الفهرس 
Introduction and RationaleOnly 14 pages are availabe for public view
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Abstract
Osteoporosis is a common and silent disease until it is complicated by fractures that become common. It was estimated that 50% women and 20% of men over the age of 50 years will have an osteoporosis-related fracture in their remaining life. These fractures are responsible for lasting disability, impaired quality of life, and increased mortality, with enormous medical and heavy personnel burden on both the patient’s and nation’s economy.
Falls due to osteoporosisis a very crucial worldwide problem affecting the mortality, morbidity, loss of functional capacity and institutionalization, where the incidence can sometimes be underestimated. Approximately 30% of people over 65 fall each year, and for those over 75 the rates are higher. Between 20% and 30% of those who fall suffer injuries that reduce mobility and independence and increase the risk of premature death.
Osteoporosis can be diagnosed and prevented with effective treatments, before fractures occur. Therefore, the prevention, detection, and treatment of osteoporosis should be a mandate of primary healthcare providers. Family physicians have a major role in the prevention of osteoporosis to achieve better health outcomes and improvement of health related to decrease its bad consequences as fall.
The family physician must postulate preventive measures as calcium and vitamin Dsupplementation, alcohol and smoking cessation, caffeine limitation and screening for high risk groups. Balance exercises are also recommended. Guidelines recommend screening women 65 years and older and men 70 years and older. However, all high-risk postmenopausal women and male patients older than 50 years should be screened.