The impact of the new National Bone Health Alliance (NBHA) diagnostic criteria on the prevalence of osteoporosis in the United States: supplementary presentation

N. C. Wright, K. G. Saag, B. Dawson-Hughes, Sundeep Khosla, E. S. Siris

Research output: Contribution to journalArticle

5 Scopus citations


We evaluated the prevalence of osteoporosis using the osteoporosis diagnostic criteria developed by the National Bone Health Alliance (NBHA), which includes qualified fractures, FRAX score in addition to BMD. The expanded definition increases the prevalence compared to BMD alone definitions; however, it may better identify those at elevated fracture risk. Recently an NBHA working Group published a paper in OI with recommendations for expanding the criteria that would constitute an osteoporosis diagnosis in postmenopausal women and in men over age 50 for use in the US – Siris et al., Osteoporosis International 25(%): 1439–1443, 2014. The recommendations have now been endorsed by NOF, ASBMR and a number of professional medical groups and appear in the NOF Clinician’s Guide. The new diagnostic criteria continue to include a T-score by DXA of spine or hip that is less than or equal to −2.5, but alternatively also include a hip fracture with or without BMD testing or a vertebral, pelvis, proximal humerus and in some cases a distal forearm fracture in a person with low bone mass, or a FRAX score that meets or exceeds the NOF Guide osteoporosis treatment cut point.

Original languageEnglish (US)
Pages (from-to)1-2
Number of pages2
JournalOsteoporosis International
StateAccepted/In press - Sep 21 2017



  • Diagnostic criteria
  • Epidemiology
  • Fracture prevention
  • Fracture risk assessment
  • Osteoporosis

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism

Cite this