Group Fitness Instructor

Answer: D - Incontinence is not a “red flag” for osteoporosis although it may show other relevant underlying disorders. The Group Fitness Instructor who intends to work with the elderly should be aware of risk elements for osteoporosis such as: family history, history of fracture, s/p menopause or s/p hysterectomy, thin build, history of smoking or excessive alcohol use and/or use of steroids or other medications that cause bone loss. Osteoporosis is often a silent disorder. Many older women - and men - have never been tested for bone mass density and do not know they are at risk until they suffer a compression fracture or a life-changing hip fracture.