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Date November 2016 Marks available 1 Reference code 16N.3.SL.tz0.8
Level Standard Level Paper Paper 3 Time zone time zone 0
Command term Outline Question number 8 Adapted from N/A

Question

Outline how bone density changes as an individual gets older. 

[1]
a.

Discuss three major risk factors for osteoporosis. 

[3]
b.

Markscheme

bone density increases «from birth» through to around 35–45 years of age ✔

from this age onwards bone density decreases ✔

a decrease in female bone density occurs rapidly after the menopause as women age ✔

a.

a lack of dietary calcium especially in youth and adolescents can reduce bone density ✔

toxins and free radicals produced by cigarette smoking affect the balance of estrogen ✔

cigarette smoking can damage osteoblasts ✔

having lower bone density compared to other build types makes ectomorphs more susceptible to osteoporosis
OR
a low BMI increases the risk of osteoporosis ✔

early menopause in older women which leads to reduced estrogen levels can reduce bone density ✔

the female triad
OR
females who exercise intensely suffer from a pause in their menstruation similar to early menopause
OR
athletic Amenorrhea regular weight bearing dynamic exercise helps to build and maintain bone mass, therefore bone density decreases with physical inactivity ✔

b.

Examiners report

Generally well understood.

a.

Generally well understood.

b.

Syllabus sections

Option C: Physical activity and health » C.5. Physical activity and bone health » C.5.1. Outline how bone density changes from birth to old age.
Option C: Physical activity and health » C.5. Physical activity and bone health
Option C: Physical activity and health

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