Most adults unaware of hereditary osteoporosis risk

The Royal Osteoporosis Society (ROS) is urging the public to take family history more seriously when assessing their osteoporosis risk, as survey findings reveal that only 28% of UK adults recognise genetics as an important risk factor for developing the condition.

Despite strong evidence that hip fractures in a parent can significantly increase an individual’s own fracture risk, just 41% of people say they would consider checking their bone health if their mother or father broke a hip. Genes influence the size, density and strength of our bones, meaning inherited factors can leave many people more vulnerable than they realise.

For ROS member Janet, from Darlington, a family pattern of broken bones prompted her to take action.

“Both my parents had hip fractures in their 80s,” she said. “I asked my GP for a DEXA scan in my early 50s because of the family history and to my shock, I was already in the osteoporotic range in my spine. I haven’t had a fracture thankfully, but at least now I know I’m at risk and can do something about it to prevent any broken bones in the future. The first step is definitely finding out as much as you can.”

While hereditary factors are important, the ROS stresses that osteoporosis is not inevitable, even for those with a strong family link. Lifestyle plays a major role in determining whether someone will develop osteoporosis or suffer fractures in later life. Maintaining a healthy body weight, avoiding smoking and excess alcohol, ensuring good nutrition, and maintaining a good level of regular exercise can all significantly reduce risk.

“Family history matters, but it doesn’t dictate your future”

Some risks are outside of personal control, including age, previous broken bones, and being female, a factor that contributes to 1 in 2 women experiencing an osteoporotic fracture in their lifetime. However, the condition also affects men too, with 1 in 5 men sustaining a broken bone due to osteoporosis. Certain medications, including long‑term steroids and some cancer treatments, as well as health conditions such as coeliac disease and early menopause, can also lead to having lower bone density.

The ROS emphasises that taking action early makes the biggest difference. A calcium‑rich diet, sufficient vitamin D, and regular weight‑bearing and muscle‑strengthening exercise all help protect bone strength over time. If you are diagnosed with osteoporosis, there are lots of effective treatment options to help keep your bones strong. Anyone concerned about their bone health or with a family history of broken bones is encouraged to speak to their GP and to use the charity’s online risk tool the Great British Bone Check which is completely free and takes just 3 minutes to complete.

“Family history matters, but it doesn’t dictate your future,” said the ROS. “With the right information, lifestyle choices, or treatment when needed people can dramatically reduce their risk of often life‑changing broken bones from happening.”

Don’t leave knowing if you’re vulnerable until later in life – take the Great British Bone Check today and start taking positive action for your bone health.