Osteoporosis Myth: Osteoporosis Is the Primary Cause of Hip Fractures
Osteoporosis Myth: Osteoporosis Is the Primary Cause of Hip Fractures
The Reality: In a landmark analysis of 9,704 women over the age of 65, more than half of those who had a hip fracture did NOT have osteoporosis.
Read that again.
The majority of fractures are happening to women the DEXA scan would not have flagged.
What the Research on Osteoporosis and Hip Fractures Really Shows
This is one of the most significant — and least communicated — findings in fracture prevention research. And it completely reshapes the question women should be asking after a bone density test.
More than 95% of hip fractures are caused by falling, usually sideways — not by spontaneous bone failure. The International Osteoporosis Foundation confirms that most fractures occur in women without a densitometric diagnosis.
What Does This Mean? The Real Driver of Hip Fracture Risk: Falls, Not Bone Density
The primary lever for fracture prevention is not bone density. It is fall prevention.
And fall prevention depends on balance, reaction time, and neuromuscular coordination — the ability of your body to catch itself before a stumble becomes a fall.
Every single one of those capacities is trainable. At any age. With the right practice.
That's not a small finding. That's a fundamentally different way of thinking about what protects you.