Community FRAX
Centre for Osteoporosis & Bone Health, Ibadan
Step 1 of 8 ~4 minutes
Section 1 of 8
Personal information
Basic details about the person being assessed. Family members can fill this in on behalf of a relative.
Yes
No
Not sure
Section 2 of 8
Age, sex & body measurements
FRAX uses age and body weight to calculate bone load and hormonal fracture risk.
Age yrs
4070100
Female
Higher risk after menopause due to oestrogen loss
Male
Often under-diagnosed; risk rises sharply after 70
Weight kg
3090150
Height cm
130165200
Body Mass Index
24.1
Normal range
Section 3 of 8
Previous fracture history
A prior fracture is one of the strongest predictors of a future fracture. Even minor breaks from a low fall count.
Yes
Includes wrist, hip, spine, shoulder or any fragility fracture
No
Not sure
Yes
Parental hip fracture roughly doubles risk
No
Not sure
Section 4 of 8
Lifestyle & habits
Daily habits meaningfully affect bone density and fracture risk.
Yes — currently smokes
Smoking reduces oestrogen and impairs calcium absorption
Former smoker
Never smoked
3 or more drinks per day
Heavy alcohol use directly damages bone-forming cells
1–2 drinks per day
Rarely or never
Mostly sitting — very little daily movement
Inactivity weakens bones over time
Light — short walks, household chores
Moderate — regular walking, market, farm work
Active — daily exercise or manual labour
Rarely goes outdoors
Low sun exposure reduces Vitamin D, weakening bones
Some daily outdoor time
Regular outdoor time daily
Section 5 of 8
Medical history
Certain conditions strongly affect bone health. Answer based on known diagnoses.
Rheumatoid arthritis
Directly counted in FRAX — significantly raises risk
Type 2 diabetes
Impairs bone quality independent of density
Hyperthyroidism (overactive thyroid)
Malabsorption / gut disease
e.g. Coeliac, Crohn's, chronic diarrhoea — reduces calcium absorption
Chronic kidney disease
HIV / on antiretroviral therapy
Both HIV and some ARVs are linked to lower bone density
Sickle cell disease
None of the above
Section 6 of 8
Medications
Several common medications reduce bone density with prolonged use.
Yes
Oral steroids are the most common drug cause of osteoporosis
No
Not sure
Anti-epileptic / seizure medication
Aromatase inhibitors (breast cancer treatment)
Acid reflux medication (omeprazole, lansoprazole)
Long-term use reduces calcium absorption
Blood thinners (heparin) — long-term
None of the above
Section 7 of 8
Falls & functional status
Fall risk is the bridge between fragile bones and an actual fracture.
No falls
1 fall
2+ falls
Two or more falls in a year significantly raises fracture risk.
Walks without any support
Uses a walking stick or frame
Rarely leaves home / mostly seated
Yes
May indicate spine fractures that went unnoticed
No
Not sure
Yes
No
Slippery or uneven floors
No handrails on stairs
Poor lighting at night
Loose mats or rugs
No known hazards
Section 8 of 8
Nutrition & diet
Calcium and Vitamin D are the foundations of bone health, and diet strongly affects both.
Daily
A few times a week
Rarely or never
Low dairy intake is common in West Africa and lowers calcium intake
Regularly — several times a week
Occasionally
Rarely or never
Most days
A few times a week
Rarely or never
Calcium supplements
Vitamin D supplements
No supplements

Ready to send

Your assessment summary is ready to send to the Centre for Osteoporosis and Bone Health, Ibadan.

What happens next

  • A coordinator reviews your message and calls you back
  • High-risk cases are prioritised for DEXA scanning
  • You may be invited to a nearby bone-health support session
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