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APCO members partaking in events to ‘Build Better Bones’ on World Osteoporosis Day 2023

WOD 2023 Collage Blog Thumbnail 1

Last Friday, October 20, 2023, members of the Asia Pacific Consortium on Osteoporosis (APCO) celebrated World Osteoporosis Day (WOD). This annual global campaign, coordinated by the International Osteoporosis Foundation (IOF), aims to raise much-needed awareness of the prevention, diagnosis, and treatment of osteoporosis and fragility fractures.

This year IOF’s WOD campaign is centered around the theme of “Building Better Bones” and this can be achieved through the collective efforts of both patients and healthcare professionals. It was wonderful to witness numerous APCO members taking proactive steps to raise awareness about the significance of early detection and treatment of osteoporosis. This is particularly crucial in the Asia Pacific region, where over the next two decades, a staggering 319 million people aged 50 years and over are projected to be at high risk of osteoporotic fracture due to the rapidly ageing population, mounting urbanization, and subsequent increase in sedentary lifestyles. WOD therefore, provides a strong platform to raise awareness of this important public health cause.

Keep reading to learn how some of our APCO members representing 23 countries and regions throughout the Asia Pacific, celebrated this important occasion – namely Australia, Mongolia, Myanmar, Philippines, Singapore, and Thailand.

 

Australia

Left to right: Dr Shoshana Sztal-Mazer, consumer advocate Carole David, Hon Emma McBride MP, Dr Weiwen Chen, Greg Lyubomirsky, Sally Pearson, Prof. Peter Ebeling AO and consumer advocate Rosemary Crane

In the lead-up to WOD 2023, Healthy Bones Australia (HBA) launched the ‘Know Your Bones Community Risk Report’ Third Edition 2023. The event presented results from the new report which summarises data from more than 104,000 Australians who have completed the Know Your Bones online self-assessment tool. The report was launched at the Parliament House in Canberra on October 19, 2023, with many key stakeholders present, including Ministers, members of the Australian government, patients, clinicians, and some partner organizations. Dual World and Olympic champion hurdler, Sally Pearson, OAM, was present at the event with a message that urges Aussies to “know your bones” this World Osteoporosis Day 2023.

Snippets of the event organized by HBA.

The launch was a great success with the strong interest and support of the members of the Federal government. The press coverage was unprecedented across major national TV and radio channels. The HBA’s CEO, and APCO Executive Committee member, Greg Lyubomirsky thanked all guests for attending and outlined the report findings and the event included a video message of support for Healthy Ageing Advocate Ita Buttrose. Presentations included Olympic and World Champion Sally Pearson, who experienced a serious fracture during her professional hurdling career, and The Hon Emma McBride MP Assistant Minister for Rural and Regional Health who officially launched the report. Patient Advocates Carole David and Rosemary Crane also attended to support the prevention message and release of the report findings.

Prof Peter Ebeling, Chair of HBA and APCO Executive Committee member, who was also present at the launch, said “The report is showing gaps in care. I encourage policymakers, health professionals, and the community to remain focused on preventing fractures and building healthier bones

 

Mongolia

A snippet of Dr. Myadagmaa Jaalkhorol’s TV interview on MNC TV which was broadcast on October 20, 2023

In Mongolia, Dr. Myadagmaa Jaalkhorol, APCO Committee member and President Mongolian Naran Society of Osteoarthritis and Musculoskeletal Health, gave a speech during a TV interview on Mongolian News Channel (MNC). In the 10-minute interview that was broadcast on October 20, 2023, Dr. Myadagmaa Jaalkhorol educated the public about Osteoporosis and its risk factors. She also shared about some preventive measures that can be taken such as including milk and dairy products in a person’s diet.

This collage includes the members of the Mongolian Naran Society for Osteoarthritis and Musculoskeletal Health, the Mongolian-Japanese Hospital of MNUMS, the Suu JSC Management team and the Denk Pharma Mongolia team.

