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Chinese Guideline on Risk Management of Osteoporosis in the General Public

Shiyong Zhang1, Jinqiu Yuan2, Zhuojing Luo3

  • 1Department of Orthopaedics, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.

Orthopaedic Surgery
|August 11, 2026
PubMed
Abstract

Insights

This guideline offers practical, evidence-based strategies for osteoporosis risk assessment and prevention, aiming to boost public awareness and reduce fractures in aging populations.

Area of Science:

  • Public Health
  • Gerontology
  • Bone Health

Background:

  • Osteoporosis is a growing skeletal disorder in aging Chinese populations, increasing fracture risk.
  • Low public awareness and insufficient prevention efforts exacerbate the osteoporosis epidemic.
  • Current guidelines are not tailored for public accessibility, necessitating population-level strategies.

Purpose of the Study:

  • To develop practical, evidence-based recommendations for osteoporosis risk assessment and prevention for the general public in China.
  • To enhance public awareness and engagement in managing osteoporosis risk.
  • To provide guidance for population-level osteoporosis prevention strategies.

Main Methods:

  • Guideline development followed WHO Handbook, Chinese principles, AGREE II, and RIGHT frameworks.
  • Evidence synthesis and grading used the GRADE approach from English and Chinese databases.
  • Fourteen key questions were addressed using a modified Delphi consensus process.

Main Results:

  • Fifteen recommendations were formulated for osteoporosis risk screening (OSTA, IOF One-Minute Test, FRAX).
  • Recommendations cover dietary (protein, calcium, vitamin D) and lifestyle interventions (exercise, smoking cessation, alcohol reduction).
  • Strategies address nutritional support, exercise, bodyweight control, and fracture prevention.

Conclusions:

  • The guideline offers practical, evidence-based strategies to improve public awareness of osteoporosis.
  • It promotes risk management for the general population, aiming to reduce fracture incidence.
  • Implementation can decrease the public health burden associated with osteoporosis and fractures.
Keywords:
lifestyle interventionosteoporosispreventionpublic healthrisk assessment

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