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• W2133848103 abstract "A man's health can be judged by which he takes two at a time—pills or stairs.—Joan Welsh Osteoporosis is a growing concern that affects 10 million Americans (1National Osteoporosis FoundationAbout Osteoporosis.http://www.nof.org/Google Scholar), causes 2 million fractures per year (2Burge R. Dawson-Hughes B. Solomon D.H. Wong J.B. King A. Tosteson A. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025.J Bone Miner Res. 2007; 22: 465Google Scholar), and costs the nation roughly $19 billion dollars annually (1National Osteoporosis FoundationAbout Osteoporosis.http://www.nof.org/Google Scholar). Strong bones require not only calcium and vitamin D, a necessary component of calcium absorption from the gut, but also healthy weight maintenance and daily physical activity, including weight-bearing exercises. The most critical time for building strong bones begins in infancy and continues into early adulthood. Bones will continue to regenerate and absorb calcium throughout the lifespan; however, bones reach their peak mass and density by a person's early 20s (3US Department of Health and Human ServicesThe 2004 Surgeon General's Report on Bone Health and Osteoporosis: What It Means To You.http://www.surgeongeneral.govGoogle Scholar). By their mid-30s, bones slowly begin to lose mass (3US Department of Health and Human ServicesThe 2004 Surgeon General's Report on Bone Health and Osteoporosis: What It Means To You.http://www.surgeongeneral.govGoogle Scholar). Alarmingly, of the 10 million people affected by osteoporosis, 80% are women (1National Osteoporosis FoundationAbout Osteoporosis.http://www.nof.org/Google Scholar). Older adults, white women, postmenopausal women, persons with a low body weight, and those with a low calcium intake are most at risk for osteoporosis (4Centers for Disease Control and PreventionNutrition for Everyone.http://www.cdc.govGoogle Scholar). Other factors such as cigarette smoking, heavy alcohol intake, and certain medications may also reduce bone mass (5US Department of Health and Human ServicesBone Health and Osteoporosis: A Report of the Surgeon General.http://www.surgeongeneral.govGoogle Scholar). In comparison with other ethnic and racial groups, risk is disproportionately rising most rapidly among Hispanic women. Previous Surgeon General Reports in 1988 and 1996 brought attention to the substantial cost and prevalence of osteoporosis and various prevention methods (6US Department of Health and Human ServicesThe Surgeon General‘s Report on Nutrition and Health.http://www.surgeongeneral.govGoogle Scholar, 7US Department of Health and Human ServicesPhysical Activity and Health: A Report of the Surgeon General.http://www.surgeongeneral.govGoogle Scholar). The most recent release, The Surgeon General's Report on Bone Health (2004), emphasized education and awareness of prevention through healthy lifestyle choices (5US Department of Health and Human ServicesBone Health and Osteoporosis: A Report of the Surgeon General.http://www.surgeongeneral.govGoogle Scholar). The main strategies of the plan for public health and systems-based approaches highlight disease education and awareness; improvement of links to health resources; risk recognition training; monitoring and evaluation of outcomes; intervention strategies; and better preventative, diagnostic, and treatment services (5US Department of Health and Human ServicesBone Health and Osteoporosis: A Report of the Surgeon General.http://www.surgeongeneral.govGoogle Scholar). Implementing these strategic approaches would cover all of the necessary bases needed to reduce the incidence and, therefore, cost of osteoporosis. They would also eliminate the existing disparities among our population and help to improve our overall health (5US Department of Health and Human ServicesBone Health and Osteoporosis: A Report of the Surgeon General.http://www.surgeongeneral.govGoogle Scholar). Key agencies have begun emphasizing disease prevention over management and are targeting younger demographics as a preventative strategy. Notably, the Office on Women's Health recently launched the Best Bones Forever initiative, which utilizes a child-friendly format to appeal to and inform young girls and teens (8US Department of Health and Human ServicesOffice on Women's Health. Powerful Bones. Powerful Girls.http://www.girlshealth.gov/bones/Google Scholar). The statistics are stark; by 2020 the rate of osteoporosis is expected to increase to 14 million cases (9National Osteoporosis FoundationAmerica's bone health: The state of osteoporosis and low bone mass in our nation.http://www.nof.org/advocacy/prevalence/index.htmGoogle Scholar), and by 2025 the cost of osteoporosis could rise to nearly $25.3 billion (1National Osteoporosis FoundationAbout Osteoporosis.http://www.nof.org/Google Scholar). Poor bone health continues to increase despite the many preventative tools available (5US Department of Health and Human ServicesBone Health and Osteoporosis: A Report of the Surgeon General.http://www.surgeongeneral.govGoogle Scholar). As a nation, we must come together to combat this debilitating disease. We must work together now to improve health literacy and prevention awareness to ensure that our entire nation understands the principles of bone health: by eating healthfully, getting enough vitamin D and calcium, exercising regularly, and avoiding smoking or drinking heavily—we can be on our way to healthy, strong bones! Thank you for your dedication to helping Americans achieve and maintain a healthful lifestyle." @default.
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• W2133848103 date "2010-04-01" @default.
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• W2133848103 title "Bone Health: Preventing Osteoporosis" @default.
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• W2133848103 doi "https://doi.org/10.1016/j.jada.2010.02.018" @default.
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