Osteoporosis Risk Calculator

Calculate the limited OSTA age-and-weight screening index and its original categories.

years

OSTA index

-1

Intermediate screening category

The OSTA screen indicates an intermediate likelihood of low bone density; discuss whether DXA is appropriate.

Calculation
0.2 x (60 - age)
Raw score
-1
Lower category
> -1
Intermediate category
-4 to -1
Higher category
< -4

A limited screening tool—not FRAX

OSTA was developed to help identify postmenopausal Asian women who may benefit from bone-density testing. Its performance and cutoffs vary by population, and it does not calculate a fracture probability, diagnose osteoporosis, interpret symptoms, or decide treatment. Use the official country-specific FRAX tool when a 10-year fracture probability is needed.

Current USPSTF guidance recommends osteoporosis screening for women age 65 and older, and risk assessment followed by screening when indicated for postmenopausal women younger than 65 with risk factors. Evidence is insufficient for population screening in men. People with fragility fractures, bone-loss conditions, or long-term bone-affecting medication need clinical evaluation beyond this score.

Understanding the osteoporosis risk calculator

Calculate the limited OSTA age-and-weight screening index and its original categories.

This page provides an equation-based estimate for education and planning. It does not diagnose a condition, measure an individual response, or replace professional care.

How to use this health calculator

  1. Choose appropriate inputs: Enter measurements using the units and ranges shown.
  2. Review the assumptions: Confirm that the model applies before interpreting the result.
  3. Calculate and interpret: Read the result together with its limitations and cautions.
  4. Use professional guidance when needed: Do not use a general calculator to change medication, treatment, or a clinician-directed plan.

Formula and variables

The output follows the stated arithmetic and assumptions; it is not an individualized diagnosis, prognosis, or treatment recommendation.

OSTA = 0.2 × (weight in kg − age), truncated toward zero to an integer.
WBody weight
Weight in kilograms.

Worked example

A 65-year-old weighs 60 kg.

Inputs
Age 65, weight 60 kg
  1. 0.2 × (60 − 65) = −1.0.

Result: OSTA index is −1, the intermediate category.

Interpret the result with its population, measurement, and clinical limitations.

Understanding your results

Equation result

The numerical output follows the displayed formula and entered assumptions.

Personal interpretation

Individual biology, measurement error, environment, health conditions and medicines can change real-world outcomes.

Assumptions

  • Inputs are accurate and use the displayed definitions and units.
  • The cited reference or equation applies to the intended educational comparison.

Limitations

  • OSTA was developed for postmenopausal Asian women.
  • It does not calculate fracture probability or diagnose osteoporosis.
  • Cutoffs perform differently across populations.

Common mistakes

  • Calling OSTA a FRAX score.
  • Using pounds without conversion.

Practical use cases

Educational estimate

Explore how the inputs affect the equation result.

Consistent tracking

Compare estimates only when methods, units and conditions are consistent.

Planning and decision guide

Treat cautions as part of the result

Bone-density screening and treatment decisions require clinical assessment; fragility fractures need evaluation regardless of this score.

Escalate symptoms or clinical questions

Seek qualified medical advice for symptoms, diagnosed conditions, medicines, pregnancy, or individualized treatment decisions.

Frequently asked questions

Is this result individualized medical advice?

No. It is an educational calculation based on the displayed assumptions.

Can I use it to change treatment?

No. Treatment decisions require appropriate professional assessment.

Sources and review

Reviewed 2026-08-03.

Continue with calculators that answer nearby questions and help compare the next step.