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RESEARCH BACKGROUNDER                                                                                    

EMBARGOED: 11:01AM AEDT, MONDAY, OCTOBER 27, 2025 

                                                                                                        

Australia’s bone health: key findings from the
Know Your Bones Community Risk Report

(Fourth Edition 2025)

About Know Your Bones

 

  • Know Your Bones is a free, online self-assessment tool that helps Australians check their bone health. Developed by Healthy Bones Australia in partnership with the Garvan Institute of Medical Research, Know Your Bones is based on trusted, longstanding Australian-led research.

  • The tool is designed to raise awareness, and support early prevention of osteoporosis and related fractures, which are becoming increasingly common, especially as we age.

  • By completing the short questionnaire, the user receives a personalised summary outlining their potential risk for bone health issues, along with practical advice. The results can be a useful starting point for a conversation with a GP, helping an individual to take proactive steps to protect their bones, and reduce their risk of a future fracture.

About the Know Your Bones Community Risk Report, Fourth Edition 

  • The Know Your Bones Community Risk Report, Fourth Edition, presents insights drawn from
    de-identified, self-reported data from the Know Your Bones online questionnaire.

  • This evidence-based assessment asks consumers key questions across four areas known to impact bone health:

  1. Medical history – including age, weight, previous fractures, and falls;

  2. Underlying medical conditions that may affect bones;

  3. Lifestyle risk factors, such as diet, physical activity, smoking/alcohol intake;

  4. Use of medications or supplements.

  • The current report is based on 126,815 completed assessments (as of September 15, 2025).

  • As a translational research initiative, this report highlights important care gaps in the community and identifies opportunities for earlier diagnosis and intervention. With 196,000 fractures occurring each year due to poor bone health in Australia,3 these findings support stronger prevention strategies and timely diagnosis and treatment to help reduce fractures across the at-risk population.

 

Key report findings 

  • 40 per cent of individuals who reported a minimal trauma fracture (a fracture from a minor bump or fall) had not undergone a bone density test.

  • Only 14 per cent of those with a minimal trauma fracture were taking osteoporosis medication, indicating low treatment rates even after a fracture.

  • 35 per cent of all respondents reported at least one clinical risk factor for poor bone health, and within this group, 30 per cent had two or more risk factors.

  • Nearly half (49.7 per cent) of all reported minimal trauma fractures occurred in adults aged 50-69 years, highlighting a need for earlier intervention in this age group.

  • Common fracture sites accounting for 87 per cent of all minimal trauma fractures reported (in order) included the foot, wrist, ankle, forearm, ribs, spine, and lower leg.

  • A significant 98 per cent of individuals had at least one lifestyle risk factor for osteoporosis, such as low calcium intake, physical inactivity, or smoking.

  • Improvements since previous report in treatment of adults with reported hip and spine fractures.   

 

Younger adults (under 50 years of age)

  • 19 per cent of Know Your Bones users were under the age of 50.

  • While osteoporosis is more common in older adults, poor bone health in younger people is often linked to specific medical or hormonal risk factors, including early menopause, low testosterone, coeliac disease, anorexia nervosa, certain breast cancer treatments, and long-term use of corticosteroids.

 

Older adults (70+ years)

  • Although bone density testing is freely available for Australians aged 70 and over, 28 per cent of respondents in this age group reported never having had a bone density test.

  • More concerningly, 77 per cent of older adults who had experienced a minimal trauma fracture said they were not taking osteoporosis medication, despite the high risk of future fractures in this group.

 

Identified opportunities to close care gaps

 

  • Key opportunities to improve bone health and reduce fracture risk include:

    • Routine bone health assessments for people in high-risk groups and early diagnosis when poor bone health is identified;

    • Improving treatment rates for diagnosed osteoporosis and following fractures; and

    • Encouraging healthy lifestyle changes, such as regular targeted exercise, increasing calcium intake, and maintaining adequate vitamin D levels to support healthy bones.

Snapshot of our nation’s bone health

 

  • More than 196,000 fractures occur in Australia each year due to poor bone health,3 costing the healthcare system around AUD 3.9 billion annually. These fractures represent the majority of the total AUD 4.9 billion national cost of osteoporosis-related disease.3

  • Hip fractures are the most expensive and serious type of fracture, requiring longer hospitalisation, and often leading to loss of independence, and long-term care.

  • Other commonly reported fracture sites include the spine, wrist, arm and leg.3

  • Notably, nearly half of those who experience a hip fracture have already sustained a previous fracture, highlighting missed opportunities for earlier diagnosis and treatment.5

About osteoporosis

 

  • Osteoporosis is a disease that leads to reduced bone strength and increased risk of fracture.1

  • Once diagnosed – with or without a fracture – osteoporosis should be treated promptly, and bone density monitored to track improvement.2

  • Particular risk factors place people at higher risk of developing osteoporosis, including age, family history, certain medical conditions, hormone levels, and lifestyle factors such as poor diet or lack of exercise.2

  • Fractures caused by osteoporosis are not only costly for the healthcare system, but can be
    life-altering for patients and their families, affecting mobility, independence, and quality of life.3

  • Data shows nearly one-in-four (23 per cent) people aged 50+ living with poor bone health have osteoporosis.3

 

About osteoporosis treatment

 

  • Timely diagnosis and effective treatment of osteoporosis can significantly reduce the risk of future fractures, by up to 30 per cent for non-vertebral fractures; 50 per cent for hip fractures, and 70 per cent for spinal (vertebral) fractures.4

  • Starting treatment early can not only help prevent fractures, but also slow the progression of osteoporosis.4

  • Osteoporosis is usually managed through a combination of prescription medication, which can lower the chance of fracture,4 and lifestyle changes, including:

  • Weight-bearing and resistance exercise;

  • Adequate calcium intake through diet; and

  • Sufficient vitamin D, either from sunlight or supplements.4

 

ends#

 

For more information about poor bone health, osteopenia, or osteoporosis, head to: healthybonesaustralia.org.au or follow us on Facebook, Twitter and LinkedIn.

 

MEDIA CONTACTS:       

 

Kirsten Bruce and Lauren Corby VIVA! Communications
M         0401 717 566 | 0410 387 103  
T          02 9968 3741 | 02 9968 3741

E          kirstenbruce@vivacommunications.com.au | lauren@vivacommunications.com.au

 

 

References

1.     Van Oostwaard M. Osteoporosis and the nature of fragility fracture: an overview. 2018. Available from:          https://www.ncbi.nlm.nih.gov/books/NBK543829

2.     Healthy Bones Australia. Risk factors. 2024. Available from: https://healthybonesaustralia.org.au/your-            bone-health/risk-factors/.]

3.     Bohingamu Mudiyanselage S, Watts JJ, Gebremariam K, Abimanyi-Ochom J. Osteoporosis and                      fractures in Australia. A burden of disease analysis, 2023 to 2033. Healthy Bones Australia 2024.

4.     Osteoporosis management and fracture prevention in post menopausal women and men 50 years of          age. Royal Australian College of General Practitioners and Healthy Bones Australia; 2024.

5.     Australian and New Zealand Hip Fracture Registry. Annual Report 2017. Available from:                                    https://anzhfr.org/wp-content/uploads/2017/08/ANZHFRAnnual-Report-2017.pdf.

 

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