The interview occurred during the WOD opening ceremony at the event organised by the Mongolian Naran Society for Osteoarthritis and Musculoskeletal Health, and the Mongolian-Japanese Hospital of MNUMS. Clinicians from the participating organizations evaluated the knowledge and risk factors of 500 ambulatory clients about osteoporosis. The International Osteoporosis Foundation’s osteoporosis risk assessment and health improvement recommendations were translated from English to Mongolian and questionnaires were collected from outpatient clients. Clinicians also measured participating patients’ Bone Mineral Density (BMD) tests and provided their consulting services on Osteoporosis. Ambulatory clients who were diagnosed with osteoporosis were encouraged to consume osteoporosis-preventing milk and dairy products. The event’s golden sponsor Suu JSC, provided 2000 milk and dairy products which were distributed to the patients.

 

Myanmar

This collage contains snippets of the launch of the Myanmar Clinical Practice Guideline for Management of Osteoporosis and Fragility Fracture.

In conjunction with this year’s WOD, the Myanmar Society of Endocrine & Metabolism (MSEM) and Myanmar Diabetes Association (MMDA) celebrated by launching of Myanmar Clinical Practice Guideline for Management of Osteoporosis and Fragility Fracture. The launch occurred during the Hybrid Symposium on “Update Management of Osteoporosis” in commemoration of World Osteoporosis Day 2023 which was held at Melia Hotel on October 15, 2023. The symposium was attended by 308 clinicians (198 virtual attendees and 110 in-person attendees) across various disciplines. APCO committee members, Dr Tet Tun Chit and Prof Moe Wint Aung were part of this momentous occasion. Prof Moe Wint Aung expressed gratitude towards Prof Manju Chandran – Chairperson APCO, for providing her expert input during the development of the Guidelines.

Clinicians from Yangon General Hospital who were part of the educational video on Osteoporosis

To commemorate WOD 2023, a public health talk video was recorded by a multidisciplinary team of clinicians from Yangon General Hospital, Myanmar. The panel consisted of an Endocrinologist, a Physical Medicine specialist, an Orthopaedic surgeon, a Geriatrician, and a Nutrition specialist. The educational video about “How to prevent Osteoporosis” was recorded and posted on the Facebook page of the event sponsor, Mega Nutra & We care.

Free assessments of bone health and fracture risk were provided at the Grand Hantha International Hospital, Myanmar on October 19, 2023. FRAX plus were calculated and DXA scan were conducted. 150 people took advantage of the free assessments, and free counselling was done for those who is eligible for treatment.

 

Philippines

This picture captures the public education session organized by the Osteoporosis Society of the Philippines Foundation Inc. (OSPFI).

In the Philippines, APCO committee member, Prof. Leilani Asis and the Osteoporosis Society of the Philippines Foundation Inc (OSPFI) in partnership with other healthcare professionals and advocacy groups came together to educate and engage in activities that emphasized bone health. Online webinars and virtual seminars provided accessible information on osteoporosis prevention, diagnosis, and treatment. Experts highlighted the importance of a balanced diet, exercise, and lifestyle choices in maintaining strong bones.

There were organized bone density screenings and distribution of informational materials and resources to those at risk. These efforts aimed to reach those who might be unaware of their vulnerability to the condition.

Bone density screenings were conducted on event participants.

While the COVID-19 pandemic necessitated some alterations in the way World Osteoporosis Day was celebrated, the commitment to preventing and managing osteoporosis remained unwavering. Through virtual and on-ground activities, the day succeeded in spreading awareness and fostering a sense of collective responsibility for bone health. It’s a testament to the resilience and adaptability of communities when it comes to addressing significant public health issues.

 

Singapore

Snippets of Prof Manju Chandran and her colleagues at the 2023 Singapore General Hospital (SGH) Public Forum on Osteoporosis.

