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Menopausal hormone therapy can improve bone health: Study

London: Women who undergo hormone therapy for menopausal symptoms such as hot flashes can not only increase bone mass, but also can improve bone structure, according to a new study.

According to previous studies, menopausal hormone therapy can have positive impact on bone mineral density.

The new study showed that menopausal hormone therapy also can improve bone mass and structure and that the bone health benefits persist for at least two years after women stop treatment.

Representational image. Reuters

Representational image. Reuters

“When used specifically, in postmenopausal women younger than 60-years-old for whom the benefits outweigh risks, menopausal hormonal therapy is effective for both the prevention and treatment of osteoporosis,” said lead author Georgios Papadakis from the Lausanne University Hospital in Switzerland.

Osteoporosis is a progressive condition in which bones become structurally weak and are more likely to fracture or break. Menopause, which usually occurs when a woman is in her 40s or 50s, significantly speeds bone loss.

For the study, the team conducted a cross-sectional analysis on 1,279 women aged 50 to 80.

The researchers found higher trabecular bone scores — used to predict fracture risk in post-menopausal women — in those who used the therapy, compared to women who had never used it.

Past users of the therapy exhibited higher bone mass density and a trend for higher bone micro architecture values compared to women who had never used menopausal hormone therapy.

The findings can help optimise the use of menopausal hormone treatment in menopausal women at risk of osteoporosis, the researchers noted.

The study was published in the Journal of Clinical Endocrinology and Metabolism.

First Published On : Nov 18, 2016 22:50 IST

Millions of osteoporosis patients remain undiagnosed and untreated: Study

<!– /11440465/Dna_Article_Middle_300x250_BTF –>As per a recent research, approximately 80% of those who have already suffered a broken bone due to osteoporosis, remain unprotected against the risk of further disabling fractures. The report finds that despite the global threat posed by fragility fractures and the availability of safe and cost-effective therapies that could reduce the number of fractures, gaps in care are preventing millions of at-risk individuals from being diagnosed and treated worldwide.Co-author Eugene McCloskey said, “This report is a necessary and urgent call to action.” The result of fragility fractures can be profoundly debilitating with chronic pain and disability leading to reduced mobility and quality of life. Fewer than half of seniors who survive a hip fracture will walk unaided again, and up to 20 percent will become residents of care homes in the year following the fracture.”The report identifies the following ten major care gaps that are preventing early assessment and treatment, and outlines possible solutions that could be implemented by national health authorities worldwide.Poor case finding and management is found in regard to secondary fracture prevention, osteoporosis induced by medicines, diseases associated with osteoporosis, and primary fracture prevention for individuals at high risk of fracture.Suboptimal communication and low public awareness is identified in regard to the importance of staying on prescribed treatment, public awareness of the serious impact of osteoporosis and fracture risk, knowledge of the benefits versus the risks of osteoporosis treatment.Neglect by national governments and healthcare systems: impeding access and reimbursement to osteoporosis assessment and treatment, failing to prioritize fragility fracture prevention in national healthcare policy.Lack of epidemiological data particularly in the developing world, is needed to help inform policy development.This is of special urgency given that projections indicate that the burden of fragility fractures will shift to the developing world over the next four decades.IOF President Professor John A Kanis added, “The care gaps described in this report, together with their associated solutions, outline a Global Framework for tackling the devastating burden of osteoporotic fractures around the world. We urge national policymakers and healthcare professional organizations to work together to identify local gaps in the provision of best practice for the populations that they serve.””One important step, among others, is the systematic implementation of Fracture Liaison Services to address the need for secondary fracture prevention within the most high risk patients. It is clear that the time for optimal management of bone health is now – not in 10 or 20 years’ time when it will already be too late.”The study was issued by the International Osteoporosis Foundation (IOF) in anticipation of World Osteoporosis Day.