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MAJOR RISK FACTORS
Medical Conditions that can Cause Bone Loss, Falls and/or Fractures. A variety of diseases or conditions can increase bone loss and/or fall risk. Some of the more common examples are discussed below. An inflammatory disease of the joints, rheumatoid arthritis is often FRAX | OSTEOPOROSIS CANADA FRAX. In addition to femoral neck (hip) BMD, age, gender, fracture history and steroid use, FRAX also takes into account other clinical risk factors to calculate the absolute 10-year risk of a hip fracture or other major osteoporotic fracture (spine, forearm, upper arm). CAROC | OSTEOPOROSIS CANADA CAROC. In 2005, Osteoporosis Canada, in association with the Canadian Association of Radiologists, launched the 10-year absolute fracture risk assessment – CAROC. In addition to BMD (lowest T-score of hip and lumbar spine), age, gender, fracture history and steroid use are taken into consideration to determine an individual’s 10-year riskCALCIUM RICH FOODS
calcium-fortified soy, almond and rice beverages (check the nutrition labels) canned salmon or canned sardines. (When you eat the bones that have been softened by the canning process, these foods are excellent sources of calcium.)BISPHOSPHONATES
Bisphosphonates are a family of drugs used to treat osteoporosis. There are four bisphosphonates currently approved for use in Canada: alendronate (Fosamax ®), etidronate (Didrocal ®), risedronate (Actonel ®) and zoledronic acid (Aclasta®). Also available are: Actonel DR™, Fosavance® (Fosamax® with vitamin D) and severalgeneric versions.
OSTEOPOROSIS & FALLS ASSESSMENT FORM History Lifestyle Review Physical to rule out secondary osteoporosis Bone Mineral Density (BMD) 10-year fracture risk: CAROC or FRAX Recommendations for Patient CareTOO FIT TO FRACTURE
Too Fit to Fracture is a series of exercise recommendations for people with osteoporosis or spine fractures. It was developed by expert consensus using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method, which is endorsed by the World Health Organization and the Cochrane Collaboration, to determine the quality of evidence for each MEDICATIONS THAT CAN CAUSE BONE LOSS, FALLS AND/ORSYNTHETIC GLUCOCORTICOIDS (E.G. PREDNISONE)GLUCOCORTICOIDS ARE PRODUCED NATURALLY BY THE BODY AS CORTISOL OR CORTISONE, AND ARE NECESSARY FOR NORMAL METABOLISM, GROWTH AND RESPONDING TO PHYS...EXCESSIVE THYROID HORMONE REPLACEMENTNORMAL THYROID HORMONE BLOOD LEVELS MAINTAIN GOOD BONE HEALTH. IN INDIVIDUALS WHO ARE ON THYROID REPLACEMENT THERAPY (SYNTHROID®, ELTROXIN®), THE D...ANTI-SEIZURE AND MOOD-ALTERING DRUGSTHE ANTI-SEIZURE DRUGS CARBAMAZEPINE (TEGRETOL®) AND PHENYTOIN (DILANTIN®) HAVE BEEN ASSOCIATED WITH A REDUCTION IN BONE DENSITY AND THIS IS BELIEV...BLOOD PRESSURE MEDICATIONRECENT STUDIES HAVE SHOWN THAT SOME OF THE COMMON DRUGS USED TO TREAT HIGH BLOOD PRESSURE CAN INCREASE THE RISK OF FALLS AND FRACTURES IN OLDER ADU... 2. Narcotic and opioid medications used for pain, such as morphine, have been associated with an increased risk of fracture secondary to falling due to the effects on the central nervous system, which may lead to dizziness or changes in balance. 3. Aluminum-containing antacids such as Maalox®, Mylanta®, Amphogel®, Gelusil® andRolaids® are
OSTEOPOROSIS CANADACALCIUM CALCULATOREXERCISE RECOMMENDATIONSABOUT THE DISEASEBONE HEALTH & OSTEOPOROSIS Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue, which can lead to increased risk of fracture. Known as the “silent thief”, bone deterioration can occur over a number of years without presenting any symptoms. Unfortunately, if detected at the time of a break, the disease is already fairly advanced. COVID-19 VACCINATION AND OSTEOPOROSIS DRUG THERAPY An interval of 4-7 days between an injection of denosumab (Prolia) or romosozumab (Evenity) and the COVID-19 vaccination is recommended. As teriparatide (Forteo) is administered daily, it can be continued if it is well tolerated and has not resulted in any local injection site reactions. Osteoporosis Canada recommends administration ofMAJOR RISK FACTORS
Medical Conditions that can Cause Bone Loss, Falls and/or Fractures. A variety of diseases or conditions can increase bone loss and/or fall risk. Some of the more common examples are discussed below. An inflammatory disease of the joints, rheumatoid arthritis is often FRAX | OSTEOPOROSIS CANADA FRAX. In addition to femoral neck (hip) BMD, age, gender, fracture history and steroid use, FRAX also takes into account other clinical risk factors to calculate the absolute 10-year risk of a hip fracture or other major osteoporotic fracture (spine, forearm, upper arm). CAROC | OSTEOPOROSIS CANADA CAROC. In 2005, Osteoporosis Canada, in association with the Canadian Association of Radiologists, launched the 10-year absolute fracture risk assessment – CAROC. In addition to BMD (lowest T-score of hip and lumbar spine), age, gender, fracture history and steroid use are taken into consideration to determine an individual’s 10-year riskCALCIUM RICH FOODS
calcium-fortified soy, almond and rice beverages (check the nutrition labels) canned salmon or canned sardines. (When you eat the bones that have been softened by the canning process, these foods are excellent sources of calcium.)BISPHOSPHONATES
Bisphosphonates are a family of drugs used to treat osteoporosis. There are four bisphosphonates currently approved for use in Canada: alendronate (Fosamax ®), etidronate (Didrocal ®), risedronate (Actonel ®) and zoledronic acid (Aclasta®). Also available are: Actonel DR™, Fosavance® (Fosamax® with vitamin D) and severalgeneric versions.
