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==Overview==
==Overview==
Osteoporosis was first discovered by John Hunter, a British [[surgeon]], in 1800's. He found that the [[bones]] in the [[human body]] turn over continuously; when some old or dysfunctioned [[bone]] tissue is eliminated, to be latter substituted by new tissue. This process is also known as remodeling. Jean Lobstein, a French [[pathologist]] during 1830's, found that there are normal holes in every [[Bones|bone]] but [[bones]] in people with specific age and [[diseases]], have holes of larger than normal size. He named this kind of [[bones]] as [[Porous|''porous'']]'','' and the [[disease]] was named as ''osteoporosis''.
Osteoporosis was first discovered by John Hunter, a British [[surgeon]], in 1800's. John Hunter found that the [[bones]] in the [[human body]] turn over continuously, when some old or dysfunctioned [[bone]] tissue is eliminated, to be latter substituted by new tissue. This process is also known as remodeling. Jean Lobstein, a French [[pathologist]] during 1830's, found that there are small holes in every [[Bones|bone]] but [[bones]] in people with specific age and [[diseases]], have holes of larger than normal size. He named this kind of [[bones]] as [[Porous|''porous'']]'','' and the [[disease]] was named as ''osteoporosis''.


==Historical perspective==
==Historical perspective==
 
The historical perspective of osteoporosis has been given below:
=== Here is the diagram that shows the historical perspective of osteoporosis during decades, at a glance. ===
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* 4000 years old Egyptian mummies showed the revealing sign of [[osteoporosis]] called "Dowager's hump"; [[osteoporosis]], [[Bone]] with holes, is seen for the first time.   
* 4000 years old Egyptian mummies showed the sign of [[osteoporosis]] called "Dowager's hump"Bone with holes, was seen for the first time.   
* In 1800's, [[Osteoporosis]] was first discovered by John Hunter, the British [[surgeon]]. He found that [[bones]] in the [[human body]] are turning over, continuously; when some old or dysfunctioned [[bone]] tissue become eroded and eliminated, the new fully functioned one being substituted. Nowadays, the process is called remodeling, the most important issue in [[osteoporosis]] [[pathophysiology]].  
* John Hunter found that the [[bones]] in the [[human body]] turn over continuously, when some old or dysfunctioned [[bone]] tissue is eliminated, to be latter substituted by new tissue. This process is known as remodeling.  
* In 1830's, Jean Lobstein, a French [[pathologist]], found that there are normal holes in every [[bones|bone]]; but some people's [[bones]] from specific age and [[diseases]] may have larger holes than normal ones. He eventually named this kind of [[bones|bone]] <nowiki/>as [[porous|''porous'']]'','' and the [[disease]] got its name; ''[[osteoporosis]]''. Many developments have been made in the treatment and [[prevention]] of [[osteoporosis]] over the years; however, [[osteoporosis]] remains a significant challenge within the field of medicine.<ref name="urlHistory of Osteoporosis">{{cite web |url=http://reliawire.com/history-osteoporosis/ |title=History of Osteoporosis |format= |work= |accessdate=}}</ref>
* In 1830's, Jean Lobstein, a French [[pathologist]], found that there holes in every [[bones|bone]]; but [[bones]] of people of specific age and suffering from various [[diseases]] may have larger holes than normal ones. He eventually named this kind of [[bones|bone]] <nowiki/>as [[porous|''porous'']]'','' and the [[disease]] got its name; ''[[osteoporosis]]''.<ref name="urlHistory of Osteoporosis">{{cite web |url=http://reliawire.com/history-osteoporosis/ |title=History of Osteoporosis |format= |work= |accessdate=}}</ref>
* In 1830's, the link between age-related reductions in [[bone]] [[density]] and [[Bone fracture|fracture]] risk determined by Astley Cooper. The term "[[osteoporosis]]", recognition of its [[pathological]] appearance is generally attributed to the French [[pathologist]], Lobstein.<ref>Lobstein JGCFM. ''Lehrbuch der pathologischen Anatomie.'' Stuttgart: Bd II, 1835.</ref>
* In 1830's, the link between age-related reductions in [[bone]] [[density]] and [[Bone fracture|fracture]] risk was determined by Astley Cooper. The term "[[osteoporosis]]" and the recognition of its [[pathological]] appearance is generally attributed to the French [[pathologist]], Lobstein.<ref>Lobstein JGCFM. ''Lehrbuch der pathologischen Anatomie.'' Stuttgart: Bd II, 1835.</ref>
* In 1940's, the American [[endocrinologist]], Fuller Albright from [[Massachusetts General Hospital]], linked [[osteoporosis]] with the [[postmenopausal]] state. Thus, he started to treat [[menopausal]] women with [[estrogen]] in order to prevent further [[bone]] loss.<ref>{{cite journal | author=Albright F, Bloomberg E, Smith PH|year=1940 |month= |title= Postmenopausal osteoporosis |journal=Trans. Assoc. Am. Physicians. |volume=55 |pages=298-305}}</ref>
* In 1940's, the American [[endocrinologist]], Fuller Albright from [[Massachusetts General Hospital]], established a link between [[osteoporosis]] and [[postmenopausal]] state. He started to treat [[menopausal]] women with [[estrogen]] in order to prevent further [[bone]] loss.<ref>{{cite journal | author=Albright F, Bloomberg E, Smith PH|year=1940 |month= |title= Postmenopausal osteoporosis |journal=Trans. Assoc. Am. Physicians. |volume=55 |pages=298-305}}</ref>
