Abstract
Osteoporosis is now recognised as a major public health problem, causing pain, disability and premature death. It affects 1 in 12 men and 1 in 3 women, with the incidence increasing to 1 in 2 women over 70 years of age. This results in more than 150 000 fractures each year. It is a symptomless condition until complications such as fractures or spinal deformity occur. After the menopause in the first 10 years 15-20% of spinal bone may be lost. After this, age-related bone loss averages a little over 1% per annum, thereby when a woman reaches 80, 40% of bone density could be lost in regions which are vulnerable to fracture (National Osteoporosis Society and Advisory Group on Osteoporosis Report, 1994a).
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