Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Medical University Sofia, 1000 Sofia, Bulgaria.
Department of Pharmacology and Clinical Pharmacology, Faculty of Medicine, Medical University - Plovdiv, 4000 Plovdiv, Bulgaria.
Curr Pharm Des. 2017;23(41):6279-6287. doi: 10.2174/1381612823666170714122714.
The abnormal loss of bone tissue is defined as osteoporosis. Increased risk of fractures, low bone mineral density (BMD) and loss of the structural and biomechanical properties of the bone tissue characterize this pathological condition. Physiologically bone undergoes a continuous remodeling process involving balance between the activity of osteoblast and osteoclast. Disruption in this balanced condition increases the risk of osteoporosis. Both sexes are affected, but with higher prevalence in women after menopause. This review aims to enlighten the established and emerging trends in prevention and treatment of bone loss. Herbal supplementation and physical exercises are suggested as addition to the well-established therapy in prevention and management of osteoporosis. Treatment strategies of osteoporosis include non- pharmacological treatment - diet rich of calcium and vitamin D, healthy lifestyle, proper exercise plan, and pharmacological therapy. Preventive and treatment strategies have to consider combination of non-pharmacological and pharmacological approaches for minimization of the fracture risk in osteoporosis.
异常的骨组织损失被定义为骨质疏松症。骨折风险增加、骨矿物质密度 (BMD) 降低以及骨组织的结构和生物力学特性丧失是这种病理状况的特征。从生理学上讲,骨骼会经历一个连续的重塑过程,涉及成骨细胞和破骨细胞活动之间的平衡。这种平衡状态的破坏会增加骨质疏松症的风险。两性都会受到影响,但绝经后女性的患病率更高。本综述旨在阐明预防和治疗骨质流失的既定和新兴趋势。草药补充剂和体育锻炼被建议作为预防和管理骨质疏松症的既定疗法的补充。骨质疏松症的治疗策略包括非药物治疗——富含钙和维生素 D 的饮食、健康的生活方式、适当的运动计划和药物治疗。预防和治疗策略必须考虑将非药物和药物方法相结合,以最大限度地降低骨质疏松症的骨折风险。