Abstract
Osteoporosis is a condition of low bone mass which predisposes to fractures. This silently progressive metabolic bone disease is widely prevalent in India in both sexes and occurs at younger age than in western population. Rapid bone loss occurs in postmenopausal women due to hormonal factors. Indians have low bone density compared to Caucasians. High prevalence of vitamin D deficiency is a major factor for poor bone health in India. The bone health of population can be improved by encouraging children to drink milk and take enough exercise. Results of randomised trials have revolutionised treatments and several effective therapeutic drugs are available. Despite new treatments many patients with fractures still do not receive appropriate management. Early detection and management of this condition can avoid the risk of fractures and associated morbidity and mortality.