Osteoporiosis Quest

Everyone is at risk for osteoporosis as we age. Certain factors will increase a person's risk.. The following questions wil help you and your doctor determine if you are at high risk for developing osteoporosis or need further evaluation.

1. Are you 65 or Older                                              Yes       No
2. Do you have a history of broken bones                   Yes       No
    during adulthood?
3. Are you female and past menopause?                      Yes       No
4. Do you weigh less than 127 lbs?                              Yes      No
5. Are you Caucasian or Asian?                                  Yes      No
6. Have you been taking cortisone-like drugs               Yes      No
    for asthma, arthritis or other conditions for
    3 months or more?
7. Do you have a family history of broken                    Yes     No
    bones in the spine or hip?
8. Do you smoke cigarettes?                                       Yes      No
9. Is your diet low in sources of calcium, such as          Yes     No
    dairy products (and you are not taking calcium
    Supplements?)
10. Do you consume, on average, more than two          Yes    No
      alcoholic beverages per day?
11.  Do you exercise less than 30 minutes                      Yes    No
       3 times a week?

12. Have you had any of the following: (check all that applies)
___Kidney problems or kidney stones
___Removal of part of your stomach or intestines
___Malabsorption (difficulty absorbing nutrients from your intestinal tract due: Celiace    
       Disease, Ulcerative Colitis or Crohn's Disease).
___Liver problems
___Rheumatoid Arthritis
___Bone marrow or blood problems
___Over-active thyroid gland in the past
___High calcium levels in the blood or parathyroid hormone problems
___Eating disorder
___Seizures or epilepsy
___Taking thyroid medications now

FOR MEN ONLY:

13. Have you had low testosterone levels?                   Yes     No
14. Are you taking medications for prostate cancer?     Yes    No

FOR WOMEN ONLY:

15. Did you have a natural or surgically induced             Yes    No
      menopaused before age 45?
16. Did you miss menstrual periods                                Yes    No
     (amenorrhea) for 12 months or more
     at anytime before menopause?

The more times you answer "YES" the greater the risk for developing osteoporosis. Show your answers to this questionaire toyour HealthCare Provider and/or Doctor and ask if you need further evaluation for Osteoporosis.