{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T11:09:14Z","timestamp":1791284954579,"version":"4.1.0"},"reference-count":101,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T00:00:00Z","timestamp":1761350400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"abstract":"<jats:p>\n                    Bone loss is a significant public health burden, with low bone mass affecting nearly all post-menopausal women. The Bone Health and Osteoporosis Foundation (BHOF) reports that over 10 million Americans have osteoporosis with 40-50 million at risk due to low bone mass. Bone deterioration culminates in fractures, shortened stature, disability, and premature morbidity and mortality. Low bone mass is under-diagnosed, despite the availability of preventive screening. Maximal bone mass acquisition is optimized during early adulthood in females after which bone remodeling can no longer replace old bone. Reducing women\u2019s bone loss burden requires recommendations that improve overall health,\n                    <jats:italic toggle=\"yes\">maximize<\/jats:italic>\n                    optimal bone mass during adulthood and\n                    <jats:italic toggle=\"yes\">minimize<\/jats:italic>\n                    loss of bone following menopause. Total body composition, measurable by DXA (Dual-energy X-ray Absorptiometry), and maximum aerobic capacity (MAC) can reduce premature morbidity. Prevention strategies involve regular DXA screening beginning in adolescence to monitor whole body composition accompanied by cardiorespiratory fitness (CRF) assessment. DXA scans are now the gold standard for quantifying body composition metrics. Counseling by the Lifestyle Medicine provider should accompany and explain these evaluations. Whole-body DXA monitoring as well as fitness assessment throughout life, can provide women with improved awareness of health metrics and improve overall quality of life outcomes.\n                  <\/jats:p>","DOI":"10.1177\/15598276251390867","type":"journal-article","created":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T18:16:53Z","timestamp":1761416213000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Optimizing Women\u2019s Health Over the Lifespan: Why Body Composition, Bone Health and Fitness Matter"],"prefix":"10.1177","author":[{"given":"Ralph S.","family":"Bovard","sequence":"first","affiliation":[{"name":"HealthPartners"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1189-9157","authenticated-orcid":false,"given":"Ashley M.","family":"Nadeau","sequence":"additional","affiliation":[{"name":"Brooke Army Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Starchook-Moore","sequence":"additional","affiliation":[{"name":"HealthPartners"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1274-232X","authenticated-orcid":false,"given":"Dominik S.","family":"Dabrowski","sequence":"additional","affiliation":[{"name":"Rutgers University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Curt H.","family":"Grob","sequence":"additional","affiliation":[{"name":"Occupational Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul J.","family":"Anderson","sequence":"additional","affiliation":[{"name":"HealthPartners"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4612-4654-1_8"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-021-05900-y"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-014-2794-2"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.27154"},{"key":"e_1_3_3_6_2","unstructured":"Elam REW Jackson NN Machua W Carbone LD Diamond HS et al. Osteoporosis guidelines. Medscape: emedicine updated Jan 20 2021. https:\/\/emedicine.medscape.com\/article\/220598-guidelines"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2022.101754"},{"key":"e_1_3_3_8_2","first-page":"578","volume-title":"Lifestyle Medicine","author":"Bailey D","year":"1999","unstructured":"Bailey D. Prevention of osteoporosis: a pediatric concern. In: Rippe JM, ed. Lifestyle Medicine. Malden, MA: Blackwell Science; 1999:578-584."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.412"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/JES.0b013e318236e5ee"},{"key":"e_1_3_3_11_2","first-page":"1","article-title":"Incorporating the bone health life chart into your practice","volume":"1","author":"Bovard RS","year":"2017","unstructured":"Bovard RS. Incorporating the bone health life chart into your practice. MJH Life Sciences and Rheumatology Network. 