Abstract
Osteoporosis is a major public health issue. Bone mass acquired early in life is the most important determinant of bone health and strength later in life, with at least 90% of peak bone mass being attained by age 18.1 Individuals with the highest peak bone mass after adolescence have the greatest protection from loss in bone density that occurs with age, certain illnesses and medications.2 Optimizing peak bone mass during childhood and adolescence has been identified as perhaps the most important factor in determining long-term fracture risk and a recent National Institutes of Health Consensus Development Panel on Osteoporosis Prevention, Diagnosis and Therapy has recommended implementation of strategies to identify and intervene in disorders that interfere with attainment of peak bone mass.
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