Stress injury to bone lies on a continuum involving a complex interact
ion of genetic, mechanical, hormonal and nutritional factors. Preventi
on of stress injury to bone involves maximizing peak bone mass in the
pediatric, adolescent and young adult age groups and preventing bone l
oss. Maintaining adequate calcium nutrition, caloric intake, weight, e
xercise, and hormonal balance are important preventive measures for op
timizing skeletal integrity and preventing fractures. Risk factors for
stress injury to bone are discussed as well as recommendations for pr
evention and treatment.