Osteoporosis in young individuals | Reumatología Clínica

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A propósito de un caso" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carmen María Escudero González, Sergio Rodríguez Montero, Rosalía Martínez Pérez, Carolina Pastor Mañosa, María Luisa Velloso Feijoo, José Luis Marenco de La Fuente" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Carmen María" "apellidos" => "Escudero González" ] 1 => array:2 [ "nombre" => "Sergio" "apellidos" => "Rodríguez Montero" ] 2 => array:2 [ "nombre" => "Rosalía" "apellidos" => "Martínez Pérez" ] 3 => array:2 [ "nombre" => "Carolina" "apellidos" => "Pastor Mañosa" ] 4 => array:2 [ "nombre" => "María Luisa" "apellidos" => "Velloso Feijoo" ] 5 => array:2 [ "nombre" => "José Luis" "apellidos" => "Marenco de La Fuente" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574310700472?idApp=UINPBA00004M" "url" => "/21735743/0000000600000004/v1_201305061610/S2173574310700472/v1_201305061610/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "titulo" => "Osteoporosis in young individuals" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "217" "paginaFinal" => "223" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Pilar Peris Bernal" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Pilar" "apellidos" => "Peris Bernal" "email" => array:1 [ 0 => "22848ppb@comb.es" ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Reumatología, Hospital Clínic, IDIBAPS, Universidad de Barcelona, Barcelona, Spain" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Osteoporosis en individuos jóvenes" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-01-09" "fechaAceptado" => "2009-02-02" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec112503" "palabras" => array:5 [ 0 => "Osteoporosis" 1 => "Young adults" 2 => "Fractures" 3 => "Premenopausal osteoporosis" 4 => "Osteopenia" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec112502" "palabras" => array:5 [ 0 => "Osteoporosis" 1 => "Joven" 2 => "Fracturas" 3 => "Osteoporosis premenopáusica" 4 => "Osteopenia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Although there are some differential aspects related to peak bone mass acquisition and later bone loss throughout life between genders, the frequency of osteoporosis in young individuals is similar for both genders. In addition, in this population group, the development of osteoporosis is frequently associated with secondary causes. Indeed, nearly 50% of young individuals with osteoporosis have diseases or therapies related to the development of this disorder, with glucocorticoid therapy being one of the most frequently associated conditions. There are several other processes, which have also been associated with such a disorder in these individuals, but the causes differ between genders. In addition, idiopathic osteoporosis is also a frequent condition in these patients. In this subgroup of patients, a family history of osteoporosis or hypercalciuria is also a frequently associated finding. Because of that, in order to rule out secondary causes of osteoporosis, the laboratory studies performed to these patients should be extensive. Although there is few data on the treatment of these patients, basic rules such as exercise, correct calcium and vitamin D consumption, and avoiding alcohol and tobacco consumption should be advised. Drug therapy will depend on the cause of osteoporosis. However, it should be taken into account that most young women are of childbearing age, so drug therapy in these patients should be evaluated cautiously</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Aunque existen aspectos diferenciales relacionados con la adquisición del pico de masa ósea y la pérdida ósea que se produce a lo largo de la vida entre ambos sexos, la frecuencia de osteoporosis en individuos jóvenes es similar en ambos sexos. Sin embargo, en este grupo de población el desarrollo de osteoporosis suele asociarse a causas secundarias; de hecho, se ha descrito que alrededor del 50% de los individuos jóvenes con osteoporosis, tanto hombres como mujeres, presentan enfermedades o fármacos relacionados con su desarrollo, siendo el tratamiento prolongado con glucocorticoides una de las causas más frecuentes. Existen otros procesos que también han sido implicados en su desarrollo y que varían según el sexo del individuo. Por otro lado, la osteoporosis idiopática es otra causa frecuente de disminución de la masa ósea en estos pacientes, en donde la historia familiar de osteoporosis y la presencia de hipercalciuria son hallazgos habituales. Por esto, la valoración de estos pacientes precisa de un estudio minucioso para descartar causas secundarias de osteoporosis. Aunque existen pocos estudios sobre el tratamiento de este proceso en este grupo de población, son aconsejables una serie de normas básicas que incluyan ejercicio físico, ingesta adecuada de calcio y vitamina D, y evitar el consumo de tabaco y alcohol. El tratamiento farmacológico dependerá de la etiología de la osteoporosis y del sexo del paciente. Debe recordarse que la mayoría de las mujeres jóvenes se encuentran en edad fértil, por lo que el tratamiento farmacológico en este grupo de población siempre deberá valorarse con cautela.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:101 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Osteoporosis in young individuals

Osteoporosis en individuos jóvenes

Pilar Peris Bernal

Servicio de Reumatología, Hospital Clínic, IDIBAPS, Universidad de Barcelona, Barcelona, Spain

