Bone loss due to calcium deficiency, hormonal deficiency, and imbalance in
bone turnover frequently leads to osteoporosis in older men and women. The
diagnosis of osteoporosis can be made prior to fragility fracture, allowing
for prevention and treatment. In this article, criteria for the diagnosis
of osteoporosis, and a plan for the evaluation of primary and secondary ost
eoporosis are discussed. In addition, prevention and treatment options incl
uding dietary intake, exercise, and medications are reviewed.