FRAX Calculator
Osteoporosis and bone fractures are major health concerns, especially after age 40. Early risk assessment can help prevent serious complications like hip fractures and long-term disability. Our FRAX Calculator is a simple, user-friendly online tool designed to estimate your 10-year probability of major osteoporotic fracture and hip fracture risk.
By entering basic health and lifestyle information, you can quickly understand your bone health risk level and whether medical evaluation or preventive treatment may be necessary.
What Is FRAX?
The FRAX® (Fracture Risk Assessment Tool) is a fracture risk prediction model developed by the World Health Organization Collaborating Centre for Metabolic Bone Diseases at the University of Sheffield.
It calculates a person’s 10-year probability of:
- Major osteoporotic fracture (spine, forearm, hip, or shoulder)
- Hip fracture specifically
FRAX combines clinical risk factors with body measurements to estimate fracture probability, even without bone mineral density (BMD) testing.
Who Should Use the FRAX Calculator?
This calculator is designed for:
- Adults aged 40 to 90 years
- Individuals concerned about osteoporosis
- Postmenopausal women
- Men over 50
- Patients with previous fractures
- People using long-term steroid medications
- Individuals with family history of hip fractures
It is particularly useful for identifying individuals who may need bone density testing or preventive treatment.
How the FRAX Calculator Works
Our FRAX calculator estimates fracture risk using the following inputs:
1. Age (40–90 Years)
Fracture risk increases with age due to bone loss and reduced bone strength.
2. Gender
Women generally have higher osteoporosis risk than men.
3. Weight and Height
Used to calculate Body Mass Index (BMI). Lower BMI is associated with increased fracture risk.
4. Previous Fracture
A prior fracture significantly increases future fracture risk.
5. Parent Hip Fracture
Family history of hip fracture increases genetic risk.
6. Smoking Status
Current smoking weakens bone density.
7. Glucocorticoid Use
Long-term steroid use reduces bone strength.
8. Rheumatoid Arthritis
An autoimmune condition linked to increased fracture risk.
9. Alcohol Consumption (3+ units/day)
Excessive alcohol intake weakens bones and increases fall risk.
How to Use the FRAX Calculator
Using the tool takes less than a minute:
Step 1: Enter Your Age
Must be between 40 and 90 years.
Step 2: Select Your Gender
Choose male or female.
Step 3: Enter Weight (kg) and Height (cm)
The calculator automatically computes your BMI.
Step 4: Answer Yes/No Questions
Select whether you have:
- Previous fracture
- Parent hip fracture
- Current smoking habit
- Glucocorticoid use
- Rheumatoid arthritis
- Alcohol intake (3+ units/day)
Step 5: Click “Calculate”
You will instantly see:
- BMI value
- 10-Year Major Fracture Risk (%)
- 10-Year Hip Fracture Risk (%)
- Risk Category
Click Reset to enter new data.
Understanding Your Results
1. BMI (Body Mass Index)
BMI is calculated using:
Weight (kg) ÷ Height² (meters)
- Low BMI (<20) may increase fracture risk
- Normal BMI (20–30) average risk
- Higher BMI may slightly reduce fracture risk (but increases other health risks)
2. 10-Year Major Fracture Risk
Represents probability of fracture in:
- Spine
- Forearm
- Hip
- Shoulder
3. 10-Year Hip Fracture Risk
Indicates risk of hip fracture specifically — one of the most serious osteoporosis-related injuries.
4. Risk Categories
Low Risk
- Major fracture risk < 10%
- Hip fracture risk < 1.5%
Moderate Risk – Consider Treatment
- Major fracture risk ≥ 10%
- Hip fracture risk ≥ 1.5%
High Risk – Treatment Recommended
- Major fracture risk ≥ 20%
- Hip fracture risk ≥ 3%
High-risk individuals should consult a healthcare professional for evaluation and possible treatment.
Example Calculation
Let’s say:
- Age: 65
- Female
- Weight: 60 kg
- Height: 160 cm
- Previous fracture: Yes
- Smoker: Yes
- No parental hip fracture
- No steroid use
- No rheumatoid arthritis
- No alcohol excess
The calculator:
- Computes BMI
- Applies age factor
- Adjusts for clinical risk factors
- Calculates major and hip fracture probability
- Determines risk category
The result may show moderate to high fracture risk depending on combined factors.
Why Early Fracture Risk Assessment Matters
Osteoporotic fractures can cause:
- Chronic pain
- Reduced mobility
- Loss of independence
- Increased mortality (especially hip fractures)
Early identification allows for:
- Lifestyle modifications
- Bone density testing
- Calcium and vitamin D optimization
- Prescription medications if necessary
- Fall prevention strategies
Limitations of the Calculator
While this tool provides a strong estimate:
- It does not include bone mineral density (BMD) data.
- It is not a substitute for medical diagnosis.
- Risk thresholds may vary by country guidelines.
- Clinical judgment is always required.
For personalized advice, consult a healthcare provider.
Tips to Reduce Fracture Risk
- Maintain adequate calcium intake.
- Ensure sufficient vitamin D levels.
- Perform weight-bearing exercises.
- Quit smoking.
- Limit alcohol consumption.
- Prevent falls at home.
- Discuss medications with your doctor.
15 Frequently Asked Questions (FAQs)
1. What does FRAX stand for?
Fracture Risk Assessment Tool.
2. Is this an official medical tool?
It is based on FRAX principles but should not replace professional medical evaluation.
3. Who developed FRAX?
It was developed at the University of Sheffield in collaboration with the WHO.
4. What age group can use this calculator?
Adults between 40 and 90 years.
5. Does it require bone density testing?
No, it works without BMD data.
6. What is considered high fracture risk?
Major fracture ≥20% or hip fracture ≥3%.
7. Can men use this calculator?
Yes, both men and women can use it.
8. Does smoking increase fracture risk?
Yes, smoking weakens bones and increases risk.
9. Does steroid use affect bones?
Yes, long-term glucocorticoid use reduces bone density.
10. Why is hip fracture risk important?
Hip fractures have high morbidity and mortality rates.
11. Is BMI important for bone health?
Yes, low BMI increases fracture risk.
12. Should I see a doctor if I’m high risk?
Yes, medical evaluation is recommended.
13. Can lifestyle changes reduce risk?
Yes, diet, exercise, and smoking cessation help.
14. Is alcohol a risk factor?
Yes, excessive alcohol increases fracture risk.
15. How often should I assess fracture risk?
Every few years, or as advised by your healthcare provider.
Final Thoughts
Bone health is essential for maintaining independence and quality of life as you age. Our FRAX Calculator provides a quick and informative way to estimate your 10-year fracture risk using clinically relevant factors.
If your results indicate moderate or high risk, consider discussing preventive strategies with your healthcare provider. Early action today can prevent serious fractures tomorrow.