[Recommendations based on the evidence for secondary prevention of fractures/osteoporosis]

For Japanese women aged 65 years and older and men aged 75 years and older, osteoporosis screening through the use of DXA is recommended. For those with risk factors of osteoporosis and bone fracture among postmenopausal women younger than 65 years of age and men younger than 75, osteoporosis screening is considered to be beneficial. Regarding effectiveness of the screening among perimenopausal women, there is simply no evidence to recommend the screening. Further investigation is necessary into the effectiveness of using QUS for osteoporosis screening, as accuracy tends to suffer depending on the type of QUS device used and the level of values measured.