Why risk factors matter
Osteoporosis is often called a silent disease, because bone thins without pain until something breaks. The International Osteoporosis Foundation estimates that about one in three women and one in five men over 50 will break a bone because of osteoporosis. Knowing your risk factors early gives you time to test, build bone and prevent that first fracture.
What the check asks, and why
The questions follow the risk factors that appear across major guidelines and in standard fracture-risk tools:
- Age and sex. Bone loss speeds up after menopause, and risk rises steadily with age in everyone.
- A previous low-impact fracture. A broken bone from a fall from standing height after 50 is one of the strongest signs of fragile bones.
- Family history. A parent's hip fracture points to inherited bone strength and structure.
- Medicines and conditions. Long-term steroid tablets, rheumatoid arthritis and several other conditions speed up bone loss.
- Height loss. Losing several centimeters can mean small fractures in the spine that went unnoticed.
- Body weight, smoking and alcohol. Low body weight, smoking and drinking three or more units a day are all linked to weaker bones.
- Activity, calcium and vitamin D. These lifestyle factors don't count for much on their own, but they're the ones you can change today.
What to do with your result
Whatever your result, the same foundations help: regular weight-bearing and strength exercise, enough calcium and vitamin D, not smoking, moderate alcohol and fall-proofing your home. If your result shows some or several risk factors, ask your doctor whether a bone density (DXA) scan and a FRAX assessment are right for you.
Questions to ask your doctor
- Based on my risk factors, should I have a bone density scan, and when?
- What's my 10-year fracture risk using FRAX?
- Are any of my medicines affecting my bones or my balance?
- Should my vitamin D level be checked?
- What exercise is safe and useful for me?