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Osteoporosis Screening and Bone Health in Dubai

Bone loses density silently for years and announces itself with a fracture from a minor fall. Screening finds it first. Who should be screened is defined by evidence, and Dubai adds a factor of its own: vitamin D deficiency in most people tested. At Smart Care Polyclinic in Deira, an internal medicine specialist assesses your fracture risk, checks vitamin D and calcium, arranges a bone density scan by referral where indicated, and treats what is found.

For: women from 65; postmenopausal women at increased risk; anyone with a fragility fracture

Takes: a 30-minute consultation; bloods on site; scan by referral

Price: consultation AED 125

Book the internal medicine specialistor call +971 (0) 4379 3562

Bone in cross-section: dense trabeculae on the left, thin porous struts on the right. The loss is silent, which is why screening is done by age and risk rather than by symptoms.

What it is

Who is screened. The US Preventive Services Task Force recommends bone density screening for women aged 65 and over, and for postmenopausal women under 65 whose clinical risk is increased — early menopause, low weight, a parent with a hip fracture, smoking, steroid use, rheumatoid arthritis; for men the evidence is judged insufficient for routine screening, so men are assessed individually.1 A fracture from standing height at any age over fifty is a reason to assess regardless.

Vitamin D is checked because deficiency is the rule here, not the exception. UAE-specific guidance sets out who should be tested and how deficiency is corrected, and the Endocrine Society guideline covers repletion doses; both are followed.23 Calcium, kidney function, thyroid and, where indicated, parathyroid hormone complete the picture.

Treatment depends on the scan and the risk. Osteopenia with low risk: vitamin D, calcium from food, weight-bearing exercise and a repeat scan. Osteoporosis or high fracture risk: a bone-protecting medicine, usually a bisphosphonate, with the duration and the alternatives discussed. Falls prevention — vision, balance, medicines that cause dizziness — matters as much as bone density in older people.

Men and younger people

Osteoporosis is not only a condition of older women. Men with low testosterone, anyone on long-term steroids, people with coeliac disease, thyroid overactivity, eating disorders or early menopause, and anyone who has already had a fragility fracture are assessed on that basis, and the scan is arranged where it will change management.

The consultation, and what follows from it

Questions patients ask

At 65 for women, or earlier after the menopause if your risk is increased. Men and younger people are scanned on the basis of specific risk factors or a fracture rather than age alone.

This guide is general information, not advice about you. Long-term conditions are managed on your own results and history, which is what the specialist consultation is for.

References

  1. US Preventive Services Task Force, Nicholson WK, Silverstein M, et al.. Screening for Osteoporosis to Prevent Fractures: US Preventive Services Task Force Recommendation Statement. JAMA. 2025;333(6):498-508. PMID 39808425. doi:10.1001/jama.2024.27154Screen women 65 and over, and postmenopausal women under 65 at increased fracture risk on clinical assessment; evidence in men judged insufficient.
  2. Haq A, Wimalawansa SJ, Pludowski P, Anouti FA. Clinical practice guidelines for vitamin D in the United Arab Emirates. The Journal of Steroid Biochemistry and Molecular Biology. 2018;175:4-11. PMID 27693095. doi:10.1016/j.jsbmb.2016.09.021Guidance written for the UAE specifically on who should be tested for vitamin D deficiency and how it should be corrected.
  3. Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, Murad MH, Weaver CM. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. The Journal of Clinical Endocrinology and Metabolism. 2011;96(7):1911-30. PMID 21646368. doi:10.1210/jc.2011-0385The Endocrine Society's guideline on correcting a demonstrated vitamin D deficiency, including high-dose repletion regimens.

Sources are listed for the specific statements they support. They are published research and guidance, not a substitute for a consultation — what applies to you is decided by a doctor who has assessed you.