Archives of Osteoporosis

, 13:105 | Cite as

Prevention of low bone mass to achieve high bone density in Mexico: position of the Mexican Association for Bone and Mineral Metabolism

  • Rolando Espinosa
  • Patricia Clark
  • Edgar Denova-GutiérrezEmail author
  • María de los Ángeles Aguilera-Barreiro
  • Mario Flores
  • Pilar Diez
  • Salomón Jasqui
  • María del Pilar De la Peña
  • Federico Cisneros-Dreinhofer
  • Pilar Lavielle
  • Víctor Mercado
Position Paper



In Mexico, osteoporosis is a public health problem. In this document, the Mexican Association for Bone and Mineral Metabolism defines its position on calcium, vitamin D supplement use, and physical activity as an effective, safe, and cost-effective initiatives to prevent low bone mass.


In Mexico, osteoporosis is a public health problem that is expected to increase in the decades ahead. Generally, modifiable risk factors for bone health are related with lifestyles, especially nutrition and physical activity.


In this position paper, the Mexican Association for Bone and Mineral Metabolism (AMMOM, by its acronym in Spanish), which is a multidisciplinary group of researchers, dietitians, epidemiologists, nurses, and physicians who study bone and related tissues and communicate the best strategies for diagnosis, treatment, and prevention of bone problems, aims to analyze the association between nutrition and bone health, risk behaviors for low bone mass, and the economic impact that prevention of low bone mass represents for the health care system.


Addressing therapeutic management with pharmacological and non-pharmacological approaches, we emphasize the important role the patient plays in the doctor–patient relationship, both in the consulting room and in daily life. Furthermore, the AMMOM defines its position on calcium and vitamin D supplement use as an effective, safe, and cost-effective initiative to prevent low bone mass.


In summary, most research and clinical practice related to osteoporosis have focused on diagnosis and treatment, but general measures for primary prevention based on addressing modifiable risk factors as a public health priority to delay the onset of loss of bone mass have not been considered by Mexican authorities. Consequently, the AMMOM task force also seeks to provide information on concrete actions to prevent low bone mass.


Bone density Osteoporosis Prevention Calcium Vitamin D Dietary supplements 



All the authors were involved in the conceptual design of the manuscript. RE, PC, EDG, MAAB, MF, PD, SJ, MPPR, FS, PL, and VM prepared a section of the first version of the manuscript. EDG reviewed and edited the first version of the manuscript. All the authors reviewed and approved the final version of the manuscript.


This paper was supported by Pfizer Mexico, SA de CV, which allowed the experts’ meetings. All the authors received an honorarium from Pfizer in connection with the development of this manuscript.

Medical writing support was provided by Dr. Karim Majluf Cruz at ByronMuller and was funded by Pfizer.

Editorial support was provided by Dr. Edgar Denova and was funded by Pfizer.

Compliance with ethical standards

Conflicts of interest


Statement of human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this type of study, informed consent is not required.

Supplementary material

11657_2018_520_MOESM1_ESM.docx (37 kb)
ESM 1 (DOCX 36 kb)


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Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2018

Authors and Affiliations

  • Rolando Espinosa
    • 1
  • Patricia Clark
    • 2
    • 3
  • Edgar Denova-Gutiérrez
    • 4
    Email author
  • María de los Ángeles Aguilera-Barreiro
    • 5
  • Mario Flores
    • 4
  • Pilar Diez
    • 6
    • 7
  • Salomón Jasqui
    • 8
    • 9
  • María del Pilar De la Peña
    • 10
  • Federico Cisneros-Dreinhofer
    • 11
  • Pilar Lavielle
    • 12
  • Víctor Mercado
    • 13
  1. 1.Departamento de ReumatologíaInstituto Nacional de RehabilitaciónCiudad de MéxicoMexico
  2. 2.Unidad de Investigación en Epidemiología ClínicaHospital Infantil de México Federico GómezCiudad de MéxicoMexico
  3. 3.Facultad de MedicinaUniversidad Nacional Autónoma de MéxicoCiudad de MéxicoMexico
  4. 4.Centro de Investigación en Nutrición y SaludInstituto Nacional de Salud PúblicaCuernavacaMexico
  5. 5.Facultad de Ciencias NaturalesUniversidad Autónoma de QuerétaroQuerétaroMexico
  6. 6.Instituto Nacional de RehabilitaciónCiudad de MéxicoMexico
  7. 7.Sanatorio San José SatéliteNaucalpanMexico
  8. 8.Servicio de Ortopedia y TraumatologíaHospital Angeles de las LomasCiudad de MéxicoMexico
  9. 9.Facultad de MedicinaUniversidad AnáhuacCiudad de MéxicoMexico
  10. 10.Servicios Médicos de la PeñaGuadalajaraMexico
  11. 11.Servicio de OrtopediaHospital Angeles MetropolitanoCiudad de MéxicoMexico
  12. 12.Unidad de Investigación en Epidemiologia ClínicaInstituto Mexicano del Seguro SocialCiudad de MéxicoMexico
  13. 13.Clínica Integral de MenopausiaCentro Medico DalindeCiudad de MéxicoMexico

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