Summary of Recommendations and Evidence
| Population | Women 65 years or older without previous ... | Women younger than 65 years whose 10-yea ... | Men without previous known osteoporosis |
| Recommendation | Screen | Screen | No recommendation |
| Risk assessment | As many as one in two postmenopausal wom ... | As many as one in two postmenopausal wom ... | As many as one in two postmenopausal wom ... |
| Screening tests | Current diagnostic and treatment criteri ... | Current diagnostic and treatment criteri ... | Current diagnostic and treatment criteri ... |
Who is most at risk for developing osteoporosis?
Risk Factors for Osteoporosis
- Advanced age. The process of bone growth (called bone remodeling) naturally slows down as a person ages, creating a higher risk for osteoporotic fractures after age 65. ...
- Sex. ...
- Family and personal history of fractures. ...
- Genetic predisposition to low bone density. ...
- Menopause. ...
- Menstrual history in females. ...
- Low testosterone in males. ...
- Race. ...
Who has higher risk of osteoporosis?
Men and women who have small body frames tend to have a higher risk because they might have less bone mass to draw from as they age. Osteoporosis is more common in people who have too much or too little of certain hormones in their bodies. Examples include: Sex hormones. Lowered sex hormone levels tend to weaken bone.
Who is at risk of having osteoporosis?
You're at greatest risk of osteoporosis if you're white or of Asian descent. Family history. Having a parent or sibling with osteoporosis puts you at greater risk, especially if your mother or father fractured a hip. Body frame size. Men and women who have small body frames tend to have a higher risk because they might have less bone mass to draw from as they age. Hormone levels
Who should be screened for carotid disease?
When should I get screened for carotid artery disease? If you're aged 55 or over, you should get screened for carotid artery disease as soon as you can. If you are aged 40+ and exhibit two or more risk factors — or if you just want to be proactive about your health — get screened.
Who should be tested for osteoporosis?
The U.S. Preventive Services Task Force (USPSTF) recommends screening for osteoporosis in women 65 years or older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman with no additional risk factors (Table 1).
Who is a candidate for osteoporosis?
Women over the age of 50 are the most likely people to develop osteoporosis. The condition is 4 times as likely in women than men. Women's lighter, thinner bones and longer life spans are part of the reason they have a higher risk. Men can get osteoporosis, too -- it's just less common.
What are the national guidelines for osteoporosis screening?
Summary of Recommendations and Evidence The U.S. Preventive Services Task Force (USPSTF) recommends screening for osteoporosis in women 65 years or older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman with no additional risk factors (Table 1).
Who is more at risk for osteoporosis?
Women are more at risk of developing osteoporosis than men because the hormone changes that happen at the menopause directly affect bone density. The female hormone oestrogen is essential for healthy bones. After the menopause, oestrogen levels fall. This can lead to a rapid decrease in bone density.
Which client is most at risk for osteoporosis?
Slender, thin-boned women and men are at greater risk to develop osteoporosis because they have less bone to lose compared to larger boned women and men. Race. White and Asian women are at highest risk.
What age should you get tested for osteoporosis?
Bone density tests are recommended for all women age 65 and older, and for younger women at higher-than-normal risk for a fracture. Men may want to discuss osteoporosis screening with their doctor if they're over age 70 or at high risk for thinning bones.
What age DEXA scan is recommended?
Guidelines from multiple organizations, including the American College of Obstetrics and Gynecology (ACOG) (2004), the U.S. Preventive Services Task Force (USPSTF), and the National Osteoporosis Foundation (NOF), recommend beginning duel-energy x-ray absorptiometry (DEXA) screening for osteoporosis at age 65 in women ...
Is bone density test considered preventive?
Who Should Have a Bone Density Test? According to the U.S. Preventive Services Task Force, BMD tests are recommended for: All women ages 65 and older. Younger women with a higher-than-normal chance of fracture for their age.
When should women get osteoporosis tested?
Independent medical experts now recommend that women wait until age 65 to be screened for osteoporosis, but these earlier campaigns convinced providers that women in their 40s and 50s needed screening.
When do women lose bone mass?
Bone mass peaks around age 30 and then declines – women tend to lose bone most rapidly during menopause.
What is the condition that makes bones fragile?
Osteoporosis is a condition that causes bones to become fragile and susceptible to breaking. Fractures, and the consequent pain and disability they cause, can seriously affect a person’s health and quality of life. Women are more likely to develop osteoporosis than men, and some women experience fractures that could have been prevented ...
Is osteoporosis a disease?
Often, osteoporosis is defined as a disease of low bone density. The NWHN rejects this definition – while bone density is one contributing factor to bone strength, reduced bone density is just one of many bone characteristics that can contribute to fracture.
Is a dexa scan safe?
DEXA scans are safe and pose no health risk. However, their methodology almost guarantees that the scan will reveal bone loss. The test produces a number called a T score, which shows how far away a woman’s bone density is from that of a healthy young woman.
Is osteoporosis more common in women than men?
Women are more likely to develop osteoporosis than men, and some women experience fractures that could have been prevented if their osteoporosis had been detected and treated. However, not every woman who is warned about bone thinning needs to be worried.
What factors are considered when screening for osteoporotic fractures?
These include parental history of hip fracture, smoking, excessive alcohol consumption, and low body weight.
Which bone measurement test is most accurate for predicting osteoporotic fractures in women and men?
The USPSTF found convincing evidence that bone measurement tests are accurate for predicting osteoporotic fractures in women and men. The most commonly used test is central dual-energy x-ray absorptiometry (DXA) of the hip and lumbar spine.
What is the USPSTF recommendation?
The USPSTF has made recommendations on interventions to prevent falls in community-dwelling older adults and the use of vitamin D, calcium, or combined supplementation for the primary prevention of fractures in community-dwelling adults.
What are the risk factors for osteoporotic fractures?
Risk Assessment. Risk factors for osteoporotic fractures include parental history of hip fracture, smoking, excess alcohol consumption, and low body weight. In addition, menopausal status in women is also an important consideration. For postmenopausal women younger than 65 years who have at least 1 risk factor, ...
What age group is at risk for osteoporosis?
Postmenopausal women younger than 65 years at increased risk of osteoporosis. The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in postmenopausal women younger than 65 years who are at increased risk of osteoporosis, as determined by a formal clinical risk assessment tool.
Does osteoporosis reduce fractures?
Multiple studies show that drug therapies reduce fractures in postmenopausal women with osteoporosis. For women 65 years and older, the USPSTF found convincing evidence that screening can detect osteoporosis and that treatment of women with osteoporosis can provide at least a moderate benefit in preventing fractures.
Is screen detected osteoporosis good for women?
The benefit of treating screen-detected osteoporosis is at least moderate in women 65 years and older and in younger postmenopausal women who have similar fracture risk. The harms of treatment range from no greater than small for bisphosphonates and parathyroid hormone to small to moderate for raloxifene and estrogen.
