Wicklein S, Gosch M
Medizinische Klinik 2 - Schwerpunkt Geriatrie, Universitätsklinik für Geriatrie, Paracelsus Medizinische Privatuniversität, Campus Nürnberg, Prof.-Ernst-Nathan-Str. 1, 90419, Nürnberg, Deutschland.
Z Gerontol Geriatr. 2019 Aug;52(5):433-439. doi: 10.1007/s00391-019-01569-5. Epub 2019 Jun 18.
Osteoporosis is a systemic bone disease with decreased bone strength and mass resulting in an increased predisposition to fracture risk. Especially older patients have a high risk for fragility fractures. In these patients an isolated view of osteoporosis without consideration of multimorbidity is insufficient. Various diseases are associated with osteoporosis because of shared pathophysiological mechanisms, risk factors or as a consequence of medication. Furthermore, geriatric syndromes, such as falls play an importance role. This article presents an overview about multimorbidity interactions based on selected frequent diseases in older age and shows the management in the clinical practice.
骨质疏松症是一种全身性骨骼疾病,其骨强度和骨量降低,导致骨折风险增加。尤其是老年患者发生脆性骨折的风险很高。在这些患者中,仅孤立地看待骨质疏松症而不考虑多种疾病共存是不够的。由于共同的病理生理机制、危险因素或药物治疗的结果,多种疾病与骨质疏松症相关。此外,老年综合征,如跌倒,也起着重要作用。本文概述了基于老年人常见的特定疾病的多种疾病共存的相互作用,并展示了临床实践中的管理方法。