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Primary, or involuntary osteoporosis, can further be classified into Type I or Type II. [1] Type I refers to postmenopausal osteoporosis and is caused by the deficiency of estrogen. [1] While senile osteoporosis is categorized as an involuntary, Type II, and primary osteoporosis, which affects both men and women over the age of 70 years.
A bone mineral density test, such as dual-energy X-ray absorptiometry, is commonly used to assess bone strength, particularly in the hip and spine. [20] Screening is generally recommended for women aged 65 and older, postmenopausal women with risk factors, [18] [21] and some men based on clinical evaluation. [18]
The U.S. Preventive Services Task Force recommends that women over the age of 65 should get a DXA scan. [3] The age when men should be tested is uncertain, [3] but some sources recommend age 70. [4] At risk women should consider getting a scan when their risk is equal to that of a normal 65-year-old woman.
A bone density test may detect osteoporosis or osteopenia. [4] The usual response to either of these indications is consultation with a physician. [4] Bone density tests are not recommended for people without risk factors for weak bones, [5] [4] which is more likely to result in unnecessary treatment rather than discovery of a weakness.
It affects women more than men due to the sharp fall in estrogen production that follows menopause. [196] Globally, it is estimated that 21.2% of women and 6.3% of men over the age of 50 have osteoporosis, corresponding to a total of around 500 million people worldwide. [197] About 15% of Caucasians in their 50s and 70% of those over 80 are ...
An online survey conducted by the Cleveland Clinic of 1,174 men 18 years or older, found that 72% of men would rather do household tasks, such as cleaning the bathroom or mowing the lawn, than see ...
Because their bones are weaker, people with osteopenia may have a higher risk of fractures, and some people may go on to develop osteoporosis. [2] In 2010, 43 million older adults in the US had osteopenia. [3] Unlike osteoporosis, osteopenia does not usually cause symptoms, and losing bone density in itself does not cause pain.
The trabecular bone score is a measure of bone texture correlated with bone microarchitecture and a marker for the risk of osteoporosis. Introduced in 2008, [1] its main projected use is alongside measures of bone density in better predicting fracture risk in people with metabolic bone problems.