OSTEOPOROSIS & FALLS ASSESSMENT FORM History Lifestyle Review Physical to rule out secondary osteoporosis Bone Mineral Density (BMD) 10-year fracture risk: CAROC or FRAX Recommendations for Patient CareTOO FIT TO FRACTURE
Too Fit to Fracture is a series of exercise recommendations for people with osteoporosis or spine fractures. It was developed by expert consensus using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method, which is endorsed by the World Health Organization and the Cochrane Collaboration, to determine the quality of evidence for each MEDICATIONS THAT CAN CAUSE BONE LOSS, FALLS AND/ORSYNTHETIC GLUCOCORTICOIDS (E.G. PREDNISONE)GLUCOCORTICOIDS ARE PRODUCED NATURALLY BY THE BODY AS CORTISOL OR CORTISONE, AND ARE NECESSARY FOR NORMAL METABOLISM, GROWTH AND RESPONDING TO PHYS...EXCESSIVE THYROID HORMONE REPLACEMENTNORMAL THYROID HORMONE BLOOD LEVELS MAINTAIN GOOD BONE HEALTH. IN INDIVIDUALS WHO ARE ON THYROID REPLACEMENT THERAPY (SYNTHROID®, ELTROXIN®), THE D...ANTI-SEIZURE AND MOOD-ALTERING DRUGSTHE ANTI-SEIZURE DRUGS CARBAMAZEPINE (TEGRETOL®) AND PHENYTOIN (DILANTIN®) HAVE BEEN ASSOCIATED WITH A REDUCTION IN BONE DENSITY AND THIS IS BELIEV...BLOOD PRESSURE MEDICATIONRECENT STUDIES HAVE SHOWN THAT SOME OF THE COMMON DRUGS USED TO TREAT HIGH BLOOD PRESSURE CAN INCREASE THE RISK OF FALLS AND FRACTURES IN OLDER ADU... 2. Narcotic and opioid medications used for pain, such as morphine, have been associated with an increased risk of fracture secondary to falling due to the effects on the central nervous system, which may lead to dizziness or changes in balance. 3. Aluminum-containing antacids such as Maalox®, Mylanta®, Amphogel®, Gelusil® andRolaids® are
CLINICAL PRACTICE GUIDELINES AND RECOMMENDATIONS 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis. The new guidelines represent a paradigm shift in the prevention and treatment of osteoporotic fractures, moving the focus from treating low bone mineral density (BMD) to better identifying fractures caused by weakened bones (fragility fractures). HOW TO MINIMIZE THE HARMFUL EFFECTS Talk to Your Doctor. This fact sheet may not include all medications or all medical conditions that can contribute to fractures. If you are taking any medications or suffer from any medical conditions that may increase bone loss or the risk of falls, talk to your doctor and request a fracture risk assessment, which is a more in-depth assessment of your bone health. CALCIUM AND VITAMIN D Calcium and Vitamin D are essential nutrients for proper bone health. Vitamin D helps to increase the absorption of calcium, ultimately building stronger bones. It also improves the function of muscles, improving your balance and decreasing the likelihood of falls, which can lead to fractures. Among Canadians 40 years of age or older, lessthan
CAROC | OSTEOPOROSIS CANADA CAROC. In 2005, Osteoporosis Canada, in association with the Canadian Association of Radiologists, launched the 10-year absolute fracture risk assessment – CAROC. In addition to BMD (lowest T-score of hip and lumbar spine), age, gender, fracture history and steroid use are taken into consideration to determine an individual’s 10-year risk MEDICATIONS THAT CAN CAUSE BONE LOSS, FALLS AND/OR 2. Narcotic and opioid medications used for pain, such as morphine, have been associated with an increased risk of fracture secondary to falling due to the effects on the central nervous system, which may lead to dizziness or changes in balance. 3. Aluminum-containing antacids such as Maalox®, Mylanta®, Amphogel®, Gelusil® andRolaids® are
VITAMIN D | OSTEOPOROSIS CANADA Therefore, Osteoporosis Canada recommends routine vitamin D supplementation for Canadian adults year-round. Healthy adults between 19-50 years of age, including pregnant or breast feeding women, require 400 – 1,000 IU daily. Those over 50 or those younger adults at high risk (with osteoporosis, multiple fractures, or conditionsaffecting
OSTEOPOROSIS CANADA'S 10-YEAR FRACTURE RISK TOOL Osteoporosis Canada's 10-Year Fracture Risk ToolOC QUICKREF 1309V1
2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada This guide has been developed to provide healthcare professionals with a quick-reference summary of the mostimportant recom-
PROLIA AND ATYPICAL FRACTURES Prolia and Atypical Fractures. December 5, 2012. There has been recent media coverage concerning a rare atypical femoral fracture that may be a side effect of denosumab (Prolia), an osteoporosis medication manufactured by Amgen. Osteoporosis Canada’s Scientific Advisory Council has reviewed the information from Amgen and Health Canada and TOO FIT TO FALL OR FRACTURE Too Fit to Fall or Fracture. Strength Training. At least 2 days/week. Exercises for legs, arms, chest, shoulders, back Use body weight against gravity, bands, or weights* OSTEOPOROSIS CANADACALCIUM CALCULATOREXERCISE RECOMMENDATIONSABOUT THE DISEASEBONE HEALTH & OSTEOPOROSIS Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue, which can lead to increased risk of fracture. Known as the “silent thief”, bone deterioration can occur over a number of years without presenting any symptoms. COVID-19 VACCINATION AND OSTEOPOROSIS DRUG THERAPY Osteoporosis is a chronic condition that, if you are at high risk of fracture, requires treatment with an osteoporosis medication. There is currently no evidence that osteoporosis medications increase the risk or the severity of COVID-19 infections. COVID-19 VACCINATION AND OSTEOPOROSIS DRUG THERAPY Osteoporosis Canada’s rapid response team, made up of members of the Scientific Advisory Council, creates position statements as news breaks regarding osteoporosis.The position statements are used to inform both the healthcare professional and the patient. FRAX | OSTEOPOROSIS CANADA FRAX. In addition to femoral neck (hip) BMD, age, gender, fracture history and steroid use, FRAX also takes into account other clinical risk factors to calculate the absolute 10-year risk of a hip fracture or other major osteoporotic fracture (spine, forearm, upper arm). CAROC | OSTEOPOROSIS CANADA CAROC. In 2005, Osteoporosis Canada, in association with the Canadian Association of Radiologists, launched the 10-year absolute fracture risk assessment – CAROC. OSTEOPOROSIS & FALLS ASSESSMENT FORM History Lifestyle Review Physical to rule out secondary osteoporosis Bone Mineral Density (BMD) 10-year fracture risk: CAROC or FRAX Recommendations for Patient CareCALCIUM RICH FOODS