In Singapore, the annual Singapore General Hospital (SGH) Public Forum on Osteoporosis had its 16th iteration ahead of World Osteoporosis Day (WOD) on October 7, 2023. The forum which is now a hallowed tradition, was again a resounding success. Organized by the Osteoporosis and Bone Metabolism Unit of the Department of Endocrinology at SGH, this year, the forum had talks on Osteoporosis by Prof Manju Chandran, exercise by Dr Cindy Ng, and Nutrition for bone health by Dietitian Ms Wang Xuan. The audience, which was highly committed and enthusiastic, demonstrated unmatched enthusiasm to learn more about how to build better bones. The interactive games session led by the Osteoporosis Nurse Clinicians – Huang Xiao Feng and Liu Xiao Ming was a massive hit with people gathering around the various stations and taking part in quizzes and activities that tested the knowledge they had acquired during the forum.

On the left, the picture features Mr Teddy Bones and on the right participants of the forum partaking in discussions.

Another huge attraction was Mr. Teddy Bones – our WISH BONE (Women and Men in Support of Healthy Bones) Support Group’s Mascot Bear. 30 limited edition versions of him got sold in minutes – the money going directly to our SGH Needy patient fund. The forum ended with Prof Manju Chandran – Senior Consultant Endocrinologist and Director of the Osteoporosis and Bone Metabolism Unit, thanking the Scientific Endorsers of the forum – the International Osteoporosis Foundation, Asia Pacific Consortium on Osteoporosis, the Osteoporosis Society Singapore, WISH BONE – the Osteoporosis Support Group at SGH and the Chapter of Endocrinologists, College of Physicians Singapore.

 

Thailand

A snippet of the presentation on APCO at the forum by Dr. Tanawat Amphansap.

On the occasion of World of Osteoporosis Day 2023, Dr. Tanawat Amphansap, APCO committee member, gave a presentation on the topic of “APCO: Asia-Pacific clinical standard assessment and management in osteoporosis” to orthopaedic surgeons and healthcare personnel during The 45th Annual meeting of the Royal College of Orthopaedic Surgeons of Thailand (RCOST) and the 43rd Annual meeting of ASEAN Orthopaedic Association. The meeting was held at the Royal Cliff Hotel, Thailand.

Approximately 70 physicians and health care providers attended the presentation organized by Dr. Tanawat Amphansap on October 20, 2023. There were also talks on the subject of Metabolic Bone Disorders, on Orthogeriatric care, including a talk on the current osteoporosis care pathway.

 

Every year, WOD provides an opportunity for APCO members to come together, raise awareness of this important cause, and to celebrate their many achievements to date. It is heartening to see the different cultural approaches and executions in celebrating this global health initiative across our member nations and regions.

To learn more about APCO’s commitment to developing tangible solutions to the substantive challenges involving osteoporosis management and fracture prevention in the most populated and fastest-growing region of the world, head to: apcobonehealth.org and follow us on LinkedIn.

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Low Calcium Intake

Reference 1: This review examined calcium intake among adults around the world and found that many populations do not consume enough calcium to support good bone health. The authors highlight that low calcium intake is particularly common in many Asian countries, where average intakes are often well below recommended levels. Because calcium is essential for building and maintaining strong bones, inadequate intake may increase the risk of osteoporosis and fractures. The study emphasises the importance of promoting calcium rich foods and other practical ways to help people meet their daily calcium needs.

Citation: Balk EM, Adam GP, Langberg VN, et al. “Global dietary calcium intake among adults: a systematic review.” Osteoporos Int. 2017 Dec;28(12):3315-3324. doi: 10.1007/s00198-017-4230-x. Epub 2017 Oct 12. Erratum in: Osteoporos Int. 2018 May;29(5):1223. doi: 10.1007/s00198-018-4447-3. PMID: 29026938; PMCID: PMC5684325.


