1 million in those 50-59 to 2.8 million in those 80 years and older, reflecting the population demographics. OP and LBM prevalences were highest in Mexican Americans, followed by non-Hispanic Whites, and selleckchem non-Hispanic Blacks. Overall, we estimated that 6.8 million non-Hispanic White, 0.4 million non-Hispanic Black, and 1.1 million Mexican American adults have OP and another 37.4, 3.2, and 4.3 million have LBM, respectively (Table). Assuming OP and LBM prevalence remains the same,
we project that 10.7 and 58.2 million adults will have OP and LBM by 2020 and 11.9 and 64.3 million by 2030. CONCLUSIONS: OP and LBM combined are very common conditions in the US. Although most of the individuals with OP or LBM are White women, a substantial number of men and women from other racial/ethnic groups also suffer from these conditions. Table. The 2010 Burden of Osteoporosis and Low Bone Mass Among Residents of the United States 50 Years and Older Men Women Overall OP* LBM* OP* LBM* OP* LBM* Total Population 1.7 16.6 7.4 32.2 8.9 48.3 Race/Ethnicity Non-Hispanic White 1.2 13.0 5.7 24.7 6.8 37.4 Non-Hispanic Black 0.04 0.9 0.4 2.3 0.4
3.2 Mexican American click here 0.2 1.7 0.9 2.6 1.1 4.3 *Number in millions ”
“Introduction Glucocorticoids (GCs) are frequently used in the treatment of rheumatoid arthritis (RA) . They are effective in retarding the progression of erosive joint damage in early RA and lead to a faster and better control PRKD3 of disease activity [2–9]. However, the use of these drugs is restrained by the occurrence (and fear) of side effects [10, 11]. According to recent EULAR recommendations on the management of RA, the first step after diagnosis
is starting a tight control treatment with methotrexate with or without GCs . Addition of GC therapy to a tight control strategy has many positive effects, which have been shown recently in the CAMERA-II (second Computer-Assisted Management in Early Rheumatoid Arthritis) trial. In this study, the effects of the addition of 10 mg prednisone daily to a tight control methotrexate-based treatment were studied in patients with early RA . Co-treatment with prednisone instead of placebo led to better control of disease activity and to reduced erosive joint damage. The mean dose of methotrexate and the need for biological treatment were decreased. Analyzing the number of patients experiencing at least once a specific adverse event during the study, there were no significant differences, except for less patients in the prednisone group experiencing nausea (p = 0.006), ALAT > upper limit of normal (p = 0.006), and ASAT > upper limit of normal (p = 0.016) compared to patients in the placebo group. Although prophylactic medication for osteoporosis was given, a drawback of the treatment with GCs could be the risk of bone density loss and fractures.