• Osteoporosis is a silent disease which makes bones weak and fragile. With no clinical manifestation until a fracture occurs. 1-3 women over the age of 50 years and 1 -5 men will experience a osteoporotic fracture in their lifetime. Osteoporosis results in decreased quality of life, increased disability- adjusted life span, social isolation and loss of self esteem. An osteoporotic fracture is a significant contributor to mortality and morbidity in ageing women. . My aim for writing this book is to share with you the evidence for prevention. To provide you with the knowledge of the importance of calcium and vitamin D, nutrition, exercise and lifestyle to support bone mineral density and to discuss the strategies to reduce risks of fall and fracture. Women need to understand that menopause is a risk factor and why it is a risk factor. Women from the age of 45 should have a good understanding of their risk factors for osteoporosis and what they can incorporate into their lifestyle, nutrition and exercise routine as interventions for long term health goals. Bone loss increases 2 years before menopause and during the first 3 years of post menopause. Women should be given a prevention strategy even without a bone mineral density scan.
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