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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Aunque existen aspectos diferenciales relacionados con la adquisici&#243;n del pico de masa &#243;sea y la p&#233;rdida &#243;sea que se produce a lo largo de la vida entre ambos sexos&#44; la frecuencia de osteoporosis en individuos j&#243;venes es similar en ambos sexos&#46; Sin embargo&#44; en este grupo de poblaci&#243;n el desarrollo de osteoporosis suele asociarse a causas secundarias&#59; de hecho&#44; se ha descrito que alrededor del 50&#37; de los individuos j&#243;venes con osteoporosis&#44; tanto hombres como mujeres&#44; presentan enfermedades o f&#225;rmacos relacionados con su desarrollo&#44; siendo el tratamiento prolongado con glucocorticoides una de las causas m&#225;s frecuentes&#46; Existen otros procesos que tambi&#233;n han sido implicados en su desarrollo y que var&#237;an seg&#250;n el sexo del individuo&#46; Por otro lado&#44; la osteoporosis idiop&#225;tica es otra causa frecuente de disminuci&#243;n de la masa &#243;sea en estos pacientes&#44; en donde la historia familiar de osteoporosis y la presencia de hipercalciuria son hallazgos habituales&#46; Por esto&#44; la valoraci&#243;n de estos pacientes precisa de un estudio minucioso para descartar causas secundarias de osteoporosis&#46; Aunque existen pocos estudios sobre el tratamiento de este proceso en este grupo de poblaci&#243;n&#44; son aconsejables una serie de normas b&#225;sicas que incluyan ejercicio f&#237;sico&#44; ingesta adecuada de calcio y vitamina D&#44; y evitar el consumo de tabaco y alcohol&#46; El tratamiento farmacol&#243;gico depender&#225; de la etiolog&#237;a de la osteoporosis y del sexo del paciente&#46; Debe recordarse que la mayor&#237;a de las mujeres j&#243;venes se encuentran en edad f&#233;rtil&#44; por lo que el tratamiento farmacol&#243;gico en este grupo de poblaci&#243;n siempre deber&#225; valorarse con cautela&#46;</p>"
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Article information

ISSN: 21735743
Original language: English

DOI:10.1016/S2173-5743(10)70048-4

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Year/Month	Html	Pdf	Total

2024 November	4	5	9
2024 October	39	45	84
2024 September	50	20	70
2024 August	74	41	115
2024 July	49	51	100
2024 June	49	31	80
2024 May	52	46	98
2024 April	54	25	79
2024 March	39	36	75
2024 February	35	33	68
2024 January	82	39	121
2023 December	57	33	90
2023 November	52	42	94
2023 October	58	39	97
2023 September	43	43	86
2023 August	57	14	71
2023 July	55	27	82
2023 June	58	28	86
2023 May	38	7	45
2023 April	61	22	83
2023 March	97	29	126
2023 February	50	44	94
2023 January	59	29	88
2022 December	95	41	136
2022 November	74	26	100
2022 October	55	21	76
2022 September	62	37	99
2022 August	65	44	109
2022 July	56	45	101
2022 June	76	50	126
2022 May	97	62	159
2022 April	89	41	130
2022 March	110	45	155
2022 February	99	33	132
2022 January	100	34	134
2021 December	63	42	105
2021 November	61	57	118
2021 October	60	65	125
2021 September	48	60	108
2021 August	50	64	114
2021 July	63	48	111
2021 June	70	64	134
2021 May	87	61	148
2021 April	287	134	421
2021 March	161	70	231
2021 February	147	45	192
2021 January	101	40	141
2020 December	116	27	143
2020 November	143	43	186
2020 October	96	38	134
2020 September	120	52	172
2020 August	84	28	112
2020 July	35	28	63
2020 June	44	23	67
2020 May	37	26	63
2020 April	29	21	50
2020 March	22	12	34
2020 February	1	0	1
2020 January	4	0	4
2019 September	6	0	6
2019 June	2	0	2
2019 March	2	0	2
2019 January	1	0	1
2018 May	6	1	7
2018 April	21	19	40
2018 March	27	19	46
2018 February	21	10	31
2018 January	12	6	18
2017 December	14	9	23
2017 November	14	10	24
2017 October	14	10	24
2017 September	20	6	26
2017 August	15	9	24
2017 July	20	13	33
2017 June	32	22	54
2017 May	28	14	42
2017 April	26	8	34
2017 March	24	8	32
2017 February	19	7	26
2017 January	17	5	22
2016 December	51	13	64
2016 November	35	5	40
2016 October	50	12	62
2016 September	38	9	47
2016 August	33	6	39
2016 July	17	2	19
2016 June	0	5	5
2016 May	0	6	6
2016 April	0	6	6
2016 March	1	9	10
2016 February	5	19	24
2016 January	2	21	23
2015 December	4	21	25
2015 November	3	15	18
2015 October	12	21	33
2015 September	2	0	2
2015 August	2	14	16
2015 July	17	5	22
2015 June	21	16	37
2015 May	44	19	63
2015 April	37	19	56
2015 March	31	15	46
2015 February	30	12	42
2015 January	39	16	55
2014 December	29	15	44
2014 November	20	15	35
2014 October	21	13	34
2014 September	23	22	45
2014 August	26	13	39
2014 July	15	23	38
2014 June	41	12	53
2014 May	55	19	74
2014 April	43	12	55
2014 March	48	26	74
2014 February	40	24	64
2014 January	32	24	56
2013 December	31	10	41
2013 November	40	14	54
2013 October	56	19	75
2013 September	34	14	48
2013 August	59	23	82
2013 July	41	13	54
2013 June	43	11	54
2013 May	43	13	56
2013 April	37	26	63
2013 March	31	26	57
2013 February	35	23	58
2013 January	29	15	44
2012 December	27	8	35
2012 November	12	9	21
2012 October	12	9	21
2012 September	9	3	12
2012 June	3	0	3
2012 April	5	0	5
2012 March	2	0	2
2012 February	2	0	2
2012 January	4	0	4
2011 December	3	0	3
2011 November	4	0	4
2011 October	2	0	2
2011 June	3	0	3
2011 May	2	0	2
2011 April	1	0	1
2011 March	3	0	3
2011 February	8	0	8
2011 January	7	0	7
2010 December	11	0	11
2010 November	12	0	12
2010 October	11	0	11

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