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The Korean Journal of Medicine 2008;75(3): 267-273.
특집: 골다공증
오 기 원
Ki Won Oh
1Department of Cardiology, Catholic University of Daegu College of Medicine, Daegu, Korea
Recent The Korean Society of Bone Metabolism guidelines recommended bone mineral density (BMD) in postmenopausal women; in women during the menopausal transition with clinical risk factors for osteoporosis; in premenopausal women with amenorrhea longer than 6 months; in men aged 70 and older; in men under age 70 with clinical risk factors for osteoporosis; in adults with a fragility fracture; in adults with diseases or taking medications associated with secondary osteoporosis; in anyone being considered for pharmacologic therapy; and in anyone being treated, to monitor treatment effects. Several interventions to reduce osteoporotic fracture risk can be recommended to the general population. A calcium intake of at least 1,200 mg per day and vitamin D supplementation of at least 800 IU per day should be recommended. Regular weight-bearing and muscle-strengthening exercise to reduce the risk of falls and fractures. Also, advice patients to avoid tobacco smoking and recognize and treat patients with excessive alcohol intake. The Korean Society of Bone Metabolism guidelines recommended pharmacologic therapy in postmenopausal women and men aged 50 and older with hip or vertebral fracture; with a T score below -2.5; and with a T score between -1.0 and -2.5 with either other prior fractures or secondary causes associated with high risk of fracture. (Korean J Med 75:267-273, 2008)
Keywords: Osteoporosis; Fracture; Risk Factor; Bone mineral density
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