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Feature Article

Bone health: the effects of chronic disease

Jasna Aleksova, PHILLIP WONG, FRANCES MILAT

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Abstract

People with chronic disease often have impaired bone health and their increased risk of fragility fracture is often under-appreciated. Recognition, screening and appropriate management of bone health should form part of the routine management of patients with chronic disease.

Key Points

  • One in two people in Australia have a chronic disease and one in five have multiple chronic diseases.
  • Patients with chronic disease often have impaired bone health and are at increased risk of fragility fracture.
  • Chronic conditions such as coeliac disease, inflammatory bowel disease, diabetes mellitus, chronic kidney disease and chronic liver disease are associated with increased risk of fragility fracture.
  • Recognising the importance of bone health in people with chronic disease and screening for secondary causes of bone loss should form part of routine management.
  • Optimal care is best undertaken in a multidisciplinary setting.

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