Bone is living tissue, constantly renewing itself. Although bone is strong and relatively flexible, everyday wear and tear causes tiny structural defects, much like those that occur in the foundations of a OSTEOPOROSIS CANADACALCIUM CALCULATOREXERCISE RECOMMENDATIONSABOUT THE DISEASEBONE HEALTH & OSTEOPOROSIS Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue, which can lead to increased risk of fracture. Known as the “silent thief”, bone deterioration can occur over a number of years without presenting any symptoms. COVID-19 VACCINATION AND OSTEOPOROSIS DRUG THERAPY Osteoporosis is a chronic condition that, if you are at high risk of fracture, requires treatment with an osteoporosis medication. There is currently no evidence that osteoporosis medications increase the risk or the severity of COVID-19 infections. COVID-19 VACCINATION AND OSTEOPOROSIS DRUG THERAPY Osteoporosis Canada’s rapid response team, made up of members of the Scientific Advisory Council, creates position statements as news breaks regarding osteoporosis.The position statements are used to inform both the healthcare professional and the patient. FRAX | OSTEOPOROSIS CANADA FRAX. In addition to femoral neck (hip) BMD, age, gender, fracture history and steroid use, FRAX also takes into account other clinical risk factors to calculate the absolute 10-year risk of a hip fracture or other major osteoporotic fracture (spine, forearm, upper arm). CAROC | OSTEOPOROSIS CANADA CAROC. In 2005, Osteoporosis Canada, in association with the Canadian Association of Radiologists, launched the 10-year absolute fracture risk assessment – CAROC. OSTEOPOROSIS & FALLS ASSESSMENT FORM History Lifestyle Review Physical to rule out secondary osteoporosis Bone Mineral Density (BMD) 10-year fracture risk: CAROC or FRAX Recommendations for Patient CareCALCIUM RICH FOODS
Bone is living tissue, constantly renewing itself. Although bone is strong and relatively flexible, everyday wear and tear causes tiny structural defects, much like those that occur in the foundations of aBISPHOSPHONATES
Bisphosphonates. Bisphosphonates are a family of drugs used to treat osteoporosis. There are four bisphosphonates currently approved for use in Canada: alendronate (Fosamax ®), etidronate (Didrocal ®), risedronate (Actonel ®) and zoledronic acid (Aclasta®).TOO FIT TO FRACTURE
Too Fit to Fracture is a series of exercise recommendations for people with osteoporosis or spine fractures. It was developed by expert consensus using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method, which is endorsed by the World Health Organization and the Cochrane Collaboration, to determine the quality of evidence for each MEDICATIONS THAT CAN CAUSE BONE LOSS, FALLS AND/ORSYNTHETIC GLUCOCORTICOIDS (E.G. PREDNISONE)GLUCOCORTICOIDS ARE PRODUCED NATURALLY BY THE BODY AS CORTISOL OR CORTISONE, AND ARE NECESSARY FOR NORMAL METABOLISM, GROWTH AND RESPONDING TO PHYS...EXCESSIVE THYROID HORMONE REPLACEMENTNORMAL THYROID HORMONE BLOOD LEVELS MAINTAIN GOOD BONE HEALTH. IN INDIVIDUALS WHO ARE ON THYROID REPLACEMENT THERAPY (SYNTHROID®, ELTROXIN®), THE D...ANTI-SEIZURE AND MOOD-ALTERING DRUGSTHE ANTI-SEIZURE DRUGS CARBAMAZEPINE (TEGRETOL®) AND PHENYTOIN (DILANTIN®) HAVE BEEN ASSOCIATED WITH A REDUCTION IN BONE DENSITY AND THIS IS BELIEV...BLOOD PRESSURE MEDICATIONRECENT STUDIES HAVE SHOWN THAT SOME OF THE COMMON DRUGS USED TO TREAT HIGH BLOOD PRESSURE CAN INCREASE THE RISK OF FALLS AND FRACTURES IN OLDER ADU... Synthetic Glucocorticoids (e.g. prednisone) Glucocorticoids are produced naturally by the body as cortisol or cortisone, and are necessary for normal metabolism, growth and responding to physical stresses such as infection, injury and inflammation. CLINICAL PRACTICE GUIDELINES AND RECOMMENDATIONS The new guidelines represent a paradigm shift in the prevention and treatment of osteoporotic fractures, moving the focus from treating low bone mineral density (BMD) to better identifying fractures caused by weakened bones (fragility fractures). CAROC | OSTEOPOROSIS CANADA CAROC. In 2005, Osteoporosis Canada, in association with the Canadian Association of Radiologists, launched the 10-year absolute fracture risk assessment – CAROC. CALCIUM AND VITAMIN D Calcium and Vitamin D. Calcium and Vitamin D are essential nutrients for proper bone health. Vitamin D helps to increase the absorption of calcium, ultimately building stronger bones. HOW TO MINIMIZE THE HARMFUL EFFECTS Talk to Your Doctor. This fact sheet may not include all medications or all medical conditions that can contribute to fractures. If you are taking any medications or suffer from any medical conditions that may increase bone loss or the risk of falls, talk to your doctor and request a fracture risk assessment, which is a more in-depth assessment of your bone health. MEDICATIONS THAT CAN CAUSE BONE LOSS, FALLS AND/OR Synthetic Glucocorticoids (e.g. prednisone) Glucocorticoids are produced naturally by the body as cortisol or cortisone, and are necessary for normal metabolism, growth and responding to physical stresses such as infection, injury and inflammation. PROLIA AND ATYPICAL FRACTURES Osteoporosis Canada’s rapid response team, made up of members of the Scientific Advisory Council, creates position statements as news breaks regarding osteoporosis.The position statements are used to inform both the healthcare professional and the patient. VITAMIN D | OSTEOPOROSIS CANADA Vitamin D. Vitamin D, the “sunshine vitamin,” is produced when the sun’s rays interact with our skin. It helps build stronger bones by increasing the absorption of calcium.OC QUICKREF 1309V1
