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Article Excerpt
Fracture prevention is focussed on bone density, but other factors like bone quality and muscle strength are also important, according to a recent commentary by two Toronto physicians for the Journal of the American Medical Association. They advocate a broader view of osteoporosis prevention but first, here is an historical context for this disease that has become a major health concern for women.
Osteoporosis was unknown to the public until the 1980s. The disease was diagnosed in the elderly only after a "fragility" fracture had occurred. But a new definition, based on bone mineral density, was established in 1993 at a World Health Organization meeting of osteoporosis researchers. Soon bone scans became a must for all women over age 50.
In 1995, the first non-hormonal drug to prevent osteoporotic fractures--Fosamax--came on the market. Its manufacturer, Merck, sponsored an aggressive ad campaign initially...
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