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It estimated that over 10 million people already have osteoporosis, approximately 80 percent of these people are women. Compression fractures of the spine can cause body changes: a loss of height, a curving of the shoulders and backs and a thickening waistline. These changes often make it difficult for those with the disease to find stylish, comfortable and properly fitting clothes.

Every woman has had the experience of trying on several outfits, before finding one that fits. For women with osteoporosis, shopping for clothes or getting dressed can be a difficult and frustrating experience. Jackets and blouses pull across the back and shoulders. Collars gape. Skirts do not hang properly. All are effects of the physical consequences of osteoporosis.

These fashion and design tips listed emerged from Beauty in All Forms®, a fashion project founded by the National Osteoporosis Foundation in partnership with New York's Fashion Institute of Technology. Order the complete Fashion Guide on-line through this Web site.

• Overall, wear clothing that is loose, straight or just slightly fitted
• Jeweled, rounded, slight V or soft cowl necklines work best
• Raglan, dropped or dolman sleeves
• Find pants with elasticized waistbands
• Dresses with empire waist, dropped waist or A-line
• Make good use of accessories, such as long scarves or shawls to highlight the face and draw eyes up away from shoulder area
• Add shoulder pads to compensate for sloping shoulders
• Use backpacks to evenly distribute weight and leave hands free for balance
• Wear flat or low-heeled comfortable slip-on shoes with rubber soles
• Work with department store personal shoppers; they are usually free of charge

TIP: Using scarves is one of the easiest ways to disguise shoulder and back curvature. A colorful or patterned scarf can help you feel great and update the look of an outfit. A scarf can fill a gaping collar or neckline. A bold scarf will also draw attention away from the shoulders and toward your face. A long scarf draped around the neck, flowing down the back, will give a longer profile.

You can find scarves in a variety of sizes and fabrics. By learning a few tricks of folding, twisting or tying, you can add more style to any outfit. Two basic shapes for scarves are the square and the rectangle, also known as the oblong. A shawl or cape can also be used to describe curvature. Here is a basic way you can tie a scarf or shawl.

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