2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada This guide has been developed to provide healthcare professionals with a quick-reference summary of the mostimportant recom-
OSTEOPOROSIS CANADA'S 10-YEAR FRACTURE RISK TOOL Osteoporosis Canada's 10-Year Fracture Risk Tool TOO FIT TO FALL OR FRACTURE Too Fit to Fall or Fracture. Strength Training. At least 2 days/week. Exercises for legs, arms, chest, shoulders, back Use body weight against gravity, bands, or weights* OSTEOPOROSIS CANADACALCIUM CALCULATOREXERCISE RECOMMENDATIONSABOUT THE DISEASEBONE HEALTH & OSTEOPOROSIS Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue, which can lead to increased risk of fracture. Known as the “silent thief”, bone deterioration can occur over a number of years without presenting any symptoms. Unfortunately, if detected at the time of a break, the disease is already fairly advanced. COVID-19 VACCINATION AND OSTEOPOROSIS DRUG THERAPY An interval of 4-7 days between an injection of denosumab (Prolia) or romosozumab (Evenity) and the COVID-19 vaccination is recommended. As teriparatide (Forteo) is administered daily, it can be continued if it is well tolerated and has not resulted in any local injection site reactions. Osteoporosis Canada recommends administration of CLINICAL PRACTICE GUIDELINES AND RECOMMENDATIONS 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis. The new guidelines represent a paradigm shift in the prevention and treatment of osteoporotic fractures, moving the focus from treating low bone mineral density (BMD) to better identifying fractures caused by weakened bones (fragility fractures). FRAX | OSTEOPOROSIS CANADA FRAX. In addition to femoral neck (hip) BMD, age, gender, fracture history and steroid use, FRAX also takes into account other clinical risk factors to calculate the absolute 10-year risk of a hip fracture or other major osteoporotic fracture (spine, forearm, upper arm).CALCIUM CALCULATOR
Enter the number of servings for each of the calcium-rich foods that you ate yesterday from each category: Item. Serving Size. No. of Servings. Calcium (mgs) Item and serving size. Calcium (mgs) Almond, Rice or Soy Beverage - Calcium-fortified. Select 0.25 0.5 0.75 1 1.5 22.5 3 3.5 4 4.5 5.
PROVINCIAL DRUG COVERAGE Provincial Drug Coverage Chart As of April 2021. Coverage is under constant review and is subject to change. Access to a generic equivalent is generally reported to be identical to that of the relevant brand name medication.TOO FIT TO FRACTURE
Too Fit to Fracture is a series of exercise recommendations for people with osteoporosis or spine fractures. It was developed by expert consensus using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method, which is endorsed by the World Health Organization and the Cochrane Collaboration, to determine the quality of evidence for eachOC QUICKREF 1309V1
2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada This guide has been developed to provide healthcare professionals with a quick-reference summary of the mostimportant recom-
GENERAL INFORMATION ABOUT PAIN AFTER A FRACTURE General Information About Pain After A Fracture. Pain is the body’s natural response when a bone breaks. Both the fracture and any injuries to the body tissue near the fracture site can produce pain. Soft tissue refer to the muscles, ligaments, nerves, tendons and blood BUYING A MATTRESS WHEN YOU HAVE OSTEOPOROSIS COPING A mattress may be one of the sponsor When Should Fact risk of falls and efficiency, as we to replace cars, appliances and running shoes more frequently than beds. OSTEOPOROSIS CANADACALCIUM CALCULATOREXERCISE RECOMMENDATIONSABOUT THE DISEASEBONE HEALTH & OSTEOPOROSIS Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue, which can lead to increased risk of fracture. Known as the “silent thief”, bone deterioration can occur over a number of years without presenting any symptoms. Unfortunately, if detected at the time of a break, the disease is already fairly advanced. COVID-19 VACCINATION AND OSTEOPOROSIS DRUG THERAPY An interval of 4-7 days between an injection of denosumab (Prolia) or romosozumab (Evenity) and the COVID-19 vaccination is recommended. As teriparatide (Forteo) is administered daily, it can be continued if it is well tolerated and has not resulted in any local injection site reactions. Osteoporosis Canada recommends administration of CLINICAL PRACTICE GUIDELINES AND RECOMMENDATIONS 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis. The new guidelines represent a paradigm shift in the prevention and treatment of osteoporotic fractures, moving the focus from treating low bone mineral density (BMD) to better identifying fractures caused by weakened bones (fragility fractures). FRAX | OSTEOPOROSIS CANADA FRAX. In addition to femoral neck (hip) BMD, age, gender, fracture history and steroid use, FRAX also takes into account other clinical risk factors to calculate the absolute 10-year risk of a hip fracture or other major osteoporotic fracture (spine, forearm, upper arm).CALCIUM CALCULATOR
Enter the number of servings for each of the calcium-rich foods that you ate yesterday from each category: Item. Serving Size. No. of Servings. Calcium (mgs) Item and serving size. Calcium (mgs) Almond, Rice or Soy Beverage - Calcium-fortified. Select 0.25 0.5 0.75 1 1.5 22.5 3 3.5 4 4.5 5.