* In 1960's, researchers developed more sensitive methods to detect early [[bone loss]]; such as bone densitometers.
* In 1960's, researchers developed more sensitive methods to detect early [[bone loss]], such as bone densitometers.
* In 1960's, [[bisphosphonates]] which inhibit [[bone]] resorption, and revolutionized the treatment of [[osteoporosis]] were discovered by Herbert Fleisch.<ref>{{cite journal|author=Patlak M |title=Bone builders: the discoveries behind preventing and treating osteoporosis |journal=FASEB J. |volume=15|issue=10 |pages=1677E–E |year=2001 |pmid=11481214 |doi=}}</ref>
* In 1960's, [[bisphosphonates]] which inhibit [[bone]] resorption, and revolutionized the treatment of [[osteoporosis]] were discovered by Herbert Fleisch.<ref>{{cite journal|author=Patlak M |title=Bone builders: the discoveries behind preventing and treating osteoporosis |journal=FASEB J. |volume=15|issue=10 |pages=1677E–E |year=2001 |pmid=11481214 |doi=}}</ref>
* In 1984, the [[National Institute of Health|National Institute of Health (NIH)]] publicized this [[disease]], and brought attention to [[osteoporosis]] as a significant threat to [[health]]; with the emphasis, that [[bone loss]] could be reduced by [[estrogen]] therapy, [[calcium]] supplementation, good [[nutrition]], and [[Physical exercise|exercise]].<ref name="urlThe National Institutes of Health (NIH) Consensus Development Program: Osteoporosis">{{cite web |url=https://consensus.nih.gov/1984/1984Osteoporosis043html.htm |title=The National Institutes of Health (NIH) Consensus Development Program: Osteoporosis |format= |work= |accessdate=}}</ref>
* In 1984, the [[National Institute of Health|National Institute of Health (NIH)]] publicized [[osteoporosis]] as a significant threat to [[health]] and the possibility that [[bone loss]] could be reduced by [[estrogen]] therapy, [[calcium]] supplementation, good [[nutrition]], and [[Physical exercise|exercise]].<ref name="urlThe National Institutes of Health (NIH) Consensus Development Program: Osteoporosis">{{cite web |url=https://consensus.nih.gov/1984/1984Osteoporosis043html.htm |title=The National Institutes of Health (NIH) Consensus Development Program: Osteoporosis |format= |work= |accessdate=}}</ref>
* In 1980's and 1990's researchers discovered the specific [[cytokines]] which influence the activity of [[osteoclasts]], the components that cause the [[bone]] breakdown.<ref name="pmid26491648">{{cite journal| author=Pagliari D, Ciro Tamburrelli F, Zirio G, Newton EE, Cianci R| title=The role of "bone immunological niche" for a new pathogenetic paradigm of osteoporosis. | journal=Anal Cell Pathol (Amst) | year= 2015 | volume= 2015 | issue=  | pages= 434389 | pmid=26491648 | doi=10.1155/2015/434389 | pmc=4605147 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26491648  }} </ref>
* In 1980's and 1990's researchers discovered the specific [[cytokines]] which influence the activity of [[osteoclasts]], the components that lead to [[bone]] breakdown.<ref name="pmid26491648">{{cite journal| author=Pagliari D, Ciro Tamburrelli F, Zirio G, Newton EE, Cianci R| title=The role of "bone immunological niche" for a new pathogenetic paradigm of osteoporosis. | journal=Anal Cell Pathol (Amst) | year= 2015 | volume= 2015 | issue=  | pages= 434389 | pmid=26491648 | doi=10.1155/2015/434389 | pmc=4605147 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26491648  }} </ref>
* In 1994, [[World Health Organization|World Health Organization (WHO)]] first used T-score as a measure for classification and definition of various amounts of [[Bone mineral density|bone mineral density (BMD)]]. The T-score was determined as the [[standard deviation]] of the [[Bone mineral density|BMD]] for a single patient in contrast with a standard population sample. The population sample is always a young, healthy person, matched for sex and [[race]].<ref name="pmid7941614">{{cite journal |vauthors= |title=Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group |journal=World Health Organ Tech Rep Ser |volume=843 |issue= |pages=1–129 |year=1994 |pmid=7941614 |doi= |url=}}</ref>
* In 1994, [[World Health Organization|World Health Organization (WHO)]] first used T-score for classification of various amounts of [[Bone mineral density|bone mineral density (BMD)]]. The apple population consisted of young, healthy individuals, matched for sex and [[race]].<ref name="pmid7941614">{{cite journal |vauthors= |title=Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group |journal=World Health Organ Tech Rep Ser |volume=843 |issue= |pages=1–129 |year=1994 |pmid=7941614 |doi= |url=}}</ref>
* In 1998, [[Selective estrogen receptor modulator|Selective estrogen receptor modulators (SERMs)]], such as [[raloxifene]], entered the market. They have also been found to treat [[breast tumors]] and to stimulate the [[growth]] of [[uterine]] cells.<ref name="raloxifen">{{cite book | last = Macor| first = John| title = Annual reports in medicinal chemistry | publisher = Elsevier/Academic Press | location = London, UK | year = 2008 | isbn = 9780123743442 }}</ref>
* In 1998, [[Selective estrogen receptor modulator|Selective estrogen receptor modulators (SERMs)]], such as [[raloxifene]], entered the market. They have also been found to treat [[breast tumors]] and to stimulate the [[growth]] of [[uterine]] cells.<ref name="raloxifen">{{cite book | last = Macor| first = John| title = Annual reports in medicinal chemistry | publisher = Elsevier/Academic Press | location = London, UK | year = 2008 | isbn = 9780123743442 }}</ref>



