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• Osteoporosis and lower bone density is more common in this population.

• Impaired mobility (lack of weight-bearing exercise), antiepileptic and antipsychotic drug use, genetic factors (syndromes associated with failure of sex-hormone production and delayed/lack of puberty), early menopause (for all women with learning disabilities, and especially women with Down syndrome), poor nutrition, and underweight, all contribute.

• Some antiepileptic and antipsychotic drugs affect bone architecture.

• A bone health protocol for adults with learning disabilities is available. Refer to the local learning disabilities service, or the learning disabilities liaison team if further advice/support is needed.