PROVINCIAL DRUG COVERAGE Provincial Drug Coverage Chart As of April 2021. Coverage is under constant review and is subject to change. Access to a generic equivalent is generally reported to be identical to that of the relevant brand name medication.TOO FIT TO FRACTURE
Too Fit to Fracture is a series of exercise recommendations for people with osteoporosis or spine fractures. It was developed by expert consensus using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method, which is endorsed by the World Health Organization and the Cochrane Collaboration, to determine the quality of evidence for eachOC QUICKREF 1309V1
2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada This guide has been developed to provide healthcare professionals with a quick-reference summary of the mostimportant recom-
GENERAL INFORMATION ABOUT PAIN AFTER A FRACTURE General Information About Pain After A Fracture. Pain is the body’s natural response when a bone breaks. Both the fracture and any injuries to the body tissue near the fracture site can produce pain. Soft tissue refer to the muscles, ligaments, nerves, tendons and blood BUYING A MATTRESS WHEN YOU HAVE OSTEOPOROSIS COPING A mattress may be one of the sponsor When Should Fact risk of falls and efficiency, as we to replace cars, appliances and running shoes more frequently than beds. RECIPES | OSTEOPOROSIS CANADA Bone Health & Osteoporosis. Nutrition. Calcium Calculator. Calcium and Vitamin D. Exercise for Healthy Bones. Living With The Disease. After The Fracture. COPN. Fall Prevention. CLINICAL PRACTICE GUIDELINES AND RECOMMENDATIONS 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis. The new guidelines represent a paradigm shift in the prevention and treatment of osteoporotic fractures, moving the focus from treating low bone mineral density (BMD) to better identifying fractures caused by weakened bones (fragility fractures).CALCIUM CALCULATOR
Enter the number of servings for each of the calcium-rich foods that you ate yesterday from each category: Item. Serving Size. No. of Servings. Calcium (mgs) Item and serving size. Calcium (mgs) Almond, Rice or Soy Beverage - Calcium-fortified. Select 0.25 0.5 0.75 1 1.5 22.5 3 3.5 4 4.5 5.
CALCIUM AND VITAMIN D Calcium and Vitamin D are essential nutrients for proper bone health. Vitamin D helps to increase the absorption of calcium, ultimately building stronger bones. It also improves the function of muscles, improving your balance and decreasing the likelihood of falls, which can lead to fractures. Among Canadians 40 years of age or older, lessthan
VITAMIN D | OSTEOPOROSIS CANADA Therefore, Osteoporosis Canada recommends routine vitamin D supplementation for Canadian adults year-round. Healthy adults between 19-50 years of age, including pregnant or breast feeding women, require 400 – 1,000 IU daily. Those over 50 or those younger adults at high risk (with osteoporosis, multiple fractures, or conditionsaffecting
BISPHOSPHONATES
Bisphosphonates are a family of drugs used to treat osteoporosis. There are four bisphosphonates currently approved for use in Canada: alendronate (Fosamax ®), etidronate (Didrocal ®), risedronate (Actonel ®) and zoledronic acid (Aclasta®). Also available are: Actonel DR™, Fosavance® (Fosamax® with vitamin D) and severalgeneric versions.
CALCIUM RICH FOODS
calcium-fortified soy, almond and rice beverages (check the nutrition labels) canned salmon or canned sardines. (When you eat the bones that have been softened by the canning process, these foods are excellent sources of calcium.)OC QUICKREF 1309V1
2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada This guide has been developed to provide healthcare professionals with a quick-reference summary of the mostimportant recom-
MEDICATIONS THAT CAN CAUSE BONE LOSS, FALLS AND/OR 2. Narcotic and opioid medications used for pain, such as morphine, have been associated with an increased risk of fracture secondary to falling due to the effects on the central nervous system, which may lead to dizziness or changes in balance. 3. Aluminum-containing antacids such as Maalox®, Mylanta®, Amphogel®, Gelusil® andRolaids® are
OSTEOPOROSIS CANADA'S 10-YEAR FRACTURE RISK TOOL Osteoporosis Canada's 10-Year Fracture Risk Tool OSTEOPOROSIS CANADACALCIUM CALCULATOREXERCISE RECOMMENDATIONSABOUT THE DISEASEBONE HEALTH & OSTEOPOROSIS Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue, which can lead to increased risk of fracture. Known as the “silent thief”, bone deterioration can occur over a number of years without presenting any symptoms. Unfortunately, if detected at the time of a break, the disease is already fairly advanced. COVID-19 VACCINATION AND OSTEOPOROSIS DRUG THERAPY An interval of 4-7 days between an injection of denosumab (Prolia) or romosozumab (Evenity) and the COVID-19 vaccination is recommended. As teriparatide (Forteo) is administered daily, it can be continued if it is well tolerated and has not resulted in any local injection site reactions. Osteoporosis Canada recommends administration of CLINICAL PRACTICE GUIDELINES AND RECOMMENDATIONS 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis. The new guidelines represent a paradigm shift in the prevention and treatment of osteoporotic fractures, moving the focus from treating low bone mineral density (BMD) to better identifying fractures caused by weakened bones (fragility fractures). FRAX | OSTEOPOROSIS CANADA FRAX. In addition to femoral neck (hip) BMD, age, gender, fracture history and steroid use, FRAX also takes into account other clinical risk factors to calculate the absolute 10-year risk of a hip fracture or other major osteoporotic fracture (spine, forearm, upper arm).CALCIUM CALCULATOR
Enter the number of servings for each of the calcium-rich foods that you ate yesterday from each category: Item. Serving Size. No. of Servings. Calcium (mgs) Item and serving size. Calcium (mgs) Almond, Rice or Soy Beverage - Calcium-fortified. Select 0.25 0.5 0.75 1 1.5 22.5 3 3.5 4 4.5 5.
