Avaliação laboratorial e densitométrica da osteoporose

Autores

  • Cristiano Augusto de Freitas Zerbini
  • Maria Guadalupe Barbosa Pippa
  • Paulo Roberto Stocco Romanelli

Palavras-chave:

Osteoporose, Densidade Óssea

Resumo

A prevenção da ocorrência de fraturas por osteoporose depende da identificação dos indivíduos com maior propensão a estas fraturas de tal forma que uma intervenção médica apropriada possa ser prescrita. Embora fatores de risco possam ser identificados durante a história médica, a medida de massa óssea ainda é o fator preditivo mais importante na abordagem do risco de fraturas. Estudos prospectivos têm demonstrado que o risco relativo aumenta exponencialmente com redução da massa óssea, enfatizando, assim, a utilização da massa óssea como preditor do risco futuro de fratura.

Downloads

Os dados de download ainda não estão disponíveis.

Referências

CHRISTIANSEN. C. Postmenopausal bone loss and the risk of osteoporosis. Osteoporosis Int 9(S 1 ):S47-S51, 1994.

CHRISTIANSEN. C. Screening procedure for women ot risk of developing postmenopausal osteoporosis. Osleoporosis Inl 1: 35-40, 1990.

CUMMINGS. S.R.; NEVITI. M.e.; BROWNER. W.S. Risk factors for hip fracture in White women. N Engl J Med 332: 767-773. 1995.

DAELE. P. L. A. Case-control analysis of bone resorption morkers, disobility and hip fracture risk: the rofterdam study. BMJ 1996; 482-483, 1996.

DELMAS. P. D. Clinicai use of biochemical morkers of bone remodeling in osteoporosis. Bone 13: S17-S21, 1993.

DEMERS. L.M.; KLEEREKOPER. M. Recent advances in biochemical morkers of bone turnover. Clin Chem 40: 1994-1995,1994.

FLEDELlUS. C. RISS. B.J.; OVERGAARD. K.; CHRISTIANSEN E. The diagnostic validity of urinory free pyridinolines to identify women at risk of osteoporosis. CalcifTissue Inl 54: 381-384. 1994.

FOGELMAN.I.; RVAN P. Measurement of bone mass. Bone 13: S23-S28. 1992 (suppl 1).

GARNERO. P. Can morkers of bone turnover predict hip fractures in elderly women? The Epidos Study. J Bone Miner. Res 10: S 140, 1995.

HE, V-F.; ROSS, P.D.; DAVIS, J.W. When should bone mass measurement be repeoted? Caleil TIssue Inl 55: 243-248, 1994.

JOHNSTON.C.C. JR.; SLEMENDAC.W.; MELTON.L.J. Clinicai use of bone densitometry. N Engl J Med 324: 1105-11 09,1991.

KANIS, J.A.; MELTON. L.J.III; CHRISTIANSEN. C. The diognosis of osteoporosis.J Bone Miner Res 9: 1137-1141.1994.

MELTON, L.J. III; ATKINSON. E.J.; O·FALLON. W. M. Long-term fracture risk prediction with bone mineral measurements made at various skeletal sites. J Bone Miner Res 6(Sl):S136. 1991.

MELTON. L.J. III; CHRISCHILLES. E.A.; COOPERO C. Perspective: how many women have osteoporosis? J Bone Miner Res 7: 1005-1010, 1992.

REID.I.R.; EVANS. M. E; WATIlE. D.J. Bone mineral density of the proximal femur and lumbor spine in glucocorticoid-treated asthmatic potients. Osteoporosis Int 2: 103-105,1992.

ROSS. R.D.; GENANT. H.K.; DAVIS. J.W. Predicting vertebral fracture incidence from prevalent fractures and bone density among non-black. osteoporotic women. Osteoporosis Inl 3: 120-126. 1993.

ROSS. P.D.; WASNICH. R. D.; MACLEAN. C. J. A model for estimating the potential costs and saving of osteoporosis prevention strategies. Bone 9: 337-347, 1988.

RUBIN. S. M.; CUMMINGS, S. R. Results of bone densitometry affect women's decisions about taking measures to prevent fractures. Ann Intern Med 116: 990-995, 1992.

SILVERBERG. S. J.; SHANE. E.; DE LA CRUZ. L. Skeletal disease in primory hyperporathyroidism. J Bone Miner Res 4: 283-291, 1989.

The WHO Study Group. Assessment of Fracture Risk and its Applicotion to Screening for Postmenopausal Osteoporosis. Switzerlond. World Health Organization. 1994.

TOSTESON. A; ROSENTHAL. D.I.; MELTON, L.J. Cost effectiveness of screening perimenopausol white women for osteoporosis: bone densitometry and hormone replacement therapy. Ann Inlern Med 113: 594-602. 1990.

VERHEIJ. L. F.; BLOKLAND. J.A.K.; PAPAPOULOS. S.E. Optimization of follow-up measurements of bone mass. J Nucl Med 33: 1406-1410. 1992.

WAHNER. H.W.; FOGELMAN I. lhe evalualion 01 osteoporosis: dual energy X-ray absorptiometry in clinicai practice. London. UK. Mayo Foundation and Ignac Fogelman. 1994. p. 178-195.

WASNICH. R. D. Fracture prediction with bone mass measurements. in Genont HK (ed): Osleoporosis Update. Berkeley. CA University Press, 1987. pp 95-101.

WASNICH. R.D.; ROSS. P.D.; DAVIS, J.W. A comporison of single and multi-site BMC meosurements for assessment ofspine frocture probability. J Nucl Med 30: 1166-1171. 1989.

Downloads

Publicado

1997-09-09

Como Citar

1.
Zerbini CA de F, Pippa MGB, Romanelli PRS. Avaliação laboratorial e densitométrica da osteoporose. Acta Fisiátr. [Internet]. 9º de setembro de 1997 [citado 9º de maio de 2024];4(2 Supl.1):123-6. Disponível em: https://www.revistas.usp.br/actafisiatrica/article/view/102155