Run the List Osteoporosis
Jun 30, 2025
Dr. Brooke Matson, an endocrinologist at UNC Chapel Hill, dives into the world of osteoporosis. She explains the diagnosis process, including the use of the FRAX calculator for assessing fracture risk. Brooke discusses the differences between antiresorptive and anabolic therapies, emphasizing patient-centric treatment. Practical lifestyle changes for fracture prevention, such as dietary tips and exercise strategies, are also highlighted. This engaging discussion is a must-listen for anyone interested in bone health!
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Screening Recommendations
- Screen women aged 65 and older for osteoporosis using DEXA.
- Screen earlier if additional risk factors are present.
Understanding DEXA T-Scores
- T-scores from DEXA reflect bone density compared to a young adult woman's peak.
- Osteopenia is T-score between -1 and -2.4; osteoporosis is -2.5 or lower or presence of fragility fracture.
Using FRAX for Fracture Risk
- Use the FRAX calculator with patient history to estimate 10-year fracture risk.
- Include fracture history, parental hip fracture, steroid use, and chronic diseases in assessment.