PROVINCIAL DRUG COVERAGE Provincial Drug Coverage Chart As of April 2021. Coverage is under constant review and is subject to change. Access to a generic equivalent is generally reported to be identical to that of the relevant brand name medication.TOO FIT TO FRACTURE
Too Fit to Fracture is a series of exercise recommendations for people with osteoporosis or spine fractures. It was developed by expert consensus using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method, which is endorsed by the World Health Organization and the Cochrane Collaboration, to determine the quality of evidence for eachOC QUICKREF 1309V1
2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada This guide has been developed to provide healthcare professionals with a quick-reference summary of the mostimportant recom-
GENERAL INFORMATION ABOUT PAIN AFTER A FRACTURE General Information About Pain After A Fracture. Pain is the body’s natural response when a bone breaks. Both the fracture and any injuries to the body tissue near the fracture site can produce pain. Soft tissue refer to the muscles, ligaments, nerves, tendons and blood BUYING A MATTRESS WHEN YOU HAVE OSTEOPOROSIS COPING A mattress may be one of the sponsor When Should Fact risk of falls and efficiency, as we to replace cars, appliances and running shoes more frequently than beds. OSTEOPOROSIS CANADACALCIUM CALCULATOREXERCISE RECOMMENDATIONSABOUT THE DISEASEBONE HEALTH & OSTEOPOROSIS Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue, which can lead to increased risk of fracture. Known as the “silent thief”, bone deterioration can occur over a number of years without presenting any symptoms. Unfortunately, if detected at the time of a break, the disease is already fairly advanced. COVID-19 VACCINATION AND OSTEOPOROSIS DRUG THERAPY An interval of 4-7 days between an injection of denosumab (Prolia) or romosozumab (Evenity) and the COVID-19 vaccination is recommended. As teriparatide (Forteo) is administered daily, it can be continued if it is well tolerated and has not resulted in any local injection site reactions. Osteoporosis Canada recommends administration of CLINICAL PRACTICE GUIDELINES AND RECOMMENDATIONS 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis. The new guidelines represent a paradigm shift in the prevention and treatment of osteoporotic fractures, moving the focus from treating low bone mineral density (BMD) to better identifying fractures caused by weakened bones (fragility fractures). FRAX | OSTEOPOROSIS CANADA FRAX. In addition to femoral neck (hip) BMD, age, gender, fracture history and steroid use, FRAX also takes into account other clinical risk factors to calculate the absolute 10-year risk of a hip fracture or other major osteoporotic fracture (spine, forearm, upper arm).CALCIUM CALCULATOR
Enter the number of servings for each of the calcium-rich foods that you ate yesterday from each category: Item. Serving Size. No. of Servings. Calcium (mgs) Item and serving size. Calcium (mgs) Almond, Rice or Soy Beverage - Calcium-fortified. Select 0.25 0.5 0.75 1 1.5 22.5 3 3.5 4 4.5 5.
PROVINCIAL DRUG COVERAGE Provincial Drug Coverage Chart As of April 2021. Coverage is under constant review and is subject to change. Access to a generic equivalent is generally reported to be identical to that of the relevant brand name medication.TOO FIT TO FRACTURE
Too Fit to Fracture is a series of exercise recommendations for people with osteoporosis or spine fractures. It was developed by expert consensus using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method, which is endorsed by the World Health Organization and the Cochrane Collaboration, to determine the quality of evidence for eachOC QUICKREF 1309V1
2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada This guide has been developed to provide healthcare professionals with a quick-reference summary of the mostimportant recom-
GENERAL INFORMATION ABOUT PAIN AFTER A FRACTURE General Information About Pain After A Fracture. Pain is the body’s natural response when a bone breaks. Both the fracture and any injuries to the body tissue near the fracture site can produce pain. Soft tissue refer to the muscles, ligaments, nerves, tendons and blood BUYING A MATTRESS WHEN YOU HAVE OSTEOPOROSIS COPING A mattress may be one of the sponsor When Should Fact risk of falls and efficiency, as we to replace cars, appliances and running shoes more frequently than beds. RECIPES | OSTEOPOROSIS CANADA Bone Health & Osteoporosis. Nutrition. Calcium Calculator. Calcium and Vitamin D. Exercise for Healthy Bones. Living With The Disease. After The Fracture. COPN. Fall Prevention. CLINICAL PRACTICE GUIDELINES AND RECOMMENDATIONS 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis. The new guidelines represent a paradigm shift in the prevention and treatment of osteoporotic fractures, moving the focus from treating low bone mineral density (BMD) to better identifying fractures caused by weakened bones (fragility fractures).CALCIUM CALCULATOR
Enter the number of servings for each of the calcium-rich foods that you ate yesterday from each category: Item. Serving Size. No. of Servings. Calcium (mgs) Item and serving size. Calcium (mgs) Almond, Rice or Soy Beverage - Calcium-fortified. Select 0.25 0.5 0.75 1 1.5 22.5 3 3.5 4 4.5 5.