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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]

Overview

Osteoporosis was first discovered by John Hunter, a British surgeon, in 1800's. John Hunter found that the bones in the human body turn over continuously, when some old or dysfunctioned bone tissue is eliminated, to be latter substituted by new tissue. This process is also known as remodeling. Jean Lobstein, a French pathologist during 1830's, found that there are small holes in every bone but bones in people with specific age and diseases, have holes of larger than normal size. He named this kind of bones as porous, and the disease was named as osteoporosis.

Historical perspective

The historical perspective of osteoporosis has been given below:

 
 
 
Dowager's hump in Egyptian mummies
4000 years ago
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Osteoporosis discovered
by: John Hunter, British surgeon
in: 1800's
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Osteoporosis name coined
by: Jean Lobstein, French pathologist
in: 1830's
 
 
 
Age-related bone loss defined
by: Astley Cooper, English surgeon
in: 1830's
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Postmenopausal bone loss defined
&
Postmenopausal osteoporosis treated with estrogen
by: Fuller Albright, American endocrinologist
in: 1940's
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Bone densitometers developed
by: Norman, American researcher
in: 1950
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Bisphosphonates discovered
by: Herbert Fleisch, Switzerland physiologist
in: 1960's
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Osteoporosis publicized
by: National Institute of Health (NIH)
in: 1984
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Specific cytokines that influence osteoclasts activity discovered
in: 1990's
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
T-score used to classify and define bone mineral density (BMD)
by: world health organization (WHO)
in: 1994
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Selective estrogen receptor modulators (SERMs) entered Market
in: 1998
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Expert panel for prevention, diagnosis, and treatment of osteoporosis assembled
by: National Institute of Health (NIH)
in: 2000
 
 
 

References

  1. "History of Osteoporosis".
  2. Lobstein JGCFM. Lehrbuch der pathologischen Anatomie. Stuttgart: Bd II, 1835.
  3. Albright F, Bloomberg E, Smith PH (1940). "Postmenopausal osteoporosis". Trans. Assoc. Am. Physicians. 55: 298–305.
  4. Patlak M (2001). "Bone builders: the discoveries behind preventing and treating osteoporosis". FASEB J. 15 (10): 1677E–E. PMID 11481214.
  5. "The National Institutes of Health (NIH) Consensus Development Program: Osteoporosis".
  6. Pagliari D, Ciro Tamburrelli F, Zirio G, Newton EE, Cianci R (2015). "The role of "bone immunological niche" for a new pathogenetic paradigm of osteoporosis". Anal Cell Pathol (Amst). 2015: 434389. doi:10.1155/2015/434389. PMC 4605147. PMID 26491648.
  7. "Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group". World Health Organ Tech Rep Ser. 843: 1–129. 1994. PMID 7941614.
  8. Macor, John (2008). Annual reports in medicinal chemistry. London, UK: Elsevier/Academic Press. ISBN 9780123743442.

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