STRATEGIES FOR OSTEOPOROSIS PREVENTION IN PRIMARY HEALTH CARE

AN INTEGRATIVE LITERATURE REVIEW

Authors

DOI:

https://doi.org/10.36489/nursing.2026v32i341p22323-22337

Keywords:

DESCRIPTORS: Osteoporosis; Primary Health Care; Disease Prevention; Bone Fractures; Risk Assessment.

Abstract

OBJECTIVE: To analyze strategies developed in primary health care that contribute to osteoporosis prevention and the reduction of fracture risk in adults and the elderly. METHOD: An integrative literature review was conducted using the PubMed/MEDLINE database, covering publications from 2021 to 2026. After applying selection criteria, seven studies were evaluated; four were excluded for not meeting the scope, resulting in a final sample of three articles. RESULTS: The main strategies identified were the early recognition of risk factors, bone health screening, timely diagnosis and treatment, monitoring of treatment adherence, and preventive interventions to reduce the occurrence and recurrence of fractures. CONCLUSION: Primary health care plays a fundamental role in preventing osteoporosis and fractures, particularly through early risk identification, continuous monitoring, and the implementation of individualized preventive measures.

 

 

Author Biographies

Joel Neves Ramos

Médico. Universidade de Gurupi (UNIRG), Gurupi, Tocantins, Brasil.

THAIS ANTUNES SOSSAI, UFES

Enfermeira. Universidade Federal do Espírito Santo (UFES), Vitória, Espírito Santo, Brasil.

References

Colón-Emeric C, Lee R, Lyles KW, Zullig LL, Sloane R, Pieper CF, et al. Remote bone health service for osteoporosis screening in high-risk men: a cluster randomized clinical trial. JAMA Intern Med. 2025;185(10):1218-1224. doi:10.1001/jamainternmed.2025.4150.

Singer AJ, Sharma A, Deignan C, Borgermans L. Closing the gap in osteoporosis management: the critical role of primary care in bone health. Curr Med Res Opin. 2023;39(3):387-398. doi:10.1080/03007995.2022.2141483.

Sjölander M, Alvunger L, Eggertsen R, Lindgren A, Mölstad U, Petrazzuoli F, et al. Reduced risk of recurrent fragility fractures after a primary care-based fracture prevention intervention: a 20-year non-randomized controlled follow-up study in women aged 70-100. Scand J Prim Health Care. 2026;44(1):1-16. doi:10.1080/02813432.2025.2571929.

Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008;17(4). Disponível em: https://www.scielo.br/j/tce/a/XzFkq6tjWs4wHNqNjKJLkXQ/. Acesso em: 16 set. 2023.

Ursi ES. Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura [dissertação]. Ribeirão Preto: Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto; 2005.

US Preventive Services Task Force. Screening for osteoporosis to prevent fractures: US Preventive Services Task Force recommendation statement. JAMA. 2025;333(6):498-508. doi:10.1001/jama.2024.27154.

Freitas TQ, Olalla LFG, Machado LG, Figueiredo CP, Takayama L, Caparbo VF, et al. Performance of the Brazilian Fracture Assessment Risk Tool (FRAX) model and the age-dependent intervention thresholds according to National Osteoporosis Guideline Group (NOGG) guidelines on fracture prediction in community-dwelling older adults: the São Paulo Ageing and Health (SPAH) Study. Arch Osteoporos. 2024;19(1):59. doi:10.1007/s11657-024-01417-z.

Vuong T, Peters M, Merrifield A, Firipis M, Belcher J, Elgebaly Z. Investigating the impact of a national educational program on patient adherence to osteoporosis medications. Arch Osteoporos. 2023;18(1):90. doi:10.1007/s11657-023-01301-2.

Published

2026-09-24

How to Cite

Joel Neves Ramos, & ANTUNES SOSSAI, T. (2026). STRATEGIES FOR OSTEOPOROSIS PREVENTION IN PRIMARY HEALTH CARE: AN INTEGRATIVE LITERATURE REVIEW. Nursing Edição Brasileira, 32(341), 22323–22337. https://doi.org/10.36489/nursing.2026v32i341p22323-22337

Issue

Section

Integrative Review

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