Ireland's Bone Health Resource

Osteoporosis:Ireland's Silent Epidemic

1 in 3 Irish women and 1 in 5 Irish men over 60 are at risk. Most don't know it. Osteoporosis has no symptoms — a fragility fracture is often the first sign. Early testing and treatment change outcomes.

People in Ireland

0

estimated to have osteoporosis

Many undiagnosed — often found after a fracture

Irish women over 50

1 in 0

will experience an osteoporosis-related fracture

1 in 0 men over 50 are also affected

Fractures every year

0+

osteoporotic fractures in Ireland annually

Many preventable with early diagnosis

Economic cost per year

€0m

annual cost of treating fragility fractures

To the Irish economy

Source: Irish Fracture Liaison Service Database (IFLS-DB) 2024 & International Osteoporosis Foundation

What Happens Inside the Bone

The Difference Calcium & Vitamin D Makes

Osteoporosis develops silently over decades. These images show how bone structure changes when the body lacks calcium and Vitamin D over time.

With enough calcium & Vitamin D
Microscopy image of healthy bone showing dense, well-structured trabecular lattice

Healthy Bone

Dense structure — can withstand everyday forces without breaking

  • Thick cortical shell
  • Dense inner lattice
  • Strong & resilient
Lacking calcium & Vitamin D
Microscopy image of osteoporotic bone showing large gaps and thinned, weakened structure

Osteoporotic Bone

Porous, fragile — may break from a minor fall or bump

  • Thin, weakened shell
  • Large holes form throughout
  • Fracture risk greatly increased

Your guide to better bone health

Whether you want to take preventative action or have just been diagnosed, start here.

Couple walking together — staying active for bone health

Understand It

Learn what osteoporosis is, how bone density changes with age, and what puts you at higher risk.

About Osteoporosis
DXA bone density scan being performed

Test for It

Find out about DXA scans — what they involve, how to get referred in Ireland, and how to understand your T-score.

Bone Density & Testing
Older adults exercising for bone health

Manage It

From nutrition and exercise to treatment options and falls prevention — practical steps you can take today.

Prevention & Living Well
The Bone Lifecycle

How Bone Density Changes Over Your Lifetime

Bone is living tissue, constantly being broken down and rebuilt. Mass peaks between ages 25–30, then gradually declines. For women, menopause triggers a steeper, faster loss — up to 20% in the first 5–7 years.

The chart shows why early action matters: the higher your peak bone mass and the slower your rate of loss, the lower your lifetime fracture risk.

Peak bone mass (age 25–30)

The ceiling you're protecting against future loss

Menopause (age ~50)

Oestrogen drop accelerates bone loss in women

Osteoporosis risk zone

Below 70% — where fracture risk rises sharply

About Osteoporosis
Graph showing how bone density changes over a lifetime for men and women, with a sharp decline in women after menopause

Why Bone Health Matters

A person reaches their bone peak bank between the ages of 25 to 30. (This is when your bone density is at its peak).

Medical professional reviewing bone density scan results

Bone Density Testing

DXA scans detect bone loss before fractures occur

Calcium-rich foods including dairy, leafy greens and nuts

Nutrition & Calcium

Diet is the foundation of strong bones

Older adults exercising and staying active for bone health

Exercise & Activity

Weight-bearing exercise builds and maintains bone

What You Need to Know

What is a Fragility Fracture?

A fragility fracture is a broken bone caused by a force that would not normally break a healthy bone — such as a minor fall, a bump, or even everyday activities like coughing or bending.

They are most common at the hip, spine, and wrist, and are often the first visible sign of osteoporosis. Sustaining a fragility fracture doubles your future fracture risk.

Ireland Statistics

30,000

fractures per year in Ireland

74%

of patients not on treatment at first fracture

Source: IFLS-DB 2024

Learn More
Vitamin D in Ireland

Most Irish Adults Are Deficient in Vitamin D

Ireland's latitude and climate means sunlight is often insufficient for adequate Vitamin D synthesis. Studies show the average Vitamin D level in Irish elderly adults is 37.1 nmol/L — well below the 50 nmol/L sufficiency threshold.

Vitamin D is essential for calcium absorption and bone mineralisation. Supplementation is recommended for most Irish adults, especially from October to April.

Vitamin D in Ireland
Vitamin D supplements and sunlight — essential for bone health

Key Fact

Older skin produces 4× less Vitamin D from sunlight

Supplementation fills the gap year-round

Calcium-rich foods: dairy, leafy greens, nuts and seeds

Recommended daily calcium (adults 50+)

Target1,200 mg/day

Average intake: 600–700 mg/day — only 54% of target

Calcium & Nutrition

The Calcium Gap in Irish Adults

The skeleton stores 99% of the body's calcium. When dietary intake falls short, the body extracts calcium from bone — directly accelerating bone loss.

Studies show most Irish adults aged 50+ consume only 600–700 mg/day, well below the recommended 1,000–1,200 mg/day. Bridging this gap through diet and supplementation is one of the most effective steps you can take.

Daily Calcium Targets (IOF 2025)

Ages 9–181,300 mg
Adults 19–501,000 mg
Women 51–701,200 mg
Adults 70+1,200 mg
Calcium & Bone Nutrition

About This Resource

FragilityFracture.ie is an independent educational resource for people in Ireland. All content is written in plain English and reviewed against current clinical guidelines (HSE, NICE, International Osteoporosis Foundation).

We are not affiliated with any pharmaceutical company and do not recommend specific products or brands. This site does not provide medical advice — always speak to your doctor.

Concerned about your bones?

If you're worried about osteoporosis, have had a fracture, or have risk factors, your doctor is your first port of call. Bone density testing (a DXA scan) is the only way to diagnose osteoporosis.

“Ask your doctor about a bone density (DXA) scan.”

Medical Disclaimer: This site provides educational information only and does not constitute medical advice. Always consult your doctor or qualified healthcare provider.