2017;1:1-8.","journal-title":"MJH Life Sciences and Rheumatology Network"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/3548284"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijem.IJEM_147_20"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-016-3550-6"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocd.2019.07.006"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.4324\/9780203133040"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2022.101775"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.15226\/2374-6890\/2\/3\/00122"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.681"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-021-05900-y"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.061113"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1462"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-22-00125"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/1060028020970518"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/joim.12369"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11154-011-9187-z"},{"key":"e_1_3_3_27_2","first-page":"305","volume-title":"The Cambridge Encyclopedia of Human Paleopathology","author":"Aufderheide AC","year":"1998","unstructured":"Aufderheide AC, Rodriguez-Martin C, Langsjoen O. Part nine: metabolic diseases. In: The Cambridge Encyclopedia of Human Paleopathology. Cambridge, UK ; New York, NY, USA: Cambridge University Press; 1998:305-324."},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/acel.14421"},{"key":"e_1_3_3_29_2","unstructured":"Lichtenstein AH. Optimal nutrition guidance for older adults chapter 8: In: Rippe JM. Lifestyle Medicine 4th ed. Boca Raton: CRC Press 119."},{"key":"e_1_3_3_30_2","first-page":"1","article-title":"Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO study group","volume":"843","author":"Kanis John","year":"1994","unstructured":"Kanis John. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO study group. World Health Organ Tech Rep Ser. 1994;843:1-129.","journal-title":"World Health Organ Tech Rep Ser"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocd.2007.04.002"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu13020291"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/84.3.475"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.smhs.2019.08.008"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.biocel.2013.06.011"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1152\/ajpcell.00425.2021"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1002\/ar.a.10119"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/423910"},{"issue":"3","key":"e_1_3_3_39_2","first-page":"232","article-title":"From mechanostat theory to development of the \u201cFunctional Muscle-Bone-Unit\u201d","volume":"5","author":"Schoenau E","year":"2005","unstructured":"Schoenau E. From mechanostat theory to development of the \u201cFunctional Muscle-Bone-Unit\u201d. J Musculoskelet Neuronal Interact. 2005;5(3):232-238.","journal-title":"J Musculoskelet Neuronal Interact"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200737110-00006"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1249\/JES.0000000000000281"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002230001117"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1519\/JSC.0000000000004853"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.3390\/metabo15020085"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1097\/JES.0b013e31823b5f13"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.5650080915"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11357-024-01300-2"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0000000000002406"},{"key":"e_1_3_3_49_2","unstructured":"CDC. Physical activity and health: a report of the surgeon general. 1999. https:\/\/www.cdc.gov\/nccdphp\/sgr\/adults.htm. accessed 17 September 2022."},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.104.503805"},{"key":"e_1_3_3_51_2","first-page":"237","volume-title":"Lifestyle Medicine","author":"Drinkwater BL","year":"1999","unstructured":"Drinkwater BL. Osteoporosis and exercise. In: Rippe JM, ed. Lifestyle Medicine. Malden, MA: Blackwell Science; 1999:237-241."},{"key":"e_1_3_3_52_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2021.11.010"},{"key":"e_1_3_3_53_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000461"},{"key":"e_1_3_3_54_2","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0000000000000249"},{"key":"e_1_3_3_55_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2021.08.020"},{"key":"e_1_3_3_56_2","volume-title":"ACSM\u2019s Guidelines for Exercise Testing and Prescription","author":"Ozemek C","year":"2025","unstructured":"Ozemek C, Bonikowske AR, Christie JW, Gallo PM. ACSM\u2019s Guidelines for Exercise Testing and Prescription. 12th ed. Philadelphia: Wolters Kluwer; 2025. Tables: waist circumference (table 3.2, p. 66), body composition and body fat % (tables 3.4 & 3.5, pp. 74-75), VO2 max (tables 3.8 & 3.9, pp. 91-94), grip strength (table 3.10, p. 98), and push-ups (table 3.11, p. 103).","edition":"12"},{"key":"e_1_3_3_57_2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e31821d3f6f"},{"key":"e_1_3_3_58_2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e318216ea50"},{"key":"e_1_3_3_59_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/51a.5.m223"},{"key":"e_1_3_3_60_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738114548999"},{"key":"e_1_3_3_61_2","volume-title":"What Makes Olga Run","author":"Grierson B","year":"2014","unstructured":"Grierson B. What Makes Olga Run. New York: St Martin\u2019s Griffin; 2014."