The nurse is reviewing modifiable and nonmodifiable risk factors of osteoporosis with a patient. What should the nurse include as modifiable risk factors?

Select all that apply.
1. calcium deficiency
2. high-protein diet
3. female
4. decrease in estrogen levels
5. diabetes mellitus


Correct Answer: 1, 2, 4
Calcium deficiency is an important modifiable risk factor that contributes to osteoporosis. Calcium and vitamin D supplements and a diet including foods high in calcium and vitamin D will help correct the deficiency. A high-protein diet can cause acidosis, which can contribute to osteoporosis since calcium is withdrawn from the kidney as the kidneys attempt to buffer the excess acid. Acidosis can also directly stimulate osteoclast function. Being female is an unmodifiable risk factor. Decreasing levels of the hormone estrogen are a modifiable risk factor for osteoporosis. Diabetes mellitus is not a modifiable risk factor, although it may be controlled.

Nursing

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