Bone fractures after menopause.

Abstract:

BACKGROUND:Every year 30% of individuals above age 65 fall, and falls are the principal cause of bone fractures. To reduce fracture incidence requires both prevention of falls and maintenance of bone strength. METHODS:PubMed searches were performed, for studies of the epidemiology of fractures, bone physiology, endocrine effects, osteoporosis measurement, genetics, prevention and effectiveness. Topic summaries were presented to the Workshop Group and omissions or disagreements were resolved by discussion. RESULTS:Ageing reduces bone strength in post-menopausal women because estrogen deficiency causes accelerated bone resorption. Bone mineral density (BMD) decreased more than 2.5 standard deviation below the mean of healthy young adults defines osteoporosis, a condition associated with an increased risk of fractures. Risk factors such as age and previous fracture are combined with BMD for a more accurate prediction of fracture risk. The most widely used assessment tool is FRAX™ which combines clinical risk factors and femoral neck BMD. General preventive measures include physical exercise to reduce the risk of falling and vitamin D to facilitate calcium absorption. Pharmacological interventions consist mainly in the administration of inhibitors of bone resorption. Randomized controlled trials show treatment improves BMD, and may reduce the relative fracture risk by about 50% for vertebral, 20-25% for non-vertebral and up to 40% for hip fractures although the absolute risk reductions are much lower. CONCLUSIONS:Although diagnosis of osteoporosis is an important step, the threshold for treatment to prevent fractures depends on additional clinical risk factors. None of the presently available treatment options provide complete fracture prevention.

journal_name

Hum Reprod Update

authors

ESHRE Capri Workshop Group.

doi

10.1093/humupd/dmq008

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

761-73

issue

6

eissn

1355-4786

issn

1460-2369

pii

dmq008

journal_volume

16

pub_type

杂志文章,评审
  • Anticardiolipin antibodies and recurrent early pregnancy loss: a century of equivocal evidence.

    abstract::In 1987, Nigel Harris cautioned against over-diagnosing the antiphospholipid syndrome (APS). In what was a rather prophetic editorial titled 'The Syndrome of the Black Swan', he suggested that while patients with APS do indeed exist, they are probably much more unusual than many medical professionals might like to bel...

    journal_title:Human reproduction update

    pub_type: 社论

    doi:10.1093/humupd/dms020

    authors: Clark CA,Laskin CA,Spitzer KA

    更新日期:2012-09-01 00:00:00

  • Skeletal effects of selective oestrogen receptor modulators (SERMs).

    abstract::Women suffer a higher incidence of osteoporosis than men, in part due to oestrogen deficiency after menopause. In fact, the administration of oestrogen to post-menopausal women is associated with a decrease of bone resorption. Tamoxifen is a widely used selective oestrogen receptor modulator in women with breast cance...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/6.3.255

    authors: Díez JL

    更新日期:2000-05-01 00:00:00

  • Endocrine approaches in the therapy of prostate carcinoma.

    abstract::At present, the management of non-organ confined prostate cancer, whether it is a recurrence or metastasis, continues to evolve based on prostate cancer detection using prostate-specific antigen and the development of medications as alternatives for the classical orchiectomy, which induced irreversible implications fo...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmi004

    authors: d'Ancona FC,Debruyne FM

    更新日期:2005-05-01 00:00:00

  • Intrauterine devices and intrauterine systems.

    abstract::From a public health viewpoint, the intrauterine device (IUD) is the most widely used contraceptive method in the world. Prevalence rates range among countries from 2 to 80% of contraceptive users. During 5 years of IUD use, pregnancy occurs in less than 2 per 100 insertions. Bleeding and pain are the most common reas...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmn003

    authors: ESHRE Capri Workshop Group.

