From the Archives of Internal Medicine, comes a study that suggests that the majority (82 percent) of osteoporotic and hip fractures occured in women with T-scores greater than 2.5 (i.e. at osteopenic, not osteoporotic levels). This suggests that treatment at an earlier stage (i.e. with T-scores between 1 and 2.5) may be considered.
Remember that the USPSTF recommends that women aged 65 and older be screened routinely for osteoporosis and that routine screening begin at age 60 for women at increased risk for osteoporotic fractures.