An evidence-informed strategy to prevent osteoporosis in Australia

Ebeling, Peter R., Daly, Robin, Kerr, Deborah A., & Kimlin, Michael G. (2013) An evidence-informed strategy to prevent osteoporosis in Australia. Medical Journal of Australia, 198(2), pp. 90-91.

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Osteoporosis imposes a tremendous burden on Australia : 1.2 million Australians have osteoporosis and 6.3 million have Osteopenia. In the 2007-08 financial year, 82000 Australians suffered fragility fractures, of Which >17000 were hip fractures. In the 2000-01 financial year, direct costs were estimated at $1.9 billion per year and an additional $5.6 billion on indirect costs.

Osteoporosis was designated a National Health Priority Area in 2002; however, implementation of national plans has not yet matched the rhetoric in terms of urgency.

Building healthy bones throughout life, the Osteoporosis Australia strategy to prevent osteoporosis throughout the life cycle, presents an evidence-informed set of recommendations for consumers, health care professionals and policymakers. The strategy was adopted by consensus at the Osteoporosis Australia Summit in Sydney, 20 October 2011.

Primary objectives throughout the life cycle are:

to maximise peak bone mass during childhood and adolescence

to prevent premature bone loss and improve or maintain muscle mass, strength and functional capacity in healthy adults

to prevent and treat osteoporosis in order to minimise the risk of suffering fragility fractures, and reduce falls risk, in older people.

The recommendations focus on three affordable and important interventions to ensure people have adequate calcium intake, vitamin D levels and appropriate, physical activity throughout their lives.

Recommendations relevant to all stages of life include:

daily dietary calcium intakes should be consistent with Australian and New Zealand guidelines

serum levels of vitamin D in the general population should be above 50 nmol/L in winter or early spring for optimal bone health

regular weight-bearing physical activity, Muscle strengthening exercises and challenging balance/ mobility activities should be conducted in a safe environment.

Impact and interest:

13 citations in Scopus
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10 citations in Web of Science®

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ID Code: 59526
Item Type: Journal Article
Refereed: Yes
Keywords: Randomized controlled-trial, Vitamin-D deficiency, Placebo-controlled trial, Calcium supplementation, Postmenopausal women, Older women, Mineral density, Hip fracture, Geelong osteoporosis, Secondary prevention
DOI: 10.5694/mja12.11363
ISSN: 0025-729X
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Deposited On: 02 May 2013 05:36
Last Modified: 07 May 2013 04:49

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