As the US population ages, an increasing number of osteoporotic fractu
res will occur unless effective disease prevention strategies are init
iated. Proper identification of risk factors and selection of appropri
ate candidates for therapeutic intervention during che early postmenop
ausal years can help address this public health concern. Proactive rec
ommendations for lifestyle changes, increased Freight-bearing exercise
, appropriate intake of calcium and vitamin D, and initiation of long-
term preventive therapy in certain individuals will contribute to the
overall goal of fracture reduction.