Prevention Of Osteoporosis And Fragility Fractures

A variety of preventive measures for osteoporotic fragility fractures are capable of influencing both components of fracture risk: mechanical overload, for example, falls, and mechanical incompetence, such as osteoporosis. The amount of weight-bearing exercise that is optimal for skeletal health in patients with osteoporosis is not known, but exercise forms an integral component of its management.  The American Heart Association and the American College of Sports Medicine encourage older adults to complete 30–60 min of moderate intensity aerobic exercise per day (150–300  min/week) or 20–30 min of vigorous intensity exercise per day (75–150 min/ week). There is a high prevalence of calcium, protein, and vitamin D deficiency in the elderly population, which plays a significant role in osteoporosis, sarcopenia, and in fracture risk. Recommended dietary allowance for protein in adults is 0.8 g of protein per kilogram of body weight each day (g/kg BW/d). The recommended nutrient intakes (RNI) are at least 1000 mg of calcium and 800 international units (IU) of vitamin D per day in men and women over the age of 60 years. frag