    更新日期:2008-05-01 00:00:00

  • Structure-function relationship of follicle-stimulating hormone and its receptor.

    abstract::Follicle stimulating hormone (FSH) is one of the two pituitary gonadotrophins involved in the regulation of gonadal function. Structurally, this gonadotrophin is a heterodimer composed of two non-covalently associated subunits containing several heterogenous oligosaccharide residues which play an important role in bot...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/4.3.260

    authors: Ulloa-Aguirre A,Timossi C

    更新日期:1998-05-01 00:00:00

  • Adjuvant treatment strategies in ovarian stimulation for poor responders undergoing IVF: a systematic review and network meta-analysis.

    abstract:BACKGROUND:Despite great advances in assisted reproductive technology, poor ovarian response (POR) is still considered as one of the most challenging tasks in reproductive medicine. OBJECTIVE AND RATIONALE:The aim of this systemic review is to evaluate the role of different adjuvant treatment strategies on the probabi...

    journal_title:Human reproduction update

    pub_type: 杂志文章,meta分析

    doi:10.1093/humupd/dmz046

    authors: Zhang Y,Zhang C,Shu J,Guo J,Chang HM,Leung PCK,Sheng JZ,Huang H

    更新日期:2020-02-28 00:00:00

  • Ultrasound of the male genital tract in relation to male reproductive health.

    abstract:BACKGROUND:Infertility affects ∼7% of all men. Despite much progress, mainly in genetics, its etiology remains obscure in ∼50% of cases. To fill this gap, imaging of the male genital tract (MGT) has progressively expanded, providing useful information in the assessment of MGT abnormalities. METHODS:A critical, systema...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmu042

    authors: Lotti F,Maggi M

    更新日期:2015-01-01 00:00:00

  • Hormonal contraception: what is new?

    abstract::Hormonal contraception has become more effective and more widely used, while the world population has grown from 3000 million in 1960 to 6000 million in 2000. There is a need for improved contraception, because legal abortion is used in a high proportion of pregnancies and illegal abortion continues to be common in so...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/8.4.359

    authors:

    更新日期:2002-07-01 00:00:00

  • The role of ovarian volume in reproductive medicine.

    abstract::The human ovary is a dynamic organ which continually changes in size and activity through life, as an integral part of the changes that the female is going through before during and after her reproductive life. Following the rapid increase in the use of transvaginal scan in recent years, the measurement of ovarian vol...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/5.3.256

    authors: Lass A,Brinsden P

    更新日期:1999-05-01 00:00:00

  • Human health effects of dioxins: cancer, reproductive and endocrine system effects.

    abstract::Polychlorinated dioxins, furans and polychlorinated benzene constitute a family of toxic persistent environmental pollutants. In Europe, environmental concentrations increased slowly throughout this century until the late 1980s. Dioxins have been shown to be carcinogenic in animals and humans. In humans, excess risks ...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/7.3.331

    authors: Kogevinas M

    更新日期:2001-05-01 00:00:00

  • AMH and AMH receptor defects in persistent Müllerian duct syndrome.

    abstract::Anti-Müllerian hormone (AMH) produced by fetal Sertoli cells is responsible for regression of Müllerian ducts, the anlage for uterus and Fallopian tubes, during male sex differentiation. A member of the transforming growth factor-beta superfamily, AMH signals through two transmembrane receptors, type II which is speci...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmi014

    authors: Josso N,Belville C,di Clemente N,Picard JY

    更新日期:2005-07-01 00:00:00

  • Hormonal contraception and risk of cancer.

    abstract:BACKGROUND:Fear from increased cancer risk is one of the most significant reasons for low acceptance of reliable contraceptive methods and low compliance. METHODS:In this review, we included all cohort and case-control studies published in English up to December 2008. They were identified through a search of the liter...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmq022

    authors: Cibula D,Gompel A,Mueck AO,La Vecchia C,Hannaford PC,Skouby SO,Zikan M,Dusek L

    更新日期:2010-11-01 00:00:00

  • Signals and molecular pathways involved in apoptosis, with special emphasis on human endometrium.

    abstract::Apoptosis is a selective process for deletion of cells in various biological systems. This event, similar to proliferation, is tightly regulated, with both processes playing essential roles in the homeostasis of renewable tissues. In human endometrium, proliferation and apoptosis occur at opposing poles of the menstru...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/1.4.303

    authors: Tabibzadeh S

    更新日期:1995-07-01 00:00:00

  • Mammalian reproductive tract mucins.

    abstract::Mucin glycoproteins are major constituents of the glycocalyx that covers mucosal epithelium. Two broad classes of mucins exist: membrane-associated and secretory. Of the secreted mucins, those with cysteine-rich regions are thought to polymerize through disulphide bonds. Among these gel-forming mucins are MUC2, MUC5AC...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/5.4.280

    authors: Lagow E,DeSouza MM,Carson DD

    更新日期:1999-07-01 00:00:00

  • Individualization of controlled ovarian stimulation in IVF using ovarian reserve markers: from theory to practice.

