Osteoporosis is often considered a chronic disease of older adulthood. As w
ith many chronic diseases, lifestyle behaviors adopted during young adultho
od are important risk factors for future development of osteoporosis. The c
ollege student population represents the age group in which optimal bone de
velopment is likely to occur and certain lifestyle behaviors are reinforced
. Therefore, risk factors for osteoporosis, including nutritional insuffici
ency of calcium and vitamin D, smoking, alcohol abuse, excessive exercise,
use of steroids, and high-protein diets, have special relevance for this ta
rget population. The authors examine risk factors for osteoporosis that are
especially relevant to the college health setting and offer intervention s
trategies for college health professionals.