Reference 2: This review explores the important role of calcium in maintaining healthy bones throughout life. The authors explain that adequate calcium intake helps build and maintain bone strength, while long term low intake may contribute to bone loss and increase the risk of fractures. The paper also discusses the importance of obtaining calcium from a balanced diet, with supplements considered when dietary intake is insufficient. Overall, the review reinforces that meeting daily calcium needs is an important part of supporting lifelong bone health.

Citation: Cormick G, Belizan JM. “Calcium Intake and Health.” Nutrients. 2019 Jul 15;11(7):1606. doi: 10.3390/nu11071606. PMID: 31311164; PMCID: PMC6683260.


Reference 3: This review explores how common calcium deficiency is around the world and the impact it can have on health. The authors explain that many people do not consume enough calcium, particularly in low and middle income countries, increasing the risk of poor bone health and fractures. The paper highlights the importance of consuming enough calcium throughout life to help build and maintain strong bones. It also emphasises the need for practical strategies, such as improving access to calcium rich foods, fortified foods, and nutrition education, to help people meet their daily calcium needs.

Citation: Shlisky J, Mandlik R, Askari S, et al. “Calcium deficiency worldwide: prevalence of inadequate intakes and associated health outcomes.” Ann N Y Acad Sci. 2022 Jun;1512(1):10-28. doi: 10.1111/nyas.14758. Epub 2022 Mar 5. PMID: 35247225; PMCID: PMC9311836.

High Sodium Intake

Reference 1: This review explored whether eating too much salt affects bone health in postmenopausal women. The authors found that while high salt intake may increase calcium loss from the body, there is currently not enough high quality evidence to clearly determine its long term effects on bone mineral density or fracture risk. The paper highlights the need for more research to better understand this relationship. In the meantime, following general recommendations to limit excessive salt intake remains an important part of maintaining overall health.

Citation: Imash D, Gusmanov A, Chan MY. “High salt intake and bone health in postmenopausal women: exposing the lack of studies – a systematic review and meta-analysis.” Front Endocrinol (Lausanne). 2025 Nov 19;16:1694539. doi: 10.3389/fendo.2025.1694539. PMID: 41347127; PMCID: PMC12672310.


Reference 2: This study explored whether salt intake was linked to bone health in postmenopausal women in southern India. The authors found that women who consumed more salt were more likely to have weaker bones, poorer bone structure, osteoporosis, and vertebral fractures. These findings suggest that excessive salt intake may be associated with poorer bone health in this population. The study adds to growing evidence that a balanced diet, including limiting excess salt, may help support healthy bones.

Citation: John R, Cherian KE, Kapoor N, et al. “Excess dietary salt is associated with an altered bone strain index, degraded bone microarchitecture, vertebral fractures, and increased prevalence of osteoporosis in postmenopausal women – A study from a teaching hospital in southern India.” Aging Med (Milton). 2024 Oct 10;7(5):606-613. doi: 10.1002/agm2.12360. PMID: 39507226; PMCID: PMC11535168.

Lower Protein Intake Among Older Adults

Reference 1: This review explored how protein intake and regular exercise can help slow the progression of age-related muscle loss in older adults living in the community. The authors found that combining adequate protein with strength or resistance exercise was more effective than either approach alone in helping to maintain muscle strength and physical function. The paper highlights that preserving muscle health is important for reducing the risk of falls, fractures, and loss of independence. It also reinforces the value of healthy lifestyle habits in supporting active and healthy ageing.

Citation: Li L, He Y, Jin N, Li H, Liu X. “Effects of protein supplementation and exercise on delaying sarcopenia progression in Asian community-dwelling older adults.” Food Chem X. 2022 Jan 20;13:100210. doi: 10.1016/j.fochx.2022.100210. PMID: 35128383; PMCID: PMC8808080.


