What is the most appropriate intervention for a woman at risk of osteoporosis with a T-score of -2.0?

The most appropriate intervention for a woman at risk of osteoporosis with a T-score of -2.0 is to provide calcium and vitamin D supplementation, specifically in the amounts of 1,200 mg of calcium and 800 units of vitamin D daily.

A T-score of -2.0 indicates that the individual is in the osteopenic range, which is the stage before osteoporosis; therefore, preventive measures are essential to help maintain bone density and reduce the risk of fractures. Adequate calcium intake is crucial for bone health, as it helps in the formation and maintenance of bone tissue. The recommended dietary allowance (RDA) for calcium for adult women is generally around 1,000 to 1,200 mg daily, with higher requirements as they age.

Additionally, vitamin D plays a vital role in calcium absorption from the intestines. The RDA for vitamin D is often considered to be around 600 to 800 units daily, especially for older individuals who may have decreased sun exposure and reduced ability to synthesize vitamin D.

Choosing an intervention that aligns with these guidelines—specifically the supplementation of calcium at the higher end (1,200 mg) and vitamin D (800 units)—is essential for optimizing bone health and minimizing the