During case presentation at your clinic, you are reviewing four women with predisposing factors for osteoporosis. Which patient is least likely to be at risk for osteoporosis?

ANSWER
Osteoporosis: Risk Factors and Treatment
Option A, Nehineza, an obese African American girl with a family history of uterine cancer, has the lowest chance of osteoporosis. Overweight people have increased bone density, which lowers their risk of osteoporosis. Black Americans also have better bone density than other ethnic groups, reducing their risk of osteoporosis even more. The risk of osteoporosis is unaffected by a family history of uterine cancer. During case presentation at your clinic, you are reviewing four women with predisposing factors for osteoporosis. Which patient is least likely to be at risk for osteoporosis?

T-scores compare bone mineral density (BMD) to that of a healthy young adult of the same gender. A T-score of -1.0 to -2.5 indicates osteopenia, which means poor bone density and higher fracture risk. A T-score of -2.5 or less indicates osteoporosis.

Bisphosphonates, such as alendronate, risedronate, and ibandronate, are commonly used as first-line therapy for osteoporosis. These drugs act by reducing bone loss and boosting bone density. Before beginning medication, baseline renal function, calcium, and vitamin D levels should be assessed. Appropriate calcium and vitamin D consumption, weight-bearing activity, and proper dental cleanliness are all recommended for patients on bisphosphonate medication since there is a small risk of jaw osteonecrosis linked with long-term bisphosphonate usage. During case presentation at your clinic, you are reviewing four women with predisposing factors for osteoporosis. Which patient is least likely to be at risk for osteoporosis?

QUESTION
1. During case presentation at your clinic, you are reviewing four women with predisposing factors for osteoporosis. Which patient is least likely to be at risk for osteoporosis?
A. Nehineza, an overweight African American female with family history of uterine cancer
B. Cristina, a Hispanic woman living a sedentary life
C. Park-Gim-Ka, an underweight Asian woman with a history of tobacco use
D. Skylar, a Caucasian woman experiencing early onset of menopause.
2. Densitometry results are given as T-scores, which values would be considered as osteopenia?

3. After prompt analysis of your patient, you decide to institute treatment for osteoporosis. Which class medication is considered as the first-line treatment? Are there any considerations to be taken prior starting therapy? Which recommendations would you provide to the patient regarding this treatment?