van de Putte L B
Academisch Ziekenhuis, afd. Reumatologie, Nijmegen.
Ned Tijdschr Geneeskd. 1998 Nov 14;142(46):2502-5.
The committee on osteoporosis of the Gezondheidsraad (Health Council) of the Netherlands judges possible preventive strategies by their ability to reduce the risk of fractures. The committee endorses the importance of life style changes related to nutrition and physical exercise. These are also important for the prevention of other health problems. The development of new health education programmes should be considered. Population screening of menopausal women is not supported, mainly because the effect of interventions on fracture risk has not been documented. Instead, the committee strongly recommends use of strategies for case finding of patients with a risk factor for osteoporosis such as oestrogen deficiency before the age of 45 years, amenorrhoea for more than a year and long term use of corticosteroids, and subsequent treatment of patients with osteoporosis. The development of broadly accepted guidelines on this subject is an important step in achieving this goal.
荷兰健康委员会骨质疏松症委员会根据降低骨折风险的能力来评判可能的预防策略。该委员会认可与营养和体育锻炼相关的生活方式改变的重要性。这些对预防其他健康问题也很重要。应考虑制定新的健康教育计划。不支持对绝经后女性进行人群筛查，主要是因为干预措施对骨折风险的影响尚无记录。相反，委员会强烈建议采用策略来发现有骨质疏松症风险因素的患者，如45岁之前的雌激素缺乏、闭经一年以上以及长期使用皮质类固醇，随后对骨质疏松症患者进行治疗。制定关于这一主题的广泛认可的指南是实现这一目标的重要一步。
