What nonpharmacologic measures help to prevent and treat osteoporosis

What nonpharmacologic measures help to prevent and treat osteoporosis?

Adequate calcium intake (diet plus supplements): a

a Taking more than the stated amounts of calcium and vitamin D is not recommended. Higher amounts may be associated with more kidney stones as well as more vascular calcifications particularly in patients with renal insufficiency.

  • 1000–1200 mg/day, premenopausal women and men aged 50 to 70 years.
  • 1200–1500 mg/day, postmenopausal women and men aged ≥70 years.
  • Adequate vitamin D intake: 800 to 1200 IU/day. a, b+ Vitamin D3 (cholecalciferol) and vitamin D2 (ergocalciferol) are equivalent when taken on a chronic basis.
  • Regular exercise (30 minute, 3–5 times/week): aerobic, strength, flexibility, and balance.
  • Limitation of alcohol consumption to ≤2 drinks/day.
  • Limitation of caffeine consumption to ≤2 servings/day.
  • Smoking cessation.
  • Fall prevention, avoid high impact/twisting motion, do not flop into a chair.
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