Is Osteoporosis Only a Concern for Older Women? Expert Suggests Risks For Younger Generation

Osteoporosis has been known as an older woman's concern, particularly after menopause. However, although it is true that the risk is generally higher for older women with hormonal changes, experts suggest that the disease does not exclude the younger generation. Modern lifestyle habits, nutritional deficiency, and stress are contributing to cases of early bone density loss, which is a worrying trend as it is seen among both men and women in their 20s and 30s.

The editorial team reached out to our expert, Dr Vikram Vora, Medical Director and Chief Health Officer (Indian Subcontinent), International SOS, and according to him, "Osteoporosis is often termed a silent disease because bone loss occurs over several years and painlessly. By the time fractures happen, significant bone weakening has already occurred, and hence the notion that it affects only elderly women is taken off the table. Younger adults today are also showing signs of low bone density due to unhealthy habits and nutritional imbalances."

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How Lifestyle Plays a Role in Early Osteoporosis 

A fast-paced lifestyle, including long working hours, minimal physical activity, and dependence on processed foods, has compromised the bone health of the younger generation. "Deficiencies of calcium and vitamin D, due to skipping dairy, limited sun exposure, and poor diet choices, are major contributors to early bone loss," said Dr Vora.

In addition to that, excessive caffeine, alcohol consumption, and smoking are harmful to bone metabolism. Sedentary behaviour among mostly young professionals stuck to their desks and screens further weakens the skeletal framework. "Bone strength develops during the early years of life and peaks by the late 20s. If young adults don't build enough bone mass during this window, they're at a higher risk of osteoporosis later," Dr Vora added.

Osteoporosis in Young Men

While more women than men have osteoporosis, young men are being diagnosed increasingly. "Men often assume they are protected, but lifestyle-induced low testosterone, poor nutrition, and certain medical conditions can reduce bone density. Neglecting these factors can make them prone to fractures even with minor falls or injuries," Dr Vora explained.

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Hidden Triggers of Osteoporosis in Youth

Therefore, contemporary dietary trends include vegan and highly restrictive diets that can result in nutrient gaps. According to Dr Vora, "Calcium-rich foods such as dairy, green leafy vegetables, nuts, and fortified cereals are some common lacks in urban diets." Additionally, increased usage of gadgets has brought on vitamin D deficiency due to reduced sun exposure that directly impacts calcium absorption.

Stress and lack of sleep also play an indirect role by affecting the hormonal balance of the body. "Chronic stress can increase cortisol levels, which negatively impacts bone formation. Similarly, inadequate sleep interferes with bone repair and regeneration," Dr Vora highlighted.

How To Prevent Osteoporosis in Youngsters?

The good news is that osteoporosis is, by and large, preventable if one acts early. Dr Vora advised, “Adopting bone-friendly habits in your 20s and 30s can go a long way. Incorporate weight-bearing exercises like walking, jogging, or strength training into your routine. Maintain a balanced diet with adequate calcium, vitamin D, and protein. Avoid smoking and limit your intake of alcohol.”

Early screening and bone density testing can help detect risks earlier for those with family histories of osteoporosis. “Being proactive about bone health is not a choice reserved for the elderly; it’s a responsibility that starts young,” emphasised Dr Vora.

Bottomline

Osteoporosis is no longer a disease of ageing, but it has emerged as a growing concern for the younger generation. With sedentary lifestyles on the rise, along with inadequate nutrition and stress, early awareness, healthy habits, and preventive care are the best defence.