Clinical Review

2016 Update on bone health

Prioritize bone health: osteoporotic fracture is a major source of morbidity and mortality in women. In this article: fracture risk with OC use in perimenopause, calcium’s role in CVD, sarcopenia management, and an emerging treatment.

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Prioritize bone health, as osteoporotic fracture is a major source of morbidity and mortality among women. In this article: fracture risk with OC use in perimenopause, data that inform calcium’s role in cardiovascular disease, sarcopenia management, and an emerging treatment.

Most women’s health care providers are aware of recent changes and controversies regarding cervical cancer screening, mammography frequency, and whether a pelvic bimanual exam should be part of our annual well woman evaluation.1 However, I believe one of the most important things we as clinicians can do is be frontline in promoting bone health. Osteoporotic fracture is a major source of morbidity and mortality.2,3 Thus, promoting the maintenance of bone health is a priority in my own practice. It is also one of my many academic interests.

What follows is an update on bone health. In past years, this update has been entitled, “Update on osteoporosis,” but what we are trying to accomplish is fracture reduction. Thus, priorities for bone health consist of recognition of risk, lifestyle and dietary counseling, as well as the use of pharmacologic agents when appropriate. Certain research stands out as informative for your practice:

  • a recent study on the risk of fracture with oral contraceptive (OC) use in perimenopause
  • 3 just-published studies that inform our understanding of calcium’s role in cardiovascular health
  • a review on sarcopenia management
  • new data on romosozumab.

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