CALCIUM AND VITAMIN D Calcium and Vitamin D are essential nutrients for proper bone health. Vitamin D helps to increase the absorption of calcium, ultimately building stronger bones. It also improves the function of muscles, improving your balance and decreasing the likelihood of falls, which can lead to fractures. Among Canadians 40 years of age or older, lessthan
VITAMIN D | OSTEOPOROSIS CANADA Therefore, Osteoporosis Canada recommends routine vitamin D supplementation for Canadian adults year-round. Healthy adults between 19-50 years of age, including pregnant or breast feeding women, require 400 – 1,000 IU daily. Those over 50 or those younger adults at high risk (with osteoporosis, multiple fractures, or conditionsaffecting
BISPHOSPHONATES
Bisphosphonates are a family of drugs used to treat osteoporosis. There are four bisphosphonates currently approved for use in Canada: alendronate (Fosamax ®), etidronate (Didrocal ®), risedronate (Actonel ®) and zoledronic acid (Aclasta®). Also available are: Actonel DR™, Fosavance® (Fosamax® with vitamin D) and severalgeneric versions.
CALCIUM RICH FOODS
calcium-fortified soy, almond and rice beverages (check the nutrition labels) canned salmon or canned sardines. (When you eat the bones that have been softened by the canning process, these foods are excellent sources of calcium.)OC QUICKREF 1309V1
2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada This guide has been developed to provide healthcare professionals with a quick-reference summary of the mostimportant recom-
MEDICATIONS THAT CAN CAUSE BONE LOSS, FALLS AND/OR 2. Narcotic and opioid medications used for pain, such as morphine, have been associated with an increased risk of fracture secondary to falling due to the effects on the central nervous system, which may lead to dizziness or changes in balance. 3. Aluminum-containing antacids such as Maalox®, Mylanta®, Amphogel®, Gelusil® andRolaids® are
OSTEOPOROSIS CANADA'S 10-YEAR FRACTURE RISK TOOL Osteoporosis Canada's 10-Year Fracture Risk Tool OSTEOPOROSIS CANADACALCIUM CALCULATOREXERCISE RECOMMENDATIONSABOUT THE DISEASEBONE HEALTH & OSTEOPOROSIS Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue, which can lead to increased risk of fracture. Known as the “silent thief”, bone deterioration can occur over a number of years without presenting any symptoms. Unfortunately, if detected at the time of a break, the disease is already fairly advanced. COVID-19 VACCINATION AND OSTEOPOROSIS DRUG THERAPY An interval of 4-7 days between an injection of denosumab (Prolia) or romosozumab (Evenity) and the COVID-19 vaccination is recommended. As teriparatide (Forteo) is administered daily, it can be continued if it is well tolerated and has not resulted in any local injection site reactions. Osteoporosis Canada recommends administration of CLINICAL PRACTICE GUIDELINES AND RECOMMENDATIONS 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis. The new guidelines represent a paradigm shift in the prevention and treatment of osteoporotic fractures, moving the focus from treating low bone mineral density (BMD) to better identifying fractures caused by weakened bones (fragility fractures). FRAX | OSTEOPOROSIS CANADA FRAX. In addition to femoral neck (hip) BMD, age, gender, fracture history and steroid use, FRAX also takes into account other clinical risk factors to calculate the absolute 10-year risk of a hip fracture or other major osteoporotic fracture (spine, forearm, upper arm).CALCIUM CALCULATOR
Enter the number of servings for each of the calcium-rich foods that you ate yesterday from each category: Item. Serving Size. No. of Servings. Calcium (mgs) Item and serving size. Calcium (mgs) Almond, Rice or Soy Beverage - Calcium-fortified. Select 0.25 0.5 0.75 1 1.5 22.5 3 3.5 4 4.5 5.
PROVINCIAL DRUG COVERAGE Provincial Drug Coverage Chart As of April 2021. Coverage is under constant review and is subject to change. Access to a generic equivalent is generally reported to be identical to that of the relevant brand name medication.TOO FIT TO FRACTURE
Too Fit to Fracture is a series of exercise recommendations for people with osteoporosis or spine fractures. It was developed by expert consensus using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method, which is endorsed by the World Health Organization and the Cochrane Collaboration, to determine the quality of evidence for eachOC QUICKREF 1309V1
2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada This guide has been developed to provide healthcare professionals with a quick-reference summary of the mostimportant recom-
GENERAL INFORMATION ABOUT PAIN AFTER A FRACTURE General Information About Pain After A Fracture. Pain is the body’s natural response when a bone breaks. Both the fracture and any injuries to the body tissue near the fracture site can produce pain. Soft tissue refer to the muscles, ligaments, nerves, tendons and blood BUYING A MATTRESS WHEN YOU HAVE OSTEOPOROSIS COPING A mattress may be one of the sponsor When Should Fact risk of falls and efficiency, as we to replace cars, appliances and running shoes more frequently than beds. OSTEOPOROSIS CANADACALCIUM CALCULATOREXERCISE RECOMMENDATIONSABOUT THE DISEASEBONE HEALTH & OSTEOPOROSIS Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue, which can lead to increased risk of fracture. Known as the “silent thief”, bone deterioration can occur over a number of years without presenting any symptoms. Unfortunately, if detected at the time of a break, the disease is already fairly advanced. COVID-19 VACCINATION AND OSTEOPOROSIS DRUG THERAPY An interval of 4-7 days between an injection of denosumab (Prolia) or romosozumab (Evenity) and the COVID-19 vaccination is recommended. As teriparatide (Forteo) is administered daily, it can be continued if it is well tolerated and has not resulted in any local injection site reactions. Osteoporosis Canada recommends administration of CLINICAL PRACTICE GUIDELINES AND RECOMMENDATIONS 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis. The new guidelines represent a paradigm shift in the prevention and treatment of osteoporotic fractures, moving the focus from treating low bone mineral density (BMD) to better identifying fractures caused by weakened bones (fragility fractures). FRAX | OSTEOPOROSIS CANADA FRAX. In addition to femoral neck (hip) BMD, age, gender, fracture history and steroid use, FRAX also takes into account other clinical risk factors to calculate the absolute 10-year risk of a hip fracture or other major osteoporotic fracture (spine, forearm, upper arm).CALCIUM CALCULATOR
Enter the number of servings for each of the calcium-rich foods that you ate yesterday from each category: Item. Serving Size. No. of Servings. Calcium (mgs) Item and serving size. Calcium (mgs) Almond, Rice or Soy Beverage - Calcium-fortified. Select 0.25 0.5 0.75 1 1.5 22.5 3 3.5 4 4.5 5.