Reference 2: This consensus paper encourages a broader focus on maintaining muscle health throughout life rather than only identifying or treating sarcopenia after it develops. The authors explain that healthy muscles are essential for mobility, balance, independence, and overall wellbeing, especially as people age. The paper highlights the importance of regular physical activity, good nutrition, and early action to help preserve muscle strength and function. It also encourages healthcare professionals and the public to view muscle health as an important part of healthy ageing alongside bone health.

Citation: Chen LK, Hsiao FY, Akishita M, et al. “A focus shift from sarcopenia to muscle health in the Asian Working Group for Sarcopenia 2025 Consensus Update.” Nat Aging. 2025 Nov;5(11):2164-2175. doi: 10.1038/s43587-025-01004-y. Epub 2025 Nov 4. PMID: 41188603.

High Prevalence of Lactose Intolerance

Reference 1: This review explores how lactose intolerance may affect bone health. The authors explain that people who avoid dairy because of lactose intolerance may miss out on important nutrients, particularly calcium, if these nutrients are not replaced from other foods. The paper highlights that getting enough calcium is important for maintaining strong bones and reducing the risk of fractures. It also emphasises that there are many ways to meet calcium needs, including lactose free dairy products and other calcium rich foods.

Citation: Hodges JK, Cao S, Cladis DP, Weaver CM. “Lactose Intolerance and Bone Health: The Challenge of Ensuring Adequate Calcium Intake.” Nutrients. 2019 Mar 28;11(4):718. doi: 10.3390/nu11040718. PMID: 30925689; PMCID: PMC6521087.


Reference 2: This review explores whether drinking milk can help support bone health in Asian populations, particularly those at higher risk of osteoporosis. The authors highlight that many people in Asia consume less milk than recommended, which may contribute to lower calcium intake and poorer bone health. The paper explains that milk provides important nutrients for strong bones and discusses practical options for people who cannot tolerate regular milk, such as lactose free milk and yoghurt. Overall, the review suggests that finding suitable ways to include dairy or alternative calcium rich foods in the diet may help support lifelong bone health.

Citation: Jiao H, Xu Y, Zhang Y, et al. “Is it advisable for Asians to drink milk, especially those at risk of osteoporosis?” Front Nutr. 2025 Jun 25;12:1586623. doi: 10.3389/fnut.2025.1586623. PMID: 40635901; PMCID: PMC12239142.


Reference 3: This review explores ways to protect bone health in populations where calcium and vitamin D intake is often too low. The authors explain that getting enough of these nutrients is essential for building and maintaining strong bones, yet deficiencies remain common in many parts of the world. The paper highlights that healthy eating, safe sun exposure, regular physical activity, and, where needed, fortified foods or supplements can all help support bone health. It also emphasises the importance of public health efforts to improve awareness and make nutritious foods more accessible, particularly for people at greater risk of osteoporosis.

Citation: Yeum KJ, Ju S, Choe U. “Strategies for preventing bone loss in populations with inadequate calcium and vitamin D intake.” Nutr Res Pract. 2025 Apr;19(2):155-169. doi: 10.4162/nrp.2025.19.2.155. Epub 2025 Mar 13. PMID: 40226767; PMCID: PMC11982687.

Vitamin D Deficiency Despite Sunshine

Reference 1: This review examined how common vitamin D deficiency is around the world and found that it remains a widespread public health concern. The authors explain that many people do not get enough vitamin D because of factors such as limited sun exposure, diet, and lifestyle. As vitamin D plays an important role in maintaining strong bones and muscles, low levels may increase the risk of poor bone health. The study highlights the importance of improving awareness and ensuring people have adequate vitamin D through safe sun exposure, diet, fortified foods, or supplements when needed.

Citation: Cui A, Zhang T, Xiao P, Fan Z, Wang H, Zhuang Y. “Global and regional prevalence of vitamin D deficiency in population-based studies from 2000 to 2022: A pooled analysis of 7.9 million participants.” Front Nutr. 2023 Mar 17;10:1070808. doi: 10.3389/fnut.2023.1070808. PMID: 37006940; PMCID: PMC10064807.


