Jehle P M, Pfeilschifter J
Klinik für Innere Medizin und KfH Nierenzentrum, Ev. Krankenhaus Paul Gerhardt Stift, Paul Gerhardt Strasse 42-45, 06886, Lutherstadt Wittenberg, Deutschland.
Internist (Berl). 2009 Dec;50(12):1314-24. doi: 10.1007/s00108-009-2460-5.
The German Dachverband Osteologie e. V. has updated the S3 guideline "prophylaxis, diagnostic and therapy of osteoporosis in adults" ( http://www.dv-osteologie.de ). Osteoporotic fractures are a frequent cause of disability and loss of quality of life in old age. Maintenance of muscle function and balance, a daily calcium intake of 1000 mg, sufficient vitamin D and a prudent use of fall- and osteoporosis-associated drugs are key components of fracture prevention. The German guideline recommends that a specific long-term osteoporosis medication (e. g. bisphosphonates, raloxifene, strontiumranelat, parathyroid hormone) should be initiated in individuals with a 30% 10-year risk for hip fractures and vertebral fractures.