護理師提供骨質疏鬆症預防衛教，應強調哪些生活型態調整？（選所有適合的）
A nurse is providing education to a client regarding the prevention of Osteoporosis. Which lifestyle modifications should the nurse emphasize? (Select all that apply.)
- AEngage in weight-bearing exercises regularly✓ 正解定期從事負重運動
- BIncrease intake of calcium and Vitamin D✓ 正解增加鈣質和維生素 D 的攝取
- CLimit alcohol and tobacco consumption✓ 正解限制酒精和菸草攝取
- DIncrease daily caffeine intake to improve bone density增加每日咖啡因攝取以改善骨密度
- EMaintain a high-protein, low-fiber diet維持高蛋白、低纖維飲食
預防骨質流失的核心在於增加骨密度與減少流失因子。負重運動能刺激骨芽細胞活躍，攝取鈣質與維生素D為骨質合成必須原料。菸酒會干擾鈣吸收並影響荷爾蒙水平。咖啡因過量與高蛋白飲食非預防骨鬆標準建議，前者會增加鈣流失，後者需均衡膳食。
The core of preventing bone loss is to increase bone density and reduce risk factors. Weight-bearing exercise stimulates osteoblast activity, and calcium and vitamin D are essential building blocks for bone synthesis. Tobacco and alcohol interfere with calcium absorption and affect hormone levels. Excess caffeine and high-protein diets are not standard recommendations for osteoporosis prevention; the former increases calcium loss, and the latter should be replaced by a balanced diet.
美國護理師常執行骨密度檢測判讀衛教；台灣多依賴雙能量X光吸收儀報告，衛教重點放在營養補充。