FRAX Calculator: Fracture Risk Made Simple

How to Use the FRAX Tool for Fracture Risk: A Simple Guide

Discover your risk of hip fracture over the next 10 years.

If you’ve ever wondered about your chances of developing a bone fracture as you age, you’re not alone. Osteoporosis and related fractures affect millions of people worldwide—but the good news is, you can take steps to understand your risk and protect your bones.

One simple and free resource is the FRAX Tool (Fracture Risk Assessment Tool). Developed by the University of Sheffield with support from the World Health Organization, FRAX is an online calculator that estimates your 10-year risk of a major fracture. Think of it as a roadmap that helps you and your healthcare provider decide whether lifestyle changes or treatment could make a difference.

Let’s walk through how it works—and how you can use it to take charge of your bone health.

The FRAX Tool is a web-based calculator that predicts the likelihood of two outcomes over the next 10 years:

  • Hip fracture risk

  • Major osteoporotic fracture risk (including spine, forearm, hip, or shoulder)

It uses information about your age, sex, weight, height, and certain health and lifestyle factors. If you have a bone density (DEXA) scan result, you can enter that too, but it’s not required.

Who Should Use FRAX?

The tool is especially helpful for:

  • Adults over 40

  • Postmenopausal women and men with risk factors for osteoporosis

  • People with a family history of hip fractures

  • Anyone who wants a clearer picture of their bone health

Even if you haven’t been diagnosed with osteoporosis, FRAX can help you understand your personal risk.

Step-by-Step: How to Use the FRAX Tool

  1. Go to the official FRAX website.

    Choose your country and ethnic background (this matters because fracture rates differ worldwide).

  2. Enter your basic information.

    Age, sex, weight, and height.

  3. Answer lifestyle and medical questions.

    For example, smoking status, alcohol use, history of fractures, use of corticosteroids, rheumatoid arthritis, or if a parent had a hip fracture.

  4. Add bone density (optional).

    If you have a femoral neck T-score from a DEXA scan, include it for more accurate results.

  5. View your results.

    The calculator will show two percentages: your 10-year risk of hip fracture and of any major fracture.

Remember: these numbers are not a diagnosis. They are a conversation starter with your healthcare provider.

What to Do With Your FRAX Results

Your FRAX score can guide next steps. For example:

  • Low risk? Great! Keep up healthy habits like exercise, balanced nutrition, and fall prevention.

  • Moderate or high risk? Talk with your doctor. They may suggest further testing or discuss treatments such as calcium, vitamin D, or osteoporosis medications.

The key message: no matter your score, there are always steps you can take to strengthen your bones.

Limitations to Keep in Mind

Like any tool, FRAX isn’t perfect. It doesn’t include every possible risk factor (such as balance issues, vitamin deficiencies, or specific medications beyond steroids). It’s best used as part of a bigger picture that includes medical history, lifestyle, and sometimes bone density testing.

Think of FRAX as a starting point, not the final word.

How to Reduce Your Risk After FRAX

If your results raise concern, don’t panic—many lifestyle changes can improve bone strength:

  • Exercise regularly: focus on weight-bearing and resistance training.

  • Eat a bone-friendly diet: get enough calcium and vitamin D.

  • Quit smoking and limit alcohol. Both are linked to bone loss.

  • Prevent falls: simple steps like improving home safety and strengthening balance can help.

Small changes add up, and your bones respond to the care you give them.

Empower your health

Using the FRAX tool is about empowerment, not fear. By learning your risk, you can make informed choices to protect your independence and vitality. So why not take five minutes today to check your score, bring it to your doctor, and start building a stronger future for your bones?

Disclaimer: The information presented in this article should not be construed as medical advice. It is not intended to replace consultation with your physician or healthcare provider.

For expert guidance on strength training techniques, step by step photos depicting how to perform the exercises, and a selection of well-rounded workouts please check out the book Strength Training Exercises for Women by Joan Pagano.

joan