![]() Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Lifestyle changes include increasing your vitamin D and calcium intake from food, supplements, or both. Usually, these hormone-related therapies accompany other treatments and lifestyle improvements. ![]() Other drugs may be used, such as denosumab ( Prolia) or zoledronic (Reclast), which are given by injection.Įstrogen-replacement therapy for FAABs and testosterone therapy for MAABs is also used to treat osteoporosis. Long-term use of these medications is associated with several serious side effects, including fractures and jawbone deterioration. More aggressive treatment usually includes a medication called bisphosphonates, such as alendronate (Fosamax) and ibandronate (Boniva). You may also be advised to work on balance exercises. wearing shoes that aren’t likely to slip.You will also be advised to reduce your fall risk in several ways. If lifestyle changes are appropriate, your doctor may recommend: Other research confirms that the FRAX may not consider race sufficiently, contributing to the overall healthcare inequity. ![]() According to some researchers, this can make the calculator less accurate for groups such as African Americans. However, this is a corrective factor that was added to the calculator after it was built based on data from people who are white. For the United States, the calculator also considers racial groups, which have different degrees of risk for fractures. A lower FRAX score, but at a younger age, may also require treatment or a doctor’s supervision.Ī breakdown of the scores by country is available on the FRAX website. Your score is then plotted on a graph that suggests whether you should get treatment or make lifestyle changes to manage your risk.Ī FRAX score of more than 5% for a hip fracture at age 70 and beyond means you should consider treatment along with lifestyle changes. You’ll receive a 10-year risk percentage of a major osteoporotic fracture and a 10-year risk percentage of a hip fracture. In addition, some conditions besides osteoporosis can increase the chance of fractures, such as:Īfter you or your doctor fills in your information on the questionnaire, your FRAX score will be calculated. Bone mineral density (BMD): On the questionnaire, you must select what type of bone density scan you had and then fill in your score.Unfortunately, they can also interfere with the formation of new bone tissue and with your absorption of calcium. Glucocorticoids: These medications treat allergies, autoimmune conditions, and other health problems.Parent fractured hip: If your mother or father had a hip fracture, your risk of a similar injury is higher.It will also be higher if you’ve broken a bone caused by trauma that would not usually cause a fracture in a healthy person. Fracture history: Your FRAX score will be higher if you’ve had a fracture that occurred spontaneously.Vitamin deficiency: not having enough vitamin D or calcium.Substance use: having a history of smoking and drinking too much alcohol or coffee.Sex: FAABs have a higher chance of developing fractures, especially if they have osteoporosis and are older adults.Your height-to-weight ratio can help determine how frail you are or whether you are too overweight. Weight: Having low weight and being frail raise your risk of osteoporosis.Age: being over 50 because the loss of bone mass increases as you age.For each country, the questionnaire can vary based on different risk factors. You can select those that apply to you in the FRAX questionnaire. ![]() In addition, the formula that FRAX uses is based on several other factors that can increase your chance of a fracture. Learn more about the chance of bone fractures from osteoporosis. The FRAX score can give you a better idea of your risk. A bone mineral density (BMD) test can show how much weaker your bones have become. These percentages were higher in older adults.Ī diagnosis of osteoporosis isn’t a guarantee that you’ll have a fracture. In a 2019 cohort study, researchers found that 21% and 16% of total fractures in women and men, respectively, were related to the disease. The loss of bone mass makes them weaker and more likely to break if you fall or are otherwise injured. Your bones become more brittle, usually due to hormonal changes or reduced levels of calcium or vitamin D. Osteoporosis, which means “porous bone,” is a particular risk factor for fractures.
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