By Reiner Bartl, Bertha Frisch (auth.)
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Additional info for Osteoporosis: Diagnosis, Prevention, Therapy. A Practical Guide for all Physicians — from Pediatrics to Geriatrics
State of depression. Depression by itself is most probably not a cause of osteoporosis, but the accompanying circumstances are. Studies have shown that women with severe longstanding depression have 6 % less bone mass than matched controls without depression. Contributory factors are: Women with severe osteo- ~ patients cringe when they porosis are more prone toward depression and loss of self-esteem. A pronounced or even a begin ni ng dowager's hump can make ~ ~ ~ High levels of stress hormones Various drugs Lack of appetite with inadequate nutrition, and especially Reduced physical activity look in the mirror.
Female athletes in particular are susceptible to osteoporosis later in life. Constant and lengthy training as well as strict control of diet and weight lead to an extreme reduction in body fat and a drop in levels of oestrogen so that menstrual periods become irregular or cease altogether; consequently, the risk of fractures is clearly increased. Risk Factors Which Can Be Influenced Low body weight. "Slim women, thin bones" - all large studies of risk factors for osteoporosis have confirmed this saying.
According to Extent 37 ----------------- According to Extent In daily clinical practice the degree of severity of a bone disorder must be accurately determined before decisions are made on urgency and strategy of therapy. 5 SD below the mean of a young reference population. 5 SD below the young adult mean value in the presence of one or more fragility fractures This definition uses the T-score as a diagnostic measure as it has already long been used in bone densitometry. Bone density results are compared to those of age-, sex-, and race-matched controls.