Table 1 Factors That Identify People Who Should Be Assessed for Osteoporosis
Major Risk Factors | Minor Risk Factors |
|---|---|
Age >65 yr | Rheumatoid arthritis |
Vertebral compression fracture | Past history of clinical hyperthyroidism |
Fragility fracture after age 40 yr | Chronic anticonvulsant therapy |
Family history of osteoporotic fracture (especially maternal hip fracture) | Low dietary calcium intake |
Systemic glucocorticoid therapy of >3 mo duration | Smoker |
Malabsorption syndrome | Excessive alcohol intake |
Primary hyperparathyroidism | Excessive caffeine intake |
Propensity to fall | Weight < 57 kg |
Osteopenia apparent on radiograph | Weight loss >10% of weight at age 25 yr |
Hypogonadism | Chronic heparin therapy |
Early menopause (before age 45 yr) | Â |