Template only — not medical advice. Always review with a licensed healthcare professional before distributing.
Want to customize this handout for your clinic?
Sign in free to edit, add your clinic branding, and save your own version.
Osteoporosis Screening for Older Women: Bone Density Testing Guide
Summary
Osteoporosis is a condition that weakens bones, making them fragile and more likely to break. Screening through a bone density test helps detect this early, especially in women aged 65 and older. The test is simple, quick, and painless. Regular screening can prevent fractures and maintain bone health. Based on the latest NOFS guidelines for 2024, women younger than 65 with certain risk factors should also consider screening.
What Is This & Why It Matters
Osteoporosis screening is a way to check the strength of your bones as you age. A common method for this is the DXA (dual-energy X-ray absorptiometry) scan. It's important because it can reveal early signs of bone thinning, which could lead to fractures if not addressed. By catching this early, you can take steps to strengthen your bones and reduce the risk of fractures.
What You Should Do
- Schedule a DXA scan if you're 65 or older or have risk factors before age 65.
- Take 1200 mg of calcium daily to support bone health.
- Ensure you get 800 IU of vitamin D each day to help calcium absorption.
- Engage in weight-bearing exercises like walking or light weight lifting regularly.
- Discuss your risk factors with your healthcare provider during routine visits.
- Plan to repeat your bone density test every two years or as advised by your doctor.
What You Should NOT Do
- Don't skip your scheduled screenings even if you feel well.
- Avoid smoking, as it can weaken bones further.
- Don't rely solely on supplements; a balanced diet is crucial too.
- Refrain from excessive alcohol consumption; it can affect bone health.
- Don't ignore symptoms like back pain or loss of height.
Symptoms: Normal vs Warning Signs
Normal (Don't Worry)
- Mild discomfort during the DXA scan process is normal.
- No immediate changes after starting supplements; they work over time.
- Feeling slightly tired after exercise as your body adjusts is expected.
- Temporary mild muscle soreness after exercise is common.
Call Your Doctor If...
- Sudden back pain that doesn't go away could indicate a fracture.
- Loss of height over an inch should be reported quickly.
- New or worsening joint pain requires medical attention.
- Persistent discomfort in any limb needs evaluation.
- Noticeable changes in posture such as stooping should be assessed.
FAQ
What exactly is a DXA scan?
A DXA scan measures bone density using a special X-ray to check for thinning bones.
Why do I need this test at 65?
At 65, women are at higher risk for osteoporosis, and early detection helps prevent fractures.
How often should I have a bone density test?
Every two years is typical unless your doctor recommends differently based on risk factors.
Can men get osteoporosis too?
Yes, men can also develop osteoporosis, but it's more common in women post-menopause.
What are weight-bearing exercises?
These are activities like walking or dancing that help improve bone strength by making you move against gravity.
Do I need to fast before a DXA scan?
No fasting is required before the test; you can eat normally.
Can supplements replace healthy eating?
Supplements support but don't replace a balanced diet rich in calcium and vitamin D.