The skeletal system is as strong as that of a young, normal individual. Skeletal bone density is 10 to 25 percent below peak mass, and the person is at risk for osteoporosis. Skeletal bone density is 25 percent or more below peak mass. Established osteoporosis, which is osteoporosis with fragility fracture. Skeletal bone density is 25 percent or more below peak bone mass, and the person has had an inappropriate fracture, typically in the spine, hip or forearm.
Treatment varies, depending on the diagnosis.
Other bisphosphonas are currently being considered for FDA approval. The latter two are appropriate only for menopausal or post-menopausal women. Women who are diagnosed with osteopenia should ensure they get enough daily calcium and vitamin D, exercise, stop smoking and avoid excessive alcohol or caffeine. The real answer is preventing osteoporosis. Most children and adolescents don't get nearly enough calcium or physical activity.