PROVINCIAL DRUG COVERAGE Provincial Drug Coverage Chart As of April 2021. Coverage is under constant review and is subject to change. Access to a generic equivalent is generally reported to be identical to that of the relevant brand name medication.TOO FIT TO FRACTURE
Too Fit to Fracture is a series of exercise recommendations for people with osteoporosis or spine fractures. It was developed by expert consensus using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method, which is endorsed by the World Health Organization and the Cochrane Collaboration, to determine the quality of evidence for eachOC QUICKREF 1309V1
2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada This guide has been developed to provide healthcare professionals with a quick-reference summary of the mostimportant recom-
GENERAL INFORMATION ABOUT PAIN AFTER A FRACTURE General Information About Pain After A Fracture. Pain is the body’s natural response when a bone breaks. Both the fracture and any injuries to the body tissue near the fracture site can produce pain. Soft tissue refer to the muscles, ligaments, nerves, tendons and blood BUYING A MATTRESS WHEN YOU HAVE OSTEOPOROSIS COPING A mattress may be one of the sponsor When Should Fact risk of falls and efficiency, as we to replace cars, appliances and running shoes more frequently than beds. RECIPES | OSTEOPOROSIS CANADA Bone Health & Osteoporosis. Nutrition. Calcium Calculator. Calcium and Vitamin D. Exercise for Healthy Bones. Living With The Disease. After The Fracture. COPN. Fall Prevention. CLINICAL PRACTICE GUIDELINES AND RECOMMENDATIONS 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis. The new guidelines represent a paradigm shift in the prevention and treatment of osteoporotic fractures, moving the focus from treating low bone mineral density (BMD) to better identifying fractures caused by weakened bones (fragility fractures).CALCIUM CALCULATOR
Enter the number of servings for each of the calcium-rich foods that you ate yesterday from each category: Item. Serving Size. No. of Servings. Calcium (mgs) Item and serving size. Calcium (mgs) Almond, Rice or Soy Beverage - Calcium-fortified. Select 0.25 0.5 0.75 1 1.5 22.5 3 3.5 4 4.5 5.
CALCIUM AND VITAMIN D Calcium and Vitamin D are essential nutrients for proper bone health. Vitamin D helps to increase the absorption of calcium, ultimately building stronger bones. It also improves the function of muscles, improving your balance and decreasing the likelihood of falls, which can lead to fractures. Among Canadians 40 years of age or older, lessthan
VITAMIN D | OSTEOPOROSIS CANADA Therefore, Osteoporosis Canada recommends routine vitamin D supplementation for Canadian adults year-round. Healthy adults between 19-50 years of age, including pregnant or breast feeding women, require 400 – 1,000 IU daily. Those over 50 or those younger adults at high risk (with osteoporosis, multiple fractures, or conditionsaffecting
BISPHOSPHONATES
Bisphosphonates are a family of drugs used to treat osteoporosis. There are four bisphosphonates currently approved for use in Canada: alendronate (Fosamax ®), etidronate (Didrocal ®), risedronate (Actonel ®) and zoledronic acid (Aclasta®). Also available are: Actonel DR™, Fosavance® (Fosamax® with vitamin D) and severalgeneric versions.
CALCIUM RICH FOODS
calcium-fortified soy, almond and rice beverages (check the nutrition labels) canned salmon or canned sardines. (When you eat the bones that have been softened by the canning process, these foods are excellent sources of calcium.)OC QUICKREF 1309V1
2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada This guide has been developed to provide healthcare professionals with a quick-reference summary of the mostimportant recom-
MEDICATIONS THAT CAN CAUSE BONE LOSS, FALLS AND/OR 2. Narcotic and opioid medications used for pain, such as morphine, have been associated with an increased risk of fracture secondary to falling due to the effects on the central nervous system, which may lead to dizziness or changes in balance. 3. Aluminum-containing antacids such as Maalox®, Mylanta®, Amphogel®, Gelusil® andRolaids® are
OSTEOPOROSIS CANADA'S 10-YEAR FRACTURE RISK TOOL Osteoporosis Canada's 10-Year Fracture Risk ToolSkip to content
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BONE HEALTH DURING COVID-19 __ DRUG TREATMENTS & MEDICATION DURING COVID-19 __ OC REPLAY: EXERCISE AT HOME DURING COVID-19 - April 23 __ WHAT IS OSTEOPOROSIS? Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue, which can lead to increased risk of fracture. Known as the “silent thief”, bone deterioration can occur over a number of years without presenting any symptoms. Unfortunately, if detected at the time of a break, the disease is already fairly advanced. The most common fractures associated with osteoporosis are in the hip, spine, wrist, and shoulder. Today, no single cause for osteoporosis has been identified.Find Out More
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