Reference 2: This review examined vitamin D levels among adults living in South Asia and found that vitamin D deficiency is very common across the region. The authors explain that factors such as limited sun exposure, lifestyle, skin pigmentation, and diet may all contribute to low vitamin D levels. Because vitamin D is essential for maintaining healthy bones and muscles, addressing this deficiency is an important part of supporting lifelong bone health. The study highlights the need for greater awareness and practical strategies to help people achieve adequate vitamin D levels.

Citation: Siddiqee MH, Bhattacharjee B, Siddiqi UR, MeshbahurRahman M. “High prevalence of vitamin D deficiency among the South Asian adults: a systematic review and meta-analysis.” BMC Public Health. 2021 Oct 9;21(1):1823. doi: 10.1186/s12889-021-11888-1. PMID: 34627207; PMCID: PMC8501935.

Vegetarian and Plant-Based Diets

Reference 1: This review explores how vegetarian diets may affect bone health. The authors explain that while well planned vegetarian diets can provide many health benefits, they may also be lower in important nutrients such as calcium, vitamin D, protein, and vitamin B12 if not carefully balanced. The paper highlights that these nutrients play an important role in maintaining strong bones and reducing the risk of fractures. It also emphasises that people following vegetarian diets can support their bone health by choosing a varied, nutrient-rich diet and including fortified foods or supplements when needed.

Citation: Falchetti A, Cavati G, Valenti R, et al. “The effects of vegetarian diets on bone health: A literature review.” Front Endocrinol (Lausanne). 2022 Aug 5;13:899375. doi: 10.3389/fendo.2022.899375. PMID: 35992115; PMCID: PMC9388819.


Reference 2: This review examines how vegetarian diets may influence bone mineral density, a measure of bone strength. The authors explain that people following vegetarian diets may have lower bone mineral density if they do not consume enough nutrients that are important for healthy bones, such as calcium, vitamin D, and protein. However, the paper also highlights that a well planned vegetarian diet can support good bone health when these nutritional needs are met. The review emphasises the importance of choosing a balanced diet to help maintain strong bones throughout life.

Citation: Chuang TL, Lin CH, Wang YF. “Effects of vegetarian diet on bone mineral density.” Tzu Chi Med J. 2020 Sep 16;33(2):128-134. doi: 10.4103/tcmj.tcmj_84_20. PMID: 33912409; PMCID: PMC8059457.


Reference 3: This review examined how vegan and vegetarian diets may affect bone mineral density and fracture risk. The authors found that people following plant based diets, particularly vegan diets, may have lower bone mineral density and a higher risk of fractures if they do not get enough nutrients that support bone health. The paper highlights the importance of consuming adequate calcium, vitamin D, protein, and other key nutrients when following a plant based diet. It also emphasises that well planned vegetarian and vegan diets can support healthy bones when nutritional needs are carefully met.

Citation: Iguacel I, Miguel-Berges ML, Gomez-Bruton A, Moreno LA, Julian C. “Veganism, vegetarianism, bone mineral density, and fracture risk: a systematic review and meta-analysis.” Nutr Rev. 2019 Jan 1;77(1):1-18. doi: 10.1093/nutrit/nuy045. PMID: 30376075.

I Think I Might Be at Risk of Osteoporosis

Why should I ask?

Osteoporosis is often called the silent disease because there are usually no symptoms until a fracture occurs. If you have risk factors, it is important to discuss your bone health before a fracture happens.

Questions to ask your Doctor

1Am I at risk of osteoporosis?
2Should I have a bone health assessment?
3Should I have a DXA scan?
4What lifestyle changes can I make to protect my bones?
5Do I need treatment now or should I wait?

I am experiencing Height Loss, Stooped Posture, or Bone Pain

Why should I ask?

Losing height, developing a stooped posture or experiencing persistent back pain may not simply be part of ageing. These symptoms can sometimes be caused by vertebral fractures that happen without a major injury.