},{"key":"e_1_3_3_62_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.14854"},{"key":"e_1_3_3_63_2","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.4643"},{"key":"e_1_3_3_64_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.5.b198"},{"key":"e_1_3_3_65_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10522-018-9746-8"},{"key":"e_1_3_3_66_2","doi-asserted-by":"publisher","DOI":"10.1038\/35036093"},{"key":"e_1_3_3_67_2","first-page":"50","article-title":"Organ reserve and healthy aging","volume":"7","author":"Neustadt J","year":"2008","unstructured":"Neustadt J, Pieczenik S. Organ reserve and healthy aging. Integr Med. 2008;7:50-52.","journal-title":"Integr Med"},{"key":"e_1_3_3_68_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-028150"},{"key":"e_1_3_3_69_2","doi-asserted-by":"publisher","DOI":"10.1249\/JES.0000000000000161"},{"key":"e_1_3_3_70_2","doi-asserted-by":"publisher","DOI":"10.4061\/2011\/261702"},{"key":"e_1_3_3_71_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.5749.571"},{"key":"e_1_3_3_72_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001980050093"},{"key":"e_1_3_3_73_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bone.2007.11.001"},{"key":"e_1_3_3_74_2","doi-asserted-by":"publisher","DOI":"10.1136\/jim-2018-000722"},{"key":"e_1_3_3_75_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bone.2017.06.010"},{"key":"e_1_3_3_76_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0007038"},{"key":"e_1_3_3_77_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0215599"},{"key":"e_1_3_3_78_2","doi-asserted-by":"publisher","DOI":"10.1249\/mss.0b013e318155a813"},{"key":"e_1_3_3_79_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2481071451"},{"key":"e_1_3_3_80_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0901249"},{"key":"e_1_3_3_81_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejmp.2017.07.016"},{"key":"e_1_3_3_82_2","doi-asserted-by":"publisher","DOI":"10.4324\/9781315653662"},{"key":"e_1_3_3_83_2","doi-asserted-by":"publisher","DOI":"10.1002\/jhbs.21991"},{"key":"e_1_3_3_84_2","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2016.17"},{"key":"e_1_3_3_85_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ehb.2015.02.002"},{"key":"e_1_3_3_86_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.113905"},{"key":"e_1_3_3_87_2","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000247008.19127.3e"},{"key":"e_1_3_3_88_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i5855"},{"key":"e_1_3_3_89_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-093502"},{"key":"e_1_3_3_90_2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e31823fe4ef"},{"key":"e_1_3_3_91_2","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000002504"},{"key":"e_1_3_3_92_2","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.91.7.1046"},{"key":"e_1_3_3_93_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2016.12.005"},{"key":"e_1_3_3_94_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.1769"},{"key":"e_1_3_3_95_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)02800-3"},{"key":"e_1_3_3_96_2","doi-asserted-by":"publisher","DOI":"10.1519\/SSC.0000000000000606"},{"key":"e_1_3_3_97_2","doi-asserted-by":"publisher","DOI":"10.1177\/17455057231176655"},{"key":"e_1_3_3_98_2","doi-asserted-by":"publisher","DOI":"10.7326\/M19-0961"},{"key":"e_1_3_3_99_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.326.7400.1167"},{"key":"e_1_3_3_100_2","unstructured":"Gagel R. The national osteoporosis foundation (NOF) is now the bone health and osteoporosis foundation (BHOF). 2021. <bonehealthandosteoporosis.org> Media contact: Carina May:703-740-1764 cmay@smithharroff.com."},{"key":"e_1_3_3_101_2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0000000000003102"},{"key":"e_1_3_3_102_2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0000000000002380"}],"container-title":["American Journal of Lifestyle Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15598276251390867","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15598276251390867","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15598276251390867","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:32:50Z","timestamp":1777368770000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15598276251390867"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,25]]},"references-count":101,"alternative-id":["10.1177\/15598276251390867"],"URL":"https:\/\/doi.org\/10.1177\/15598276251390867","relation":{},"ISSN":["1559-8276","1559-8284"],"issn-type":[{"value":"1559-8276","type":"print"},{"value":"1559-8284","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,25]]},"article-number":"15598276251390867"}}