Am Fam Physician. 2001;63(5):908
What is osteoporosis?
Osteoporosis is weak bones.
Who gets osteoporosis?
Many more women get osteoporosis than men. Women who have low estrogen levels are especially at risk. You may have low estrogen levels:
During menopause
If you've had surgery to remove your female organs
If your menstrual cycles have stopped early (before age 45)
Elderly men and men who take certain medicines can also get osteoporosis.
What are the effects of osteoporosis?
Your bones will break easily after even a minor fall.
How does my doctor know I have osteoporosis?
Sometimes osteoporisis is found on x-rays. Tests can measure your bone mineral density.
What are the risk factors for osteoporosis?
Old age
Menopause before age 45
Fair skin (white or Asian)
Female
Sedentary lifestyle (immobile because of illness or wheelchair-bound)
Small frame
Alcohol abuse
Chronic medications
Chronic steroid use
Smoking history
Hyperthyroidism (overactive thyroid)
Kidney disease
A family member had osteoporosis
How is osteoporosis treated?
Treatment can keep osteoporosis from getting worse and can sometimes increase bone strength
Getting calcium (1,500 mg daily) and vitamin D (400 IU daily) in your diet or through supplements is important. Also, your doctor may provide the following treatments:
Estrogen replacement therapy
Bisphosphonates
Selective estrogen receptor modulators
Fluoride
How is osteoporosis prevented?
It is best to prevent osteoporisis in the first place. It is harder to build bone than it is to keep from losing it.
Get regular weight-bearing exercise (such as walking or jogging)
Take calcium and vitamin D
Keep a healthy estrogen level (in women)
Eat a balanced diet
Don't use tobacco and alcohol
Only take steroids if your doctor prescribes them