What is a key nonpharmacologic strategy to reduce fracture risk in older adults with osteoporosis?

• A. Fall prevention and balance training
• B. High-dose vitamin A
• C. Prolonged bed rest
• D. High-impact jumping

Answer: (A)

Falling is the main route to fractures in people with osteoporosis, so preventing falls through balance and strength training is the most effective nonpharmacologic strategy. Exercises that improve leg strength, coordination, and proprioception help people catch themselves and recover from slips, while safety measures at home (like removing tripping hazards and using assistive devices when needed) further reduce the chance of falls. This directly lowers fracture risk by addressing the common way fractures occur in this population.

High-dose vitamin A isn’t proven to reduce fractures and can be harmful; prolonged bed rest weakens muscles and bones and can actually increase fracture risk; high-impact jumping places excessive stress on fragile bones and can cause fractures.