7 Signs You May Need a Bone Density Test Before Age 65

Key Points:

• Bone density often declines silently from the 40s, with menopause accelerating loss due to reduced estrogen, yet routine screening typically starts at age 65 for women, potentially missing earlier risks.
• Experts recommend earlier bone density testing (DEXA scans) for individuals with risk factors such as history of fractures from minor trauma, family history of early osteoporosis, early menopause before 45, long-term corticosteroid use, liver or kidney disease, history of eating disorders or RED-S, and recent significant weight loss.
• Low bone density (osteopenia) detected before age 65 warrants investigation into causes like genetics, lifestyle factors, or underlying health conditions, and may lead to interventions including lifestyle changes, hormone therapy, or medication to prevent fractures.
• Preventive measures to maintain bone health include avoiding smoking and heavy alcohol use, ensuring adequate calcium, vitamin D, and protein intake, engaging in weight-bearing and strength exercises, and balance training to reduce fall risk.
• Early awareness and screening of bone loss are crucial for timely intervention, offering more options to prevent fractures and maintain mobility as people age.