Osteoporosis is a condition that makes bones weak and prone to fractures. Although the condition is usually more common later in life, especially after menopause in women, juvenile osteoporosis can also occur in children and adolescents. Juvenile osteoporosis usually occurs in children between the ages of 8 and 14 and sometimes occurs during periods of rapid growth. This is a serious problem because this is the critical period for children to build bone strength. About 90% of bone mass is formed before the age of 18 to 20, and losing bone mass during this critical period increases the risk of fractures. Juvenile osteoporosis is divided into two types: secondary and idiopathic. Secondary osteoporosis is caused by other diseases, which is the most common one. Certain diseases, such as rheumatoid arthritis, can cause bone loss, especially around the joints. Certain medications, such as cancer chemotherapy drugs, anti-epileptic drugs or steroids used to treat arthritis, can also cause osteoporosis in teenagers. If your child is taking these medicines, talk to your doctor to check bone density. Some adolescent female athletes also develop osteoporosis due to strenuous training, stopped menstruation, and dietary restrictions that lead to decreased estrogen levels and inadequate intake of nutrients such as calcium. Idiopathic osteoporosis, which doctors can't pinpoint, is a less common type that usually appears before puberty and is more common in boys than girls. Bone density may partially recover during puberty, but bone mass may still be insufficient in adulthood. Symptoms of osteoporosis in adolescents include an increased risk of fractures, especially in the absence of significant trauma. Doctors usually diagnose the condition by a bone density scan. Treatment depends on the cause, but if it is caused by another disorder, the primary disorder is treated; If it's caused by medications, the dose of the medication may be adjusted or the medication may be changed. Osteoporosis medications for adults are not intended for children. It is important to protect your child's bones, and you may need to use crutches or other supports to avoid strenuous exercise. All children, including those with juvenile osteoporosis, need a diet rich in calcium, vitamin D, and protein, as well as safe physical activity and avoiding caffeine whenever possible. Many experts recommend a bone density test every two years.