What are the NOF recommendations for lifestyle modifications to reduce the risk of developing osteoporosis?

Updated: Jan 20, 2021
  • Author: Rachel Elizabeth Whitaker Elam, MD, MSc; Chief Editor: Herbert S Diamond, MD  more...
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The National Osteoporosis Foundation specifies that the following behaviors should be modified to reduce the risk of developing osteoporosis [4] :

  • Cigarette smoking
  • Physical inactivity
  • Intake of alcohol, caffeine, sodium, animal protein, and calcium

Patients should be counseled on smoking cessation and moderation of alcohol intake. Regular weight-bearing exercise and back extensor strengthening help delay bone loss. In a study that found osteopenia in over a quarter of men and women in early middle age, there was a negative correlation between exercise and BMD in the men despite relatively high levels of exercise—but the majority of men in the study reported cycling as their preferred exercise, rather than weight-bearing activities such as walking or running. [76]

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