Can a 74 year old women build bone density?

Postmenopausal women can build bone density, it is just harder than it was for them before menopause.

Exercises with weights or resistance can help to increase bone mineral deposition and should be part of any woman's routine.

A diet that is high in calcium, vitamin D, and phosphorus can help with bone density since those are the building blocks of bone. It is important to remember that vitamin D is also made in the skin when it is exposed to sunlight so it is important to get out in the sun. Though dietary vitamin D and vitamin D from sun exposure are different forms, there is some controversy as to if they work equally in the body. To be safe, make sure get adequate amounts of both.

There are a class of drugs you can get from your doctor called bisphosphonates that help to prevent bone loss due to osteoporosis. Bisphosphonates work by reducing the amount of bone destruction and though they don't increase bone density on their own, they decrease the loss and along with the other measures can help to increase overall bone density.

Another medication you may want to discuss with your doctor is hormone replacement therapy. Hormone replacement therapy can help to decrease the bone loss due to menopause but it does carry some risks. The amount of these risks depends on the particular woman and needs to be evaluated with her and her doctor.