title: Mind the gaps: missed opportunities to promote bone health among cancer survivors.
abstract: BACKGROUND
  Many cancer treatments have a negative effect on bone health and can lead to osteoporosis. Additionally, the risk of osteoporosis during cancer survivorship may differ by racial and ethnic group. Overall, cancer survivors may be poorly informed about the risk of bone loss due to treatment.
  Exercise can be prescribed to improve bone health and reduce risk of fracture. Women participating in the Improving Physical Activity After Cancer Treatment pilot study (IMPAACT) experienced significant improvements in bone health. The pilot work also suggests that cancer survivors of diverse racial/ethnic profiles may not fit the normal risk profile for osteoporosis and could be overlooked during screening.
  
  
  CONCLUSIONS
  The lack of awareness of poor bone health in cancer survivors needs to be addressed, especially for those who do not fit the normal osteoporosis risk profile. Exercise is a safe and effective part of a cancer survivorship plan and is useful in promoting bone health.
authors.affiliation: Department of Health and Human Sciences, Loyola Marymount University, 1 LMU Drive MS 8160 North Hall 208, Los Angeles, CA, 90045, USA, hawley.almstedt@lmu.edu.
authors.forename: Hawley C
authors.initials: HC
authors.lastname: Almstedt
authors.forename: Heather P
authors.initials: HP
authors.lastname: Tarleton
mesh_terms: D001842:Bone and Bones / Q000502:physiology; D005006:Ethnicity; D015444:Exercise / Q000502:physiology*; D005081:Exercise Therapy; D005260:Female; D050723:Fractures, Bone / Q000209:etiology / Q000517:prevention & control; D006293:Health Promotion / Q000379:methods; D006301:Health Services Needs and Demand; D006801:Humans; D009369:Neoplasms / Q000208:ethnology / Q000628:therapy*; D010024:Osteoporosis / Q000517:prevention & control*; D010347:Patient Care Planning; D010865:Pilot Projects; D017741:Survivors