calcium

Osteoporosis

Epidemiology

 

1/3 caucasian women > 64

 

Risk Factors

 

Insufficient bone mass at time of skeletal maturity

- peak bone mass is achieved at age 25

 

Rapid loss of bone after menopause

 

Low body weight / weight loss / history of smoking / steroids

 

Primary

 

Type 1

- postmenopausal

- high turnover / osteoclast mediated

- F x 6

Rickets

Definition

 

Rickets

- paediatric disorder characterised by deformity and growth retardation

- secondary to defective mineralisation of the growth plate

 

Osteomalacia

- adult disorder

- defective mineralisation of osteoid

 

Physiology

 

Generation of Vit D

 

Vitamin D3 ingested and absorbed

- activated by sunlight