Osteoporosis in the very old

Research output: Contribution to journalComment/debatepeer-review


• Osteoporosis is a common chronic bone disorder signifying bone failure. It frequently manifests as fragility or minimal trauma fractures. • Osteoporosis is underdiagnosed and undertreated in the very old, particularly in the most frail. Chronological age alone should not disqualify very old patients from treatment. • Many older people will be diagnosed with osteoporosis after a fracture has occurred. The recovery phase is an ideal time to consider the diagnosis as well as strategies for preventing fractures in future. • Recognition of risk factors for osteoporosis and falls should help identify the most appropriate intervention for individual patients. • Specific pharmacotherapy for osteoporosis in very old patients includes calcium and vitamin D supplements, bisphosphonates and raloxifene. Lifestyle factors should be addressed in all patients.

Original languageEnglish
Pages (from-to)24-30
Number of pages7
JournalMedicine Today
Issue number12
Publication statusPublished - 1 Dec 2003


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