(1) all people throughout life 1. p

(1)
all people throughout life
1. proper nutrition
2. calcium and vitamin D supplementation if needed to achieve adequate intakes
3. optimal physical activity (weight-bearing, muscle strengthening, agility, balance)
4. healthy social habits (nonsmoking, minimal alcohol and caffeine)
5. Fall and trauma prevention (remove fall hazards in home, assitive devices such as walker or cane, hip protectors if indicated, minimize or discontinue medications associated with fall risk)

(2) consider treating without measuring BMD :
 Men and women with increased risk plus a fragility fracture
 Men and women taking chronic systemic glucocortircoids
(3) Population appropriate for BMD testing
o All women greater than or equal to 65 years of age
o Post-menpoausal women with increased risk for osteoporotic fractures
o Men greater than 70 years of age or at high risk


(4) Osteoporosis
T-score less than -2.5

(5) Osteopenia
T- score less than -1.5 with risk factors for osteoporotic fracture

(6) T-score less than -2.0
(7) Normal BMD
T-score greater than -1.0
(8) Treat with bisphosphonate
(9) Workup for secondary osteoporosis
- PTH
- TSH
- 25-OH Vitamin D
- CBC
- Chemistry panel
- Condition specific tests
(10) Osteopenia
t-score -1.0 to -2.5 without risk factors for osteoporotic fracture
(11) Bisphosphonate intolerant
(12) Repeated fractures despite bisphosphonate therapy
(13) Treatment Options :
- Raloxifene
- Nasal Calcitonin
- Teriparatide
- Parenteral bisphosphonate
(14) Treatment options :
- Teriparatide
(15) Treat underlying cause if present
(16) Monitor DXA every 1 to 5 years

Results (Indonesian) 1:

(1) all people throughout life 1. proper nutrition 2. calcium and vitamin D supplementation if needed to achieve adequate intakes 3. optimal physical activity (weight-bearing, muscle strengthening, agility, balance) 4. healthy social habits (nonsmoking, minimal alcohol and caffeine) 5. Fall and trauma prevention (remove fall hazards in home, assitive devices such as walker or cane, hip protectors if indicated, minimize or discontinue medications associated with fall risk)(2) consider treating without measuring BMD : Men and women with increased risk plus a fragility fracture  Men and women taking chronic systemic glucocortircoids (3) Population appropriate for BMD testing o All women greater than or equal to 65 years of age o Post-menpoausal women with increased risk for osteoporotic fractures o Men greater than 70 years of age or at high risk (4) Osteoporosis T-score less than -2.5 (5) Osteopenia T- score less than -1.5 with risk factors for osteoporotic fracture(6) T-score less than -2.0 (7) Normal BMD T-score greater than -1.0 (8) Treat with bisphosphonate (9) Workup for secondary osteoporosis - PTH - TSH - 25-OH Vitamin D - CBC - Chemistry panel - Condition specific tests (10) Osteopenia t-score -1.0 to -2.5 without risk factors for osteoporotic fracture (11) Bisphosphonate intolerant (12) Repeated fractures despite bisphosphonate therapy (13) Treatment Options : - Raloxifene -Kalsitonin hidung -Teriparatide -Bifosfonat parenteral (14) pilihan pengobatan: -Teriparatide (15) memperlakukan penyebab jika ada (16) monitor DXA setiap 1 sampai 5 tahun

Results (Indonesian) 2:

(1)
semua orang sepanjang hidup
1. nutrisi yang tepat
2. suplemen kalsium dan vitamin D jika diperlukan untuk mencapai asupan yang memadai
3. aktivitas fisik yang optimal (berat-bearing, penguatan otot, kelincahan, keseimbangan)
4. kebiasaan sehat sosial (tempat, minimal alkohol dan kafein)
5. Jatuh dan pencegahan trauma (menghapus bahaya jatuh di rumah, perangkat assitive seperti walker atau tongkat, hip pelindung jika diindikasikan, meminimalkan atau obat menghentikan dikaitkan dengan risiko jatuh) (2) mempertimbangkan mengobati tanpa mengukur BMD:  Pria dan wanita dengan peningkatan risiko ditambah fraktur kerapuhan  Pria dan wanita mengambil glucocortircoids sistemik kronis (3) Penduduk yang tepat untuk pengujian BMD o Semua wanita lebih besar dari atau sama dengan 65 tahun usia o wanita Post-menpoausal dengan peningkatan risiko fraktur osteoporosis o Pria lebih besar dari 70 tahun atau berisiko tinggi (4) Osteoporosis T-skor kurang dari -2.5 (5) Osteopenia T skor kurang dari -1,5 dengan faktor risiko fraktur osteoporosis (6) T-skor kurang dari -2,0 (7) normal BMD T-score lebih besar dari -1,0 (8) Perlakukan dengan bifosfonat (9) hasil pemeriksaan osteoporosis sekunder - PTH - TSH - 25-OH Vitamin D - CBC - panel Kimia - Kondisi tes khusus (10) Osteopenia t-skor -1.0 ke -2.5 tanpa resiko faktor untuk fraktur osteoporosis (11) bifosfonat toleran (12) berulang patah tulang meskipun terapi bifosfonat (13) Pengobatan Pilihan: - Raloxifene - Nasal Calcitonin - Teriparatide - bifosfonat parenteral (14) Pilihan pengobatan: - Teriparatide (15) Mengobati penyebab yang mendasari jika ada ( 16) Memantau DXA setiap 1 sampai 5 tahun