According to guidelines, which group should be tested for BMD?

• A. Women 65 and Men 70
• B. All adults aged 40 and older
• C. Only those with a fragility fracture
• D. Children with growth delay

Answer: (A)

Screening for osteoporosis with bone mineral density testing is aimed at people at highest risk of fracture, which increases with age and postmenopausal bone loss. Guidelines recommend routine BMD testing for all women aged 65 and older and all men aged 70 and older, regardless of other risk factors. This age threshold catches most individuals at risk before they sustain fractures, allowing preventive treatment to reduce fracture risk. Testing younger adults isn’t routine unless there are specific high-risk factors, and a fragility fracture itself signals osteoporosis and warrants evaluation, but the standard screening group is the older age ranges. Children with growth delay aren’t part of adult osteoporosis screening.