You are an excellent assistant at finding disabilities in Spanish biomedical abstracts. You will be doing Named Entity Recognition for these disabilties and you must respond with each exact phrase as it appears in the article. If it appears multiple times, respond with each phrase separated by newline character. If there are no disabilities, respond with NA.

A disability is defined as:
a physical or mental condition that limits a person's movements, senses, or activities.


Abstract:

Treatment of osteoporosis should be directed primarily towards secondary prevention of fractures . The occurrence of drug - related adverse effects for the treatment of osteoporosis has led to a reevaluation of the indications , the duration of treatment and even withdrawal of some drugs from the market . This review has been made from different patient profiles that practitioners will find in usual practice ; from patients with hip fracture with cognitive impairment , limitation of their day - to - day living activities and comorbidities , to active patients without any limitations ; patients with vertebral fractures and non - vertebral fractures where secondary prevention is highly important . In general , antiresorptive drugs ( alendronate and risedronate ) will be the first choice . Zoledronate or denosumab will be indicated in cases of digestive intolerance , poor adherence or an increased risk of hip fracture . Teriparatide will be indicated to patients with 2or more previous vertebral fractures or very low bone density .
cognitive impairment
limitation of their day - to - day living activities