system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 66-year-old woman comes to the physician for a routine health maintenance examination. She has no history of serious medical illness and takes no medications. A screening DEXA scan shows a T-score of -1.5 at the femur. Which of the following is the strongest predisposing factor for osteopenia?
assistant
Smoking