A risk factor is something that increases your likelihood of getting a disease or condition.
It is possible to develop osteoporosis with or without the risk factors listed below. However, the more risk factors you have, the greater your likelihood of developing osteoporosis. If you have a number of risk factors, ask your doctor what you can do to reduce your risk.
Risk Factors for Women
Women are at greater risk of developing osteoporosis than men. This is because they have less bone tissue than men and have a sudden drop in hormones—especially estrogen—at menopause.
Estrogen deficiencies occur as a result of:
Menopause: Natural or surgical menopause increases your risk of osteoporosis. The risk of fracture increases significantly five years after menopause. Though initial fractures may be in the wrist or spine, these strongly predict the later development of severe osteoporosis and hip fracture.
Amenorrhea (cessation of menstruation before menopause): Your risk of osteoporosis increases if you miss menstrual periods for three months or longer. Amenorrhea may occur with eating disorders, such as
, or with excessive or intensive exercise, such as long distance running.
Risk Factors for Men
Men have a higher bone density and lose calcium at a slower rate than women. However, after age 50, bone loss gradually increases. Risk factors for bone loss in men include:
In men, deficiencies of testosterone and to a much minor extent, estrogen, play a role in the development of osteoporosis. This may be related to:
Certain medical conditions that reduce testosterone levels, such as
or treatment for
Hypogonadism (a severe deficiency in the male sex hormone)
Risk Factors in Both Sexes
Your risk of developing osteoporosis increases if you do not get enough calcium or vitamin D in your diet. An excess of phosphorous in your diet may increase your risk if your calcium and/or vitamin D intakes are low. Excessive use of alcohol, coffee, or tea may also increase your risk of osteoporosis.
Lack of Exercise
Regular exercise, especially weight-bearing and resistance exercise, helps strengthen bones. Therefore, if you don’t exercise on a regular basis, you may increase your risk of developing osteoporosis. Individuals who don’t exercise regularly also tend to have weaker muscles and poorer balance, which can lead to falls and fractures.
Smoking impairs bone, muscle, and joint health. If you smoke, you have a higher risk of developing osteoporosis.
Bone Structure and Body Weight
Small-boned women and underweight individuals of both sexes have an increased risk of osteoporosis. Individuals who are short, thin, and have narrow hips are at increased risk of low bone density and fracture.
Lack of Sunlight
The effect of sun on the skin is a primary source of vitamin D, which aids bone formation. If you get very little sun exposure and have a low dietary intake of vitamin D, you may be at increased risk of osteoporosis.
Asian and Caucasian women are more likely to develop osteoporosis than those of other ethnic groups. Though most ethnic studies have focused on women, it is believed that men in these ethnic groups carry a parallel but lower risk.
The long-term use of certain medications increases your risk of osteoporosis. Medications that increase bone loss include:
Glucocorticoids, such as prednisone
Immunosuppressants, such as methotrexate and cyclosporine
Excess thyroid replacement hormone
Anticonvulsants, such as phenytoin
study has shown that these
not be associated with bone loss.
Medications containing aluminum, such as some antacids
*¹1/30/2009 DynaMed's Systematic Literature Surveillance
: Loke YK, Singh S, Furberg CD. Long-term use of thiazolidinediones and fractures in type 2 diabetes: a meta-analysis.
2009;180:32-39. Epub 2008 Dec 10.
*²1/30/2009 DynaMed's Systematic Literature Surveillance
: Carbone LD, Johnson KC, Bush AJ, et al. Loop diuretic use and fracture in postmenopausal women: findings from the Women's Health Initiative.
Arch Intern Med.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a