Osteoporosis is common, serious, and costly - and it can lead to an increased 
risk of bone fractures, typically in the wrist, hip, and spine. Often called a 
silent disease because bone loss occurs without symptoms, people may not know 
that they have osteoporosis until their bones become so weak that a sudden bump 
or fall causes a fracture. Please join with CMS in continuing to honor women 
this month by helping to raise awareness of osteoporosis and the importance of 
prevention and early detection in combating this disease.

Did You Know?

 *   About 10 million Americans have osteoporosis, and about 34 million more 
are at risk.
 *   One out of every 2 women and 1 in 4 men aged 50 and older will have an 
osteoporosis-related fracture in their lifetime.
 *    Twenty-four percent of hip fracture patients age 50 and older die in the 
year following their facture.

While men and women of all ages and ethnicities can develop osteoporosis, 
certain risk factors are linked to the development of osteoporosis and 
contribute to an individual's likelihood of developing the disease.

 *   Gender - Women have a greater chance of developing osteoporosis due to 
less bone tissue and changes that occur due to menopause.
 *   Ethnicity - Caucasian and Asian women are at highest risk. African 
American and Hispanic women have lower but significant risk.
 *   Age - Older adults have greater risk of osteoporosis because bones become 
thinner and weaker with age.
 *   Body size - Small, thin-boned women are at greater risk.
 *   Diet - An inadequate intake of calcium and vitamin D over a lifetime makes 
an individual more prone to bone loss and contributes to the development of 
osteoporosis.
 *   Lifestyle - An inactive lifestyle or extended bed rest tends to weaken 
bones.
 *   Family history - Fracture risk may be due, in part, to heredity.
 *   Smoking - Women who smoke have lower levels of estrogen compared with 
nonsmokers, often go through menopause earlier, and may also absorb less 
calcium from their diets.
 *   Medication use. Long-term use of certain medications can lead to loss of 
bone density and fractures.
 *   Alcohol -Those who drink heavily are more prone to bone loss and fracture, 
because of poor nutrition and increased risk of falling.

People with osteoporosis may have several risk factors, while others who 
develop the disease may have no known risk factors at all.

Osteoporosis is a preventable and treatable disease. Early diagnosis and 
treatment can reduce or prevent fractures. Medicare provides coverage of bone 
mass measurement for certain eligible beneficiaries. This important benefit can 
aid in the early detection of osteoporosis before fractures happen, provide a 
precursor to future fractures, and determine the rate of bone loss. Please help 
ensure that eligible Medicare patients utilize this benefit as it can help make 
a difference in the quality of their life.

For More Information:

 *   CMS MLN Guide to Medicare Preventive 
Services<http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/mps_guide_web-061305.pdf>
 (see Chapter 14)
 *   CMS Bone Mass Measurements 
brochure<http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/bone_mass.pdf>
 *   NIH Osteoporosis and Related Bone Diseases National Resource 
Center<http://www.niams.nih.gov/Health_Info/Bone/default.asp>
 *   National Osteoporosis Foundation website<http://www.nof.org/toolkit>

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