UDK 15 Психология
postmenopausal women have an increased risk of developing osteoporosis. Estrogen deficiency causes an increase in the activity of osteoclastic resorption without a corresponding increase in the activity of osteoblasts, which ultimately leads to a violation of the bone structure. About 200 million women worldwide are affected by osteoporosis; every third woman over 50 suffers an osteoporotic fracture. The risk of developing osteoporosis and fractures varies depending on ethnicity, so black women have a lower risk compared to fair-skinned women, while Spanish and Asian women have a higher risk of osteoporosis, but a similar or lower risk of fractures. Bisphosphonates are one of the most commonly used anti-osteoporosis drugs, acting on osteoclasts, they inhibit bone resorption, thereby minimizing the risk of fractures. This literature review discusses the main methods of treatment of postmenopausal osteoporosis, the most attention is paid to assessing the effectiveness of the use of bisphosphonates.
postmenopausal osteoporosis, bisphosphonates, fracture risk reduction, bone mineral density, SOX9
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3. Cosman F. Long-term treatment strategies for postmenopausal osteoporosis. Current Opinion in Rheumatology. 2018; 30(4):420-426. doi:https://doi.org/10.1097/BOR.0000000000000509
4. Baccaro L.F., Conde D.M., Costa-Paiva L., Pinto-Neto A.M. The epidemiology and management of postmenopausal osteoporosis: a viewpoint from Brazil. Clin Interv Aging. 2015; 20(10):583-591. doi:https://doi.org/10.2147/CIA.S54614.
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10. Hernandez A.V., Pérez-López F.R., Piscoya A., Pasupuleti V., Roman Y.M., Thota P., Herrera A. Comparative efficacy of bone anabolic therapies in women with postmenopausal osteoporosis: A systematic review and network meta-analysis of randomized controlled trials. Maturitas. 2019; 129:12-22. doihttps://doi.org/10.1016/j.maturitas.2019.08.003
11. Fardellone P., Lello S., Cano A., de Sá Moreira E., Watanabe de Oliveira R., Julian G.S., Tang B. Real-world Adherence and Persistence with Bisphosphonate Therapy in Postmenopausal Women: A Systematic Review. Clinical Therapeutics. 2019; 41(8):1576-1588. doi: 10.1016 / j. clinthera.2019.05.001.
12. Rouach V., Goldshtein I., Buch A., Catane R., Chodick G., Stern N., Cohen D. The association between adherence with oral bisphosphonates and the risk of breast cancer in post-menopausal women. Journal of bone oncology. 2018; 16:100202. doihttps://doi.org/10.1016/j.jbo.2018.10.001
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15. Pineda-Moncusí M., Garcia-Giralt N., Diez-Perez A., Servitja S., Tusquets I., Prieto-Alhambra D., Nogués X. Increased Fracture Risk in Women Treated with Aromatase Inhibitors versus Tamoxifen: Beneficial Effect of Bisphosphonates. Journal of Bone and Mineral Research. 2019. doihttps://doi.org/10.1002/jbmr.3886
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17. Cosman F. Long-term treatment strategies for postmenopausal osteoporosis. Current Opinion in Rheumatology. 2018; 30(4):420-426. doi:https://doi.org/10.1097/BOR.0000000000000509
18. Taylor A.D., Saag K.G. Anabolics in the management of glucocorticoid-induced osteoporosis: an evidence-based review of long-term safety, efficacy and place in therapy. Core Evid. 2019; 14:41-50. doi:https://doi.org/10.2147/CE.S172820
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21. Marozik P, Alekna V, Rudenko E, Tamulaitiene M, Rudenka A, Mastaviciute A, Samokhovec V, Cernovas A, Kobets K, Mosse I. Bone metabolism genes variation and response to bisphosphonate treatment in women with postmenopausal osteoporosis. PLoS One. 2019; 14(8):e0221511. doi:https://doi.org/10.1371/journal.pone.0221511.
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