Osteoporosis: Diagnosis and ManagementOsteoporosis Prevention and Management Nonpharmacologic and Lifestyle optionsCHRISTIANSON, MINDY S. MD*; SHEN, WEN MD, MPH†Author Information *Department of Gynecology and Obstetrics, Division of Reproductive Endocrinology; †Department of Gynecology and Obstetrics, Division of Benign Gynecologic Specialties, Johns Hopkins University School of Medicine, The Johns Hopkins Hospital, Baltimore, Maryland The authors declare that they have nothing to disclose. Correspondence: Wen Shen, MD, MPH, Department of Gynecology and Obstetrics, Division of Benign Gynecologic Specialties, Johns Hopkins University School of Medicine, Phipps 247, The Johns Hopkins Hospital, Baltimore, MD. E-mail: [email protected] Clinical Obstetrics and Gynecology: December 2013 - Volume 56 - Issue 4 - p 703-710 doi: 10.1097/GRF.0b013e3182a9d15a Buy Metrics Abstract The purpose of this review is to evaluate current evidence regarding the use of dietary and exercise interventions to prevent fractures in postmenopausal women with osteoporosis. The key lifestyle modifications that can decrease risk of fracture in postmenopausal women include regular weight-bearing exercise and a balanced diet with adequate calcium and vitamin D intake. Other modifiable lifestyle factors critical to bone health and to decrease fracture risk include the avoidance of smoking, an excessively low body weight, excessive alcohol intake, and fall risks at home. Emerging modifiable factors may include B-vitamin, omega-3 fatty acid, soy isoflavone, and dehydroepiandrosterone supplementation. © 2013 by Lippincott Williams & Wilkins.