PMID: 8966492Jan 1, 1996Paper

Prevention of osteoporotic fractures: possibilities, the role of exercise, and limitations

Scandinavian Journal of Rheumatology. Supplement
James F Fries

Abstract

The Compression of Morbidity paradigm seeks to reduce lifetime illness and morbidity by compressing the dominant morbidity, that of the senior years, between an increasing age of onset of morbidity and a more slowly increasing average age at death. Fractures, often associated with osteoporosis, cause a substantial part of this morbidity. For morbidity resulting from fractures to be reduced, the age-specific incidence of fractures needs to decline, since treatment of fractures after they occur is not likely to prove a major benefit. Thus, the risk factors need to be identified and appropriate preventive interventions undertaken. The medical model seeks to diagnose, then to treat those with disease. In considering prevention, many apply the medical model. The disease is "osteoporosis", we must identify people with this disease and then treat them. The public health model, in contrast, seeks to prevent "disease" in all susceptibles. The disease is "morbidity resulting from fractures". The fatal flaws in the medical screening approach will be discussed, together with a lament that this conference was not entitled: "Recent Progress in the Prevention of Morbidity Associated with Fractures". Osteoporosis is only one of many factors as...Continue Reading

References

Jan 1, 1992·International Orthopaedics·B A MichelJ F Fries
Jun 1, 1992·Clinical Rheumatology·B A MichelH H Jones
May 1, 1990·The American Journal of Medicine·N E LaneJ F Fries
Oct 1, 1989·Archives of Internal Medicine·B A MichelJ F Fries
Mar 7, 1986·JAMA : the Journal of the American Medical Association·N E LaneJ F Fries
Jul 17, 1980·The New England Journal of Medicine·J F Fries
Mar 23, 1995·The New England Journal of Medicine·S R CummingsT M Vogt
Oct 1, 1994·Annals of Internal Medicine·J F FriesB W Brown

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Citations

Oct 24, 2002·Journal of Clinical Epidemiology·Monica Ortendahl, James F Fries
Jan 22, 2005·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Truls ØstbyeAnthony B Hodsman
Nov 14, 1997·American Journal of Public Health·J F Fries
Oct 10, 2006·Journal of Clinical Epidemiology·Monica Ortendahl, James F Fries
Jan 1, 1996·Scandinavian Journal of Rheumatology. Supplement·E Allander
Apr 15, 2003·American Journal of Audiology·Susan F Erler, Dean C Garstecki
Nov 8, 2007·Annals of the New York Academy of Sciences·Nancye May PeelRoderick John McClure

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