[Guideline for primary prevention of osteoporotic fractures (2026 edition)].

Osteoporotic fractures represent the most severe complication of osteoporosis, characterized by high incidence, high rates of missed diagnosis, high disability rates, and high mortality. These fractures impose substantial economic and caregiving burdens on both society and families. Strengthening screening in high-risk populations and implementing early interventions to prevent or reduce the occurrence of osteoporotic fractures are therefore of paramount significance. Therefore, the Professional Committee for Osteoporosis Prevention and Rehabilitation of Chinese Association of Rehabilitation Medicine, in collaboration with the Osteoarthrosis Committee of Chinese Aging Well Association, has initiated the development of the guideline for primary prevention of osteoporotic fractures. Key clinical issues of greatest concern to healthcare professionals were identified, including: identification of populations at high risk for osteoporotic fracture and fracture risk assessment; education and guidance for at-risk populations; fall prevention measures; assessment, diagnosis, and treatment of osteoporosis. This process culminated in the formulation of 11 evidence-based recommendations. The guideline aims to optimize primary prevention strategies for osteoporotic fractures, enhance healthcare professionals' management of health in high-risk populations, strengthen self-protection awareness among these individuals, reduce fracture incidence, and ultimately improve the quality of life for those at risk.