    abstract:BACKGROUND:The main objective of individualization of treatment in IVF is to offer every single woman the best treatment tailored to her own unique characteristics, thus maximizing the chances of pregnancy and eliminating the iatrogenic and avoidable risks resulting from ovarian stimulation. Personalization of treatmen...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmt037

    authors: La Marca A,Sunkara SK

    更新日期:2014-01-01 00:00:00

  • Nitric oxide in the endometrium.

    abstract::Nitric oxide (NO) is an important mediator of paracrine interactions, especially within the vascular system. It is a powerful inhibitor of platelet aggregation and a potent vasodilator. NO is also a neurotransmitter and it plays a role in cell-mediated cytotoxicity. NO-generating enzymes (nitric oxide synthases, NOS) ...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/4.5.565

    authors: Cameron IT,Campbell S

    更新日期:1998-09-01 00:00:00

  • Meiosis in oocytes: predisposition to aneuploidy and its increased incidence with age.

    abstract::Mammalian oocytes begin meiosis in the fetal ovary, but only complete it when fertilized in the adult reproductive tract. This review examines the cell biology of this protracted process: from entry of primordial germ cells into meiosis to conception. The defining feature of meiosis is two consecutive cell divisions (...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmm043

    authors: Jones KT

    更新日期:2008-03-01 00:00:00

  • Access to and sustainability of abortion services: a systematic review and meta-analysis for the National Institute of Health and Care Excellence-new clinical guidelines for England.

    abstract:BACKGROUND:Induced abortion is a common procedure. However, there is marked variation in accessibility of services across England. Accessing abortion services may be difficult, particularly for women who live in remote areas, are in the second trimester of pregnancy, have complex pre-existing conditions or have difficu...

    journal_title:Human reproduction update

    pub_type: 杂志文章

    doi:10.1093/humupd/dmaa026

    authors: O'Shea LE,Hawkins JE,Lord J,Schmidt-Hansen M,Hasler E,Cameron S,Cameron IT

    更新日期:2020-11-01 00:00:00

  • Physiological aspects and clinical sequelae of energy deficiency and hypoestrogenism in exercising women.

    abstract::Amenorrhoea associated with reduced caloric intake and strenuous exercise leads to hypoestrogenism and is associated with clinical manifestations that include disordered eating, stress fractures, osteoporosis, and, as recently reported, a potential increase in the risk of premature cardiovascular disease. Disordered e...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmh033

    authors: De Souza MJ,Williams NI

    更新日期:2004-09-01 00:00:00

  • Cell volume regulation in oocytes and early embryos: connecting physiology to successful culture media.

    abstract:BACKGROUND:Preimplantation embryos are particularly susceptible to in vitro developmental blocks. These could be alleviated by lowering culture medium osmolarity. Because mammalian cells regulate their volumes by adjusting intracellular osmotic pressure, cell volume regulation could be critical to early embryos. METHO...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmp045

    authors: Baltz JM,Tartia AP

    更新日期:2010-03-01 00:00:00

  • G-Protein-coupled receptors as potential drug candidates in preeclampsia: targeting the relaxin/insulin-like family peptide receptor 1 for treatment and prevention.

    abstract:BACKGROUND:Important roles for G-protein-coupled receptors (GPCRs) have been identified in the maternal physiological adaptations to pregnancy and in the pathogenesis of preeclampsia. On this basis, GPCRs are potential therapeutic targets for preeclampsia. OBJECTIVES AND RATIONALE:In this review, vasopressin and apeli...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmw021

    authors: Conrad KP

    更新日期:2016-09-01 00:00:00

  • Management of first-trimester miscarriage: a systematic review and network meta-analysis.

    abstract:BACKGROUND:First-trimester miscarriage affects up to a quarter of women worldwide. With many competing treatment options available, there is a need for a comprehensive evidence synthesis. OBJECTIVES AND RATIONALE:We conducted a systematic review and network meta-analysis to assess the effectiveness and safety of treat...

    journal_title:Human reproduction update

    pub_type: 杂志文章,meta分析

    doi:10.1093/humupd/dmz002

    authors: H Al Wattar B,Murugesu N,Tobias A,Zamora J,Khan KS

    更新日期:2019-05-01 00:00:00

  • Trophoblast retrieval and isolation from the cervix: origins of cervical trophoblasts and their potential value for risk assessment of ongoing pregnancies.

