全世界都進入高齡化社會，臺灣也無法倖免。物理治療師的獨立執業與走入社區，並且跨入健康 促進是現代的趨勢。在這個趨勢下，物理治療師將站在第一線，面臨提供社區民眾健康諮詢與提 供老年人全面性健康照護的挑戰。骨質疏鬆是老年人口的一大健康問題，骨質保健與運動將是物 理治療師進行社區衛教中很重要的主題之一。骨質受遺傳與環境因素影響•環境因素包括運動與 飲食。具有飲食對骨質健康影響之知識|將可以提升物理治療師加強社區民眾與老年人骨質健康 的能力，進而提升對他們的整體健康照護。本文彙整對骨質健康有影響的營養素。蛋白質，多元 不飽和脂肪酸•複合碳水化合物（多醣類），礦物質鈣與磷，微量元素氟、錳與銅，維生素B群、 C、D、E、與K對骨質健康有正面的效果。脂質、單一碳水化合物（葡萄糖與蔗糖）、過多的鈉對 骨質健康則是負面的影響。維生素A的攝取量|則是呈現倒U形反應：過量與過低的攝取量都會 對骨質健康造成傷害。透過本篇的整理發現，不只是鈣質與維他命D |許多營養素都與骨質健康 有關係。以營養學角度來説，平衡飲食絕對是促進骨質發育與維持骨質健康的不二法門。物理治 療師若同時能掌握運動專長與基本的營養學知識|將能提昇其提供完整社區健康服務的能力。

Similar to the rest of the world, Taiwan has inevitably entered into an era of aging society. The contemporary trends of physical therapy practice are independent private practice and being engaged in community health promotion services. As such, physical therapists are in the front line facing challenges of providing health consultation to people dwelling in the community and providing holistic health care to the aging population. Osteoporosis is a major health problem in the aging population. Bone health and exercise are most important topics for community physical therapists when delivering community health education programs. Bone health is influenced by genetic and environmental factors; the latter includes physical activity and nutrition. Having basic knowledge of nutrition related to bone health could enhance the ability of physical therapists to provide holistic care and health promotion to the aging population. This paper reviews the topics of nutrients related to bone health. Protein, polyunsaturated fatty acids, complex carbohydrates, calcium, phosphorus, fluorine, manganese, copper, vitamin B complex, vitamin C, vitamin D, vitamin E and vitamin K have positive influences on bone health. Fat, glucose, sucrose and sodium have negative influences on bone health. Excessive vitamin A, as well as insufficient vitamin A, may be associated with compromised bone health. Many nutrients, not just vitamin D and calcium, are associated with bone health. Adequate and balanced nutritional status is critical to the development and maintenance of a healthy skeletal system. In addition to having the expertise in exercises, having knowledge about nutrition for bone health could enhance the competency of physical therapies to provide holistic health care to the community.