UTAH OSTEOPOROSIS CENTER – HIP FRACTURE RISK for MEN

Based on Lunar Prodigy^TM Dual Energy X-ray Absorptiometer (DXA) Data

Men -- Four Year Prospective Hip Fracture Risk

Age (years)

GREEN: Risk < 1 %

Universal health recommendations *

YELLOW: Risk > 1 %

Treatment needed for significant risks**

RED: Risk > 4 %

Treatment needed (always treat if prior osteoporotic fracture)

De Laet et al. (J Bone Miner Res 1998:1587-93)

Patient Name: ______________________________ Date: ______________

Results (“X” on colored chart)

Femoral Neck: The bone mineral density of _______ gm/cm² has a T-score of _______.

This represents a ___________% current fracture risk for age ________.

Risk Zones

GREEN Age is an independent major risk factor for fracture; therefore a low T-score

(e.g., < -2.0) may have low fracture risk in younger age groups:

* Universal health recommendations:

1200 mg of calcium and Vitamin D 400 IU daily

Regular exercise

No smoking and limit alcohol intake (1-2 drinks/d)

YELLOW Some factors may make fracture more likely than predicted by bone density alone:

** Significant Risk Factors (Strongly consider treatment to prevent osteoporosis):

Family history of osteoporotic fracture (especially maternal hip fracture)

Current use of corticosteroid medication (prednisone or inhaled steroids)

Current smoking

Body weight under 120 pounds

RED Treatment indicated: FDA approved treatments include, for example:

Estrogen, alendronate, risedronate, raloxifene, and calcitonin.

NOTE: Anyone with a prior osteoporotic fracture requires pharmacological treatment regardless of bone density measurement.

References:

Greewald, Barajas. 2000. New bone density report form: Improved diagnosis. Arthritis and Rheumatism, 43:S199.

Greenwald, Barajas. 2000. Better bone density reporting: T score report versus fracture report with outcome analysis. J. Bone and Mineral Research. 15:S401.

This form was modified with permission of Dr. Maria Greenwald.