Which of the following are risk factors for osteoporosis select all that apply?

NIH Osteoporosis and Related Bone Diseases ~ National Resource Center

2 AMS Circle
Bethesda, MD 20892-3676
Phone: 202-223-0344
Toll free: 800-624-BONE (2663)
TTY: 202-466-4315
Fax: 202-293-2356
Email:
Website: https://www.bones.nih.gov

If you need more information about available resources in your language or another language, contact the NIH Osteoporosis and Related Bone Diseases ~ National Resource Center at .

The NIH Osteoporosis and Related Bone Diseases ~ National Resource Center provides patients, health professionals, and the public with an important link to resources and information on metabolic bone diseases. The mission of NIH ORBD~NRC is to expand awareness and enhance knowledge and understanding of the prevention, early detection, and treatment of these diseases as well as strategies for coping with them.

The NIH Osteoporosis and Related Bone Diseases ~ National Resource Center is supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases with contributions from:

  • National Institute on Aging
  • National Institute of Diabetes and Digestive and Kidney Diseases
  • NIH Office of Research on Women's Health

The National Institutes of Health (NIH) is a component of the U.S. Department of Health and Human Services (HHS).

Osteoporosis makes you more likely to break bones because you lose bone mass and density. You may not have any symptoms or pain. The first sign might be a bone fracture.

It’s a myth that osteoporosis is a disease that only affects older white women. Men and women of all ages and ethnicities can get it. However, certain things do make osteoporosis more likely:

Age. Your bone density peaks around age 30. After that, you’ll begin to lose bone mass. So that’s all the more reason to do strength training and weight-bearing exercise -- and make sure you get enough calcium and vitamin D from your diet -- to keep your bones as strong as possible as you get older.

Gender. Women over the age of 50 are the most likely people to develop osteoporosis. The condition is 4 times as likely in women than men. Women's lighter, thinner bones and longer life spans are part of the reason they have a higher risk. Men can get osteoporosis, too -- it’s just less common.

Family history. If your parents or grandparents have had osteoporosis or any signs of osteoporosis, such as a fractured hip after a minor fall, you may be more likely to get it, too.

Bone structure and body weight. Petite and thin women have a greater chance of developing osteoporosis. One reason is that they have less bone to lose than women with more body weight and larger frames. Similarly, small-boned, thin men are at greater risk than men with larger frames and more body weight.

Broken bones. If you’ve had fractures before, your bones may not be as strong.

Ethnicity. Research shows that Caucasian and Asian women are more likely to develop osteoporosis than women of other ethnic backgrounds. Hip fractures are also twice as likely to happen in Caucasian women as in African-American women.

Certain diseases. Some diseases such as rheumatoid arthritis raise the odds that you’ll get osteoporosis.

Some medications. Certain prescription medications -- for example, if you take steroids such as prednisone for a long time -- can also boost your odds of getting osteoporosis.

Smoking. It’s bad for your bones. To lower your risk of osteoporosis and fractures -- and many other health problems -- work with your doctor to kick this habit ASAP.

Alcohol. Heavy drinking can lead to thinning of the bones and make fractures more likely.

​​Fracture of the hip or other bones is an indication of osteoporosis. The Department of Endocrinology at Singapore General Hospital shares more.

Brittle bones are more prone to fractures. These fractures may happen even with very minimal trauma. "Although any bone can be affected, the fractures typically occur in the hip, spine and wrist," say ​doctors from the Department of Endocrinology at Singapore General Hospital​, a member of the SingHealth​ group.

Although women 50 years or older are most at risk for osteoporosis, younger women and men can also be affected.Worldwide, 200 million women suffer from osteoporosis and a woman’s risk of hip fracture is the same as her combined risk of developing breast, uterine and ovarian cancer. In Singapore, the number of osteoporosis-related hip fractures in women over 50 years is 8 times more than the number of breast cancer cases.

Who is at risk of developing osteoporosis?

Although women 50 years or older are most at risk for osteoporosis, younger women and men can also be affected.

Peak bone mass is attained by the age of 30. After that, bone mass gradually decreases. In pregnant and lactating women, the pace of bone loss will temporarily increase if the increased calcium demands of pregnancy or breastfeeding are not met by increased dietary intake of calcium. In women, there is also a significant decrease of bone mass in the immediate period following the onset of menopause.

Risk factors for osteoporosis

The risk factors for osteoporosis can be divided into those that can be changed and those that cannot be changed.

Risk factors of osteoporosis that cannot be changed

  • Age – the risk for osteoporosis increases as one gets older
  • A woman who has gone through menopause. After menopause, the body produces less oestrogen – oestrogen protects the body from bone loss
  • Family history of osteoporosis or osteoporosis-related fractures
  • Slender body frame (small bone structure)
  • Race – a person of Caucasian or Asian ancestry is more at risk
  • Low bone mass or osteopenia
  • Previous fracture following a low level trauma, especially after age 50

Risk factors of osteoporosis that can be changed

  • Smoking – don’t smoke as smoking causes bone loss and early menopause
  • Excessive alcohol consumption – an excessive amount of alcohol not only reduces bone formation, it also affects the body’s ability to absorb calcium
  • Sedentary lifestyle

Other causes of osteoporosis

  • Medication: Using some medication long term can damage bone. These include corticosteroids to treat chronic conditions such as asthma, rheumatoid arthritis etc, medications that lower sex hormones, some anti-seizure medications and sometimes thyroid hormone when prescribed in high doses. Talk with your healthcare provider about the medications you take.
  • Other conditions: Various conditions can interfere with calcium absorption and contribute to bone loss. These include liver or kidney disease, diabetes, hyperthyroidism (overactive thyroid), Cushing’s disease (in which the body produces excess cortisol) and conditions like anorexia nervosa.

Symptoms of osteoporosis

Osteoporosis is called the ‘silent disease’ because bone loss occurs without symptoms and is painless. The condition often is not detected until it is quite advanced. Some signs in the advanced stages may include:

  • Fracture of the hip, spine and wrists
  • Back pain
  • Loss of height over time

Diagnosing osteoporosis

Osteoporosis can be detected through a Bone Density Test most commonly done using a DEXA scan. The test can determine if you have osteoporosis by measuring the bone mineral density or bone strength at the hip and spine.

The test is quick and painless and is similar to having an x-ray taken, but uses much less radiation.

See next page to learn about treatments for osteoporosis and ways to lower your risk of it​.

​Ref: S13

Which is a risk factor for osteoporosis?

Cigarette smoking is considered as a risk factor for osteoporosis and is related to a loss of bone mass and increased risk of osteoporotic fractures.

What are the 5 causes of osteoporosis?

Osteoporosis Causes.
Diet. Your diet has a significant impact on the health of your bones. ... .
Exercise. Exercise is an essential defense against osteoporosis. ... .
Low Sex Hormones. When women reach menopause, their estrogen levels drop significantly. ... .
Medical Conditions. ... .
Medications. ... .
Smoking and Alcohol..

What are 5 unchangeable risk factors of osteoporosis?

Non-modifiable risk factors for osteoporosis include: being female, being over age fifty, having a small frame, having an endocrine disorder, having a family member with the disease, and being Caucasian or Asian.