Questions to ask your Doctor

1Could my symptoms be caused by osteoporosis?
2Should I have spinal imaging or a VFA?
3Could I have had a spinal fracture without realising it?
4What treatments are available?
5Can these symptoms be reversed or improved?

I have Risk Factors but my DXA Scan was Normal

Why should I ask?

A normal bone density result does not always mean your bones are healthy. Some people may still be at increased fracture risk because of other risk factors or underlying conditions that affect bone quality.

Questions to ask your Doctor

1Does a normal DXA scan mean I cannot have osteoporosis?
2Why am I still at risk of fractures?
3Should my fracture risk be assessed using other tools?
4Are there additional tests I should have?
5What steps can I take to keep my bones strong?

I am worried about being on an Osteoporosis Medication

Why should I ask?

Many people are concerned about possible side effects of osteoporosis medicines. Understanding both the benefits and risks can help you make an informed decision with your doctor.

Questions to ask your Doctor

1Why are you recommending this medication?
2What are the common side effects?
3How common are the serious side effects?
4What happens if I decide not to take treatment?
5How long will I need to take this medication?

I am going through Menopause

Why should I ask?

Bone loss accelerates during and after menopause because of declining oestrogen levels. Acting early can help maintain bone strength and reduce future fracture risk.

Questions to ask your Doctor

1Does menopause increase my risk of osteoporosis?
2Should I have a DXA scan?
3Am I getting enough calcium and vitamin D?
4Would hormone therapy or another treatment benefit me?
5What lifestyle changes should I make?

I Have Another Medical Condition That May Affect My Bones

Why should I ask?

Some medical conditions can weaken bones, affect bone quality or interfere with the body’s ability to absorb important nutrients. These include diabetes, rheumatoid arthritis, thyroid disease, kidney disease, and celiac disease among others.

Questions to ask your Doctor

1Does my medical condition increase my risk of osteoporosis or fractures?
2Should I have a DXA scan or other bone health tests?
3Are there treatments that can help protect my bones?
4Do I need to take calcium and vitamin D supplements?
5How often should my bone health be monitored?

I take Long-Term Medicines

Why should I ask?

Some medicines can reduce bone strength or increase fracture risk, particularly if they are taken over a long period. Your doctor can help determine whether you need additional monitoring or treatment.

Questions to ask your Doctor

1Could this medication affect my bones?
2Should I have a DXA scan?
3Do I need calcium or vitamin D supplements?
4Should I take medication to help protect my bones?
5How often should my bone density be checked?

I am Falling More Often and am Worried about my Balance

Why should I ask?

Most fragility fractures occur after a fall. Identifying the causes of falls and improving balance and strength can significantly reduce your fracture risk.

Questions to ask your Doctor

1Why might I be falling more often?
2Could my medications be contributing?
3Should my vision or hearing be checked?
4Would physiotherapy or balance training help?
5What can I do at home to reduce my fall risk?

I am an Older Man

Why should I ask?

Although osteoporosis is often thought of as a women’s disease, men can also develop osteoporosis and experience serious fractures. Unfortunately, osteoporosis in men is frequently under-recognised and underdiagnosed.

Questions to ask your Doctor

1Can men develop osteoporosis?
2Should I have a bone density test?
3What are my personal risk factors?
4Do I need treatment to reduce my fracture risk?
5Are there lifestyle changes I should make?

My Blood Tests show Low Vitamin D and/or Low Calcium

Why should I ask?

Vitamin D and calcium play essential roles in maintaining healthy bones. Low levels may contribute to bone loss and increase the risk of fractures if left untreated.

Questions to ask your Doctor

1What may have caused my low vitamin D and/or calcium levels?
2Do I need supplements?
3How much calcium and vitamin D should I be taking?
4Should my levels be checked again?
5Are there other ways I can improve my bone health?