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Osteoporosis risk checker Czechia
Answer questions about your age, sex and risk factors to see whether published guidelines recommend you ask for a bone density assessment.
- Based on NICE case-finding guidance, not a proprietary score
- Shows major and contributing risk factors separately
- Runs in your browser — nothing is sent or stored
Your risk factors
years
cm
kg
A break from a fall from standing height or less — wrist, hip, spine or arm.
Such as an overactive thyroid, malabsorption, or long-term liver or kidney disease.
0 / 10
No specific risk factors flagged
Nothing you entered matches the published risk factors guidelines use for osteoporosis case-finding. That is reassuring, but it is not a guarantee — mention any new fracture or fall to a doctor regardless.
- Major factors flagged
- 0
- Contributing factors flagged
- 0
This identifies who should be assessed for osteoporosis — it does not estimate your fracture risk and is not a diagnosis. A full assessment uses a DXA bone density scan and a validated tool such as FRAX, run by a clinician.
01
Risk factors for a fragility fracture
Osteoporosis itself has no symptoms — the first sign is often a fracture from a fall that would not normally break a bone. Guidelines therefore work backwards from risk factors, deciding who is worth assessing before a fracture happens rather than after.
The ten factors below are the ones NICE guideline CG146 lists for that decision. Two are treated as major on their own; the rest add up rather than acting alone.
Fragility fracture after 50
- Why it matters
- A broken wrist, hip, spine or arm from a low fall is the single strongest predictor of another one.
- Major or contributing
- Major
Long-term oral steroids (3+ months)
- Why it matters
- Glucocorticoids thin bone directly, independently of any other factor on this list.
- Major or contributing
- Major
A parent broke a hip
- Why it matters
- Points to inherited bone strength, separate from your own lifestyle.
- Major or contributing
- Contributing
Current smoker
- Why it matters
- Lowers bone density and slows healing if a fracture does happen.
- Major or contributing
- Contributing
3+ alcohol units a day
- Why it matters
- Reduces bone formation and raises the risk of a fall in the first place.
- Major or contributing
- Contributing
Rheumatoid arthritis
- Why it matters
- The condition and often its treatment both affect bone turnover.
- Major or contributing
- Contributing
A secondary cause of bone loss
- Why it matters
- Conditions such as an overactive thyroid or long-term liver or kidney disease reduce bone density on their own.
- Major or contributing
- Contributing
2+ falls in the past year
- Why it matters
- Most fragility fractures happen after a fall from standing height, not on their own.
- Major or contributing
- Contributing
Menopause before 45
- Why it matters
- Oestrogen protects bone, so losing it earlier gives bone loss a longer run.
- Major or contributing
- Contributing
Low body weight (BMI under 18.5)
- Why it matters
- Less body mass generally means less bone mass, and less cushioning if a fall happens.
- Major or contributing
- Contributing
02
Who guidelines say should be assessed
NICE, the UK's National Osteoporosis Guideline Group (NOGG) and the European Society for Clinical and Economic Aspects of Osteoporosis (ESCEO) set out materially the same threshold. It is an age cut-off plus a risk-factor cut-off, not a single number.
- All women aged 65 and over, and all men aged 75 and over — assessment is recommended on age alone.
- Anyone younger with a major risk factor — a prior fragility fracture or long-term oral steroids — at any age, including under 50.
- Anyone aged 50 and over with any one of the contributing factors in the table above.
- This tool applies that published rule to what you enter. It does not calculate a probability, and it is not FRAX — FRAX is a separate, proprietary tool a clinician runs, combining these same kinds of factors with a bone density reading.
03
What this checker cannot tell you
A risk-factor checklist is a sorting tool, not a measurement. It tells you whether it is worth asking about a scan — it cannot tell you what that scan would show.
- It is not a diagnosis. Osteoporosis is diagnosed from a DXA (dual-energy X-ray absorptiometry) bone density scan, not from a questionnaire.
- It does not output a fracture probability. Tools that do — FRAX, the Garvan nomogram, QFracture — combine risk factors with a bone density reading, and a clinician runs them.
- It is not FRAX and does not use FRAX's coefficients, which are proprietary to the University of Sheffield.
- A "no specific risk factors flagged" result is reassuring, not a guarantee — mention any new fracture or fall to a doctor regardless of what this tool says.
- It says nothing about treatment. Medication is a decision for a clinician, made after a diagnosis, not from a risk checklist.
04
Getting assessed
- Start with a doctor. They will weigh up your risk factors and decide whether a DXA scan referral makes sense.
- Bring the factors this tool flagged for you — which ones, not just the tier — to make the conversation faster.
- If you have already had a fragility fracture, ask about assessment regardless of your age or this tool's tier.
- Calcium, vitamin D, weight-bearing exercise and stopping smoking all support bone health while you wait for any assessment.
- Get medical care promptly for a new fracture from a low-energy fall, whatever this tool says — it needs treating in its own right.
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Osteoporosis risk checker — FAQs
Is this the same as FRAX?
No. FRAX is a separate, proprietary tool developed by the University of Sheffield, and its coefficients are not published — this tool does not reproduce it or claim to match its output. This is a case-finding checklist based on published guidance (NICE CG146): it tells you whether it's worth being assessed, never a fracture probability.
What is a DXA scan?
A dual-energy X-ray absorptiometry scan — a low-dose X-ray that measures bone density, usually at the hip and spine. It is the test an assessment actually relies on; nothing on this page replaces it.
Does having risk factors mean I have osteoporosis?
No. A flagged risk factor means guidelines recommend you be assessed, not that you have the condition. Many people with risk factors have a normal bone density scan, and osteoporosis can also occur with none of the factors listed here.
What if my result is 'no specific risk factors flagged' but I'm still concerned?
Raise it with a doctor anyway. This tool covers the risk factors named in one clinical guideline; it does not cover every personal or family history that might be relevant, and a conversation costs nothing this checklist can weigh.
Who actually diagnoses osteoporosis?
A doctor, from a DXA bone density scan — usually a T-score of -2.5 or below at the hip or spine. A risk-factor questionnaire like this one can only suggest who should have that scan; it cannot diagnose anything itself.
Does this checker store my answers?
No. The scoring runs entirely in your browser. Nothing you select is sent to our servers or saved.
Do Czech doctors offer DXA bone density scans?
Yes. DXA scanning is available on referral within the public insurance system, and privately without one in many clinics. Czechia follows a similar risk-factor-led approach to this checker — risk factors decide who is assessed, not age or a scan alone.
Where can I get assessed for osteoporosis in Czechia?
Start with a doctor's appointment. They will go through your risk factors and, where the guideline threshold is met, refer you for a DXA scan within the insurance system or point you to a private one.
Want to talk about your bone health?
Book a video consultation with a registered doctor, go through your risk factors, and find out whether a referral for a DXA scan makes sense.