Which factor would be most concerning when assessing a client for osteoporosis risk?

When assessing a client for osteoporosis risk, the factor of smoking a few cigarettes a day is indeed concerning. Research has established a clear link between smoking and an increased risk of osteoporosis. Smoking affects bone density adversely by reducing the body’s ability to absorb calcium, decreasing estrogen levels in women (which is essential for maintaining bone density), and potentially leading to an increase in the rate of bone loss. Even light smoking can have negative effects on bone health, making this a significant risk factor.

In contrast, a family history of osteoporosis, while a relevant concern, does not have the same immediate and modifiable impact as smoking. Moderate exercise is generally encouraged for bone health, as weight-bearing exercises are beneficial in strengthening bones. Regular calcium supplementation is also a positive factor in maintaining bone health, as adequate calcium intake is crucial in preventing osteoporosis. Thus, the habit of smoking, even if minimal, poses a more significant risk for the development of osteoporosis compared to the other factors listed.