacy in primary and secondary hip fracture prevention.