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Many diseases in the field of endocrinology and nutrition are associated with osteoporosis and an increased risk of fracture.However, for many of these conditions there are no specific recommendations available for bone mass evaluation and management.Thus, in terms of strength a distinction is made between strong recommendations, expressed as “We recommend” at number 1, and weak recommendations, expressed as “We suggest” at number 2.The quality of evidence is expressed in symbols: ⊕OOO indicates very low evidence; ⊕⊕OO, low evidence; ⊕⊕⊕O, moderate evidence and ⊕⊕⊕⊕, high evidence.Articles in English included up to October 18, 2011 were reviewed.Each subject was reviewed by two members of the Working Group.Finally, recommendations were discussed in a meeting of the Working Group.The document provides evidence-based practical recommendations for evaluation and management of endocrine and nutritional diseases associated to low bone mass or an increased risk of fracture.

This effect appears to be independent of the bone mass index (BMI), disease duration, and the extent of metabolic control, and has been reported in both women and men.

El documento establece unas recomendaciones prácticas basadas en la evidencia acerca de la evaluación y tratamiento de la osteoporosis en las enfermedades endocrinas y nutricionales que asocian baja masa ósea o aumento del riesgo de fractura.

Para cada patología, se señala el riesgo de osteoporosis y fracturas asociado, se formulan recomendaciones en cuanto a la evaluación de masa ósea y se enumeran las opciones terapéuticas que han demostrado eficacia en aumentar la densidad mineral ósea y/o reducir el riesgo de fractura.

For each disease, the associated risk of low bone mass and fragility fractures is given, recommendations for bone mass assessment are provided, and treatment options that have shown to be effective for increasing bone mass and/or to decreasing fragility fractures are listed.

(GRADE) para establecer tanto la fuerza de las recomendaciones como el grado de evidencia.

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