Fracture Risk Assessment (FRAX) Tool: Difference between revisions
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== Intended Population | == Objective == | ||
FRAX is short for Fracture Risk Assessment. Clinicians use the FRAX calculator to predict the ten year probability of an osteoporosis fracture in a patient. | |||
== Intended Population == | |||
== Method of Use == | == Method of Use == | ||
To use the FRAX calculator, go to the [https://www.sheffield.ac.uk/FRAX/ FRAX website], Click on the dropdown the the CALCULATION TOOL in the top panel and select the continent and country. This can be done in 2 ways | |||
# The palce you were born | |||
# the place you currently live | |||
What you can actually do is do both and then do a comparison, because that is the most accurate way of getting a picture of your bone health. Your country of birth will give you information on genetics leading up to your move. The place where you’re living now gives information on your bone health related to sun exposure and other variables such as diet. | |||
You then enter relevant information into the online calculator: | |||
* Your Age, Date of Birth, Sex, Weight and Height | |||
* Previous and Parent Fracture History | |||
* Current Smoker | |||
* Glucocorticoid Steroid Usage History | |||
* Rheumatoid Arthritis | |||
* Secondary Osteoporosis | |||
* Alcohol Consumption | |||
* Femoral Neck BMD (Bone Mineral Density) Question | |||
** Calculate Score Results | |||
== FRAX Score Interpretation == | |||
Once you do the calculation, you will be given a red box score, and it has what the BMI is. It also lists the 10-year probability of a fracture. | |||
Now that you have your FRAX score, how do you interpret the FRAX score to determine the weight bearing exercises in your MelioGuide Exercise for Better Bones program level? | |||
In [https://melioguide.com/products/exercise-for-better-bones-program/ Exercise for Better Bones], the cardiovascular (or weight bearing) exercise recommendations fall into three categories: | |||
# Low Fracture Risk. | |||
# Moderate Fracture Risk. | |||
# High Fracture Risk. | |||
{{#ev:youtube|6r02weQNPXU}} | {{#ev:youtube|6r02weQNPXU}} | ||
== Reference | === Medications Are Not Considered === | ||
The FRAX calculator does not take into account the usage of medications that could affect bone health. | |||
=== Calcium, Vitamin D, Vitamin K Levels Not Considered === | |||
== How to Adjust the T-Score Result == | |||
The FRAX calculator is often based on specific populations in certain geographic areas. For example, if you use the calculator for the United States the results could be skewed to white females. If you are non-white, you may need to adjust (or normalize) your T Score and enter that adjusted score in the calculator. | |||
I have prepared a second video tutorial on how to do this. You will locate the adjustment tool online at the [http://courses.washington.edu/bonephys/opbmdtz.html following location] | |||
{{#ev:youtube|T96Y42qDTVE}} | |||
== Reference == | |||
== Evidence == | == Evidence == | ||
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=== Responsiveness === | === Responsiveness === | ||
=== Miscellaneous<span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span> | === Miscellaneous<span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span> === | ||
== Links == | == Links == | ||
Revision as of 11:24, 24 January 2021
Original Editor - User Name
Top Contributors - Carin Hunter and Kim Jackson
Objective[edit | edit source]
FRAX is short for Fracture Risk Assessment. Clinicians use the FRAX calculator to predict the ten year probability of an osteoporosis fracture in a patient.
Intended Population[edit | edit source]
Method of Use[edit | edit source]
To use the FRAX calculator, go to the FRAX website, Click on the dropdown the the CALCULATION TOOL in the top panel and select the continent and country. This can be done in 2 ways
- The palce you were born
- the place you currently live
What you can actually do is do both and then do a comparison, because that is the most accurate way of getting a picture of your bone health. Your country of birth will give you information on genetics leading up to your move. The place where you’re living now gives information on your bone health related to sun exposure and other variables such as diet.
You then enter relevant information into the online calculator:
- Your Age, Date of Birth, Sex, Weight and Height
- Previous and Parent Fracture History
- Current Smoker
- Glucocorticoid Steroid Usage History
- Rheumatoid Arthritis
- Secondary Osteoporosis
- Alcohol Consumption
- Femoral Neck BMD (Bone Mineral Density) Question
- Calculate Score Results
FRAX Score Interpretation[edit | edit source]
Once you do the calculation, you will be given a red box score, and it has what the BMI is. It also lists the 10-year probability of a fracture.
Now that you have your FRAX score, how do you interpret the FRAX score to determine the weight bearing exercises in your MelioGuide Exercise for Better Bones program level?
In Exercise for Better Bones, the cardiovascular (or weight bearing) exercise recommendations fall into three categories:
- Low Fracture Risk.
- Moderate Fracture Risk.
- High Fracture Risk.
Medications Are Not Considered[edit | edit source]
The FRAX calculator does not take into account the usage of medications that could affect bone health.
Calcium, Vitamin D, Vitamin K Levels Not Considered[edit | edit source]
How to Adjust the T-Score Result[edit | edit source]
The FRAX calculator is often based on specific populations in certain geographic areas. For example, if you use the calculator for the United States the results could be skewed to white females. If you are non-white, you may need to adjust (or normalize) your T Score and enter that adjusted score in the calculator.
I have prepared a second video tutorial on how to do this. You will locate the adjustment tool online at the following location
