Guideline for primary prevention of osteoporotic fractures (2026 edition)

Osteoporotic fractures represent the most severe complication of osteoporosis, characterized by high incidence, high rates of missed diagnosis, high disability rates, and high mortality. These fractures impose substantial economic and caregiving burdens on both society and families. Strengthening screening in high-risk populations and implementing early interventions to prevent or reduce the occurrence of osteoporotic fractures are therefore of paramount significance. Therefore, the Professional Committee for Osteoporosis Prevention and Rehabilitation of Chinese Association of Rehabilitation Medicine, in collaboration with the Osteoarthrosis Committee of Chinese Aging Well Association, has initiated the development of the guideline for primary prevention of osteoporotic fractures. Key clinical issues of greatest concern to healthcare professionals were identified, including: identification of populations at high risk for osteoporotic fracture and fracture risk assessment; education and guidance for at-risk populations; fall prevention measures; assessment, diagnosis, and treatment of osteoporosis. This process culminated in the formulation of 11 evidence-based recommendations. The guideline aims to optimize primary prevention strategies for osteoporotic fractures, enhance healthcare professionals' management of health in high-risk populations, strengthen self-protection awareness among these individuals, reduce fracture incidence, and ultimately improve the quality of life for those at risk.

骨质疏松性骨折是骨质疏松症最严重的并发症，其发病率高、漏诊率高、致残率高、死亡率高，给社会和家庭带来巨大的经济和照护压力。加强风险人群的筛查并进行早期干预，预防或减少骨质疏松性骨折的发生意义重大。为此，中国康复医学会骨质疏松预防与康复专业委员会和中国老年保健协会骨关节分会启动了骨质疏松性骨折一级预防指南的制订工作，遴选出医务人员最为关注的专业问题，包括骨质疏松性骨折风险人群的识别和骨折风险评估，风险人群的教育指导，跌倒的预防措施，骨质疏松症的评估、诊断和治疗等关键临床问题，最终形成了11条推荐意见，旨在优化骨质疏松性骨折一级预防策略，提高医务人员对骨质疏松性骨折高风险人群的健康管理水平及增强高风险人群的自我防范意识，降低骨折发生率、提高风险人群生活质量。.