- Genetic variation explains up to 85% of bone mineral density
- Gender: Females generally have lower bone mass
- Menopause: Decreasing estrogen increases osteoporosis risk
- Testosterone: Lower testosterone results in a lower bone mass
- Ethnicity: Hispanics and African Americans have higher bone mass and reduced osteoporosis risk (compared to Caucasians and Asians)
- Physical activity: Weight-bearing exercises help strengthen bones
- Medications: Long-term use can reduce bone mass (e.g. corticosteroids)
- Nutrition: Reduced calcium and vitamin D uptake results in brittle bones
- CYP2R1 – Increases the risk of vitamin D deficiency, leading to reduced absorption of calcium. Adequate calcium is essential for healthy bones.
- GC – Increases the risk of vitamin D deficiency and reduced absorption of calcium.
- WNT16 – Increases the risk of reduced bone formation.
- GDF5 – Affects the normal regulation of the maintenance, development and repair of bones, joints and cartilage.
- COL1A1 – Affects the formation of collagen (an essential strength and structural component of bones).