Overview of National and Local Resources for Osteoporosis

INTRODUCTION: Osteoporosis is a bone disease characterized by low bone mass density and bone fragility. This disease affects postmenopausal women due to hormonal fluctuations, aging, disease processes, or medications. 50% of women and 25% of men will break a bone due to osteoporosis. In Tarrant County, the incidence of osteoporosis has increased 2.8% since 2012. Risk factors include age, family history, smoking, excessive alcohol use, sedentary lifestyle, diet, and several clinical conditions such as thyrotoxicosis, hypogonadism, malabsorption disorders, and autoimmune diseases. Diagnosis is achieved by bone density scans (DXA/DEXA scans), which is recommended for all women over 65 years and men over 70 years. Medications for osteoporosis include bisphosphonates which inhibit bone resorption. Behavioral modifications and underlying diseases should be addressed as well. METHODS: A literature review was conducted regarding available resources at the national and local levels. The majority of resources found were at the national level and included programs run by the National Osteoporosis Foundation and National Institutes of Health (NIH). RESULTS: National programs included support hotlines, risk calculators, and lifestyle modification recommendations. The Tarrant County Public Health Classes was the only local resource, but it was directed towards all chronic diseases, not just osteoporosis. CONCLUSION: There is a substantial amount of online resources available for osteoporosis support, but more personalized education and support is needed. Patients with osteoporosis will benefit more from customized care since individual factors must be considered. Additionally, enhanced preventative efforts, especially for girls and young women, should also be considered.