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. 2025 Dec 29;31(3):138–144. doi: 10.6118/jmm.25148

Table 3. Category of fracture risk groups.

Risk category Inclusion criteria
Low risk Must meet all of the following
No history of fragility fractures (hip, vertebral, or other major fractures)
Bone mineral density T-score ≥ –1.0
FRAX® 10-year probability of major osteoporotic fracture < 20% and hip fracture < 3%
Moderate risk Must meet all of the following
No history of fragility fractures (hip, vertebral, or other major fractures)
Bone mineral density T-score greater than −2.5 and less than −1.0
FRAX® 10-year probability of major osteoporotic fracture < 20% and hip fracture < 3%
High risk Meets any of the following
Previous fragility fracture (hip, vertebral, or other major fracture)
Bone mineral density T-score ≤ –2.5
FRAX® 10-year probability of major osteoporotic fracture ≥ 20% or hip fracture ≥ 3%
Very high risk Meets any of the following
Fragility fracture (hip, vertebral, or other) within the last 12 months
Fracture occurring while on anti-osteoporotic treatment
Multiple fractures
Fracture while receiving medications that negatively affect bone (e.g., glucocorticoids)
Bone mineral density T-score < –3.0
Severe trauma or high-risk fall associated with fracture
FRAX® 10-year probability of major osteoporotic fracture ≥ 30% or hip fracture ≥ 4.5%

Reproduced from the Korean Academy of Medical Sciences. Evidence-based recommendations for osteoporosis in primary care. 2024 [15].