European Journal of Cardiovascular Medicine

Introduction: Osteoporosis represent a continuum of conditions that present with a decrease in bone mass and disrupted bone microarchitecture most commonly as a result of increased age, menopause and metabolic abnormalities. Diagnosis is made with a DEXA scan having a T-score of >2.5 standard deviations below the peak bone mass of a 25 year old individual. Fracture risk assessment tool (FRAX) is another online tool which is used for probability of neck of femur fracture in an individual upto 10 years. Materials and methods: 806 patients of age group from 40 years to 90 years were selected for the study. 388 were male and 418 were female were included in the study. Bone mineral density was measured by DEXA scan at femoral neck and then FRAX score was calculated. Results: In our study, 20.9% of males and 17.2% females were osteopenic which were in the age group of 40 to 50 years. Incidence of osteoporosis was maximum in 7.2% males being in age group 40 to 50 years and 7.2% females in 51 to 60 years age group. Probability of major osteoporotic fractures was more in four females and there was no probability of osteoporotic fractures in males for upto 10 years. Conclusion: Development of the FRAX tool enables physicians working in primary health care to calculate the future risk of osteoporotic fractures in patients through the integration of a range of clinical risk factors with or without BMD measurements. Nevertheless, the FRAX tool should not replace the detailed clinical evaluation and additional clinical factors that are not currently included in the FRAX models.