    abstract:BACKGROUND:Early during human development, the trophoblast lineage differentiates to commence placentation. Where the placenta contacts the uterine decidua, extravillous trophoblast (EVT) cells differentiate and invade maternal tissues. EVT cells, identified by expression of HLA-G, invade into uterine blood vessels (en...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmy008

    authors: Moser G,Drewlo S,Huppertz B,Armant DR

    更新日期:2018-07-01 00:00:00

  • Interactions between androgens, FSH, anti-Müllerian hormone and estradiol during folliculogenesis in the human normal and polycystic ovary.

    abstract:BACKGROUND:Androgens, FSH, anti-Müllerian hormone (AMH) and estradiol (E2) are essential in human ovarian folliculogenesis. However, the interactions between these four players is not fully understood. OBJECTIVES AND RATIONALE:The purpose of this review is to highlight the chronological sequence of the appearance and ...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmw027

    authors: Dewailly D,Robin G,Peigne M,Decanter C,Pigny P,Catteau-Jonard S

    更新日期:2016-11-01 00:00:00

  • The recent saga of cardiovascular disease and safety of oral contraceptives.

    abstract::This review presents detailed risk estimates from relevant epidemiological and other studies on the comparative safety of second and third generation oral contraceptives (OC). Written with the intention of presenting a repository of the available information, it also discourses briefly into the symptomatology and diag...

    journal_title:Human reproduction update

    pub_type: 历史文章,杂志文章,评审

    doi:10.1093/humupd/5.6.565

    authors: Edwards RG,Cohen J

    更新日期:1999-11-01 00:00:00

  • IUI for unexplained infertility-a network meta-analysis.

    abstract:BACKGROUND:IUI for unexplained infertility can be performed in a natural cycle or in combination with ovarian stimulation. A disadvantage of ovarian stimulation is an increased risk of multiple pregnancies with its inherent maternal and neonatal complication risks. Stimulation agents for ovarian stimulation are clomiph...

    journal_title:Human reproduction update

    pub_type: 杂志文章,meta分析

    doi:10.1093/humupd/dmz035

    authors: Danhof NA,Wang R,van Wely M,van der Veen F,Mol BWJ,Mochtar MH

    更新日期:2020-01-01 00:00:00

  • Effect of environmental and pharmaceutical exposures on fetal testis development and function: a systematic review of human experimental data.

    abstract:BACKGROUND:Overall, the incidence of male reproductive disorders has increased in recent decades. Testicular development during fetal life is crucial for subsequent male reproductive function. Non-genomic factors such as environmental chemicals, pharmaceuticals and lifestyle have been proposed to impact on human fetal ...

    journal_title:Human reproduction update

    pub_type: 杂志文章

    doi:10.1093/humupd/dmz004

    authors: Kilcoyne KR,Mitchell RT

    更新日期:2019-07-01 00:00:00

  • Hormonal contraception without estrogens.

    abstract::The long-term clinical effects of ethinyl estradiol and the impact on environmental safety of the alkylated estrogen components used in combined contraceptive pills remain the subject of debate. The development of improved methods for the use of progestogen-only contraception would represent a viable and desirable opt...

    journal_title:Human reproduction update

    pub_type: 共识发展会议,杂志文章,评审

    doi:10.1093/humupd/dmb025

    authors: Collins J,Crosignani PG,ESHRE Capri Workshop Group.

    更新日期:2003-07-01 00:00:00

  • The menopause transition: an update.

    abstract::The menopausal transition is an area of active clinical investigation and epidemiological research. Recent results from several worldwide cohorts of women are beginning to provide a paradigm by which to explain the epidemiological and clinical manifestations of the ovarian process of follicle attrition. Genetic resear...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/8.2.155

    authors: Santoro N

    更新日期:2002-03-01 00:00:00

  • Antenatal screening for Down's syndrome in assisted reproductive pregnancies.

    abstract::The wide use of assisted conception methods has risen dramatically. The greater proportion of singletons, twins and high order of multiplicity conceived by those methods have already focused the medical community to various obstetric complications. Recently, there have been suggestions that the levels of mid-gestation...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/5.5.530

    authors: Maymon R,Dreazen E,Weinraub Z,Bukovsky I,Herman A

    更新日期:1999-09-01 00:00:00