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SHAFRE
Skeletal Health Assessment and Fracture Risk Estimator

Unlock the Power of Predictive Analytics for Fracture Risk Assessment

Skeletal Health Assessment and Fracture Risk Estimator (SHAFRE) is a cutting-edge tool designed to enchance the way we evaluate bone health and predict fracture risks. Developed by a team of leading experts in internal medicine, public health, geriatrics, rehabilitation medicine, epidemiology, and data science, SHAFRE offers a comprehensive approach to assessing skeletal integrity and forecasting fracture probabilities.

Insert SHAFRE
Skeletal Health Assessment and Fracture Risk Estimator

How to use SHAFRE 

Entering Patient Information

Fill in the required fields with accurate patient information, including age, gender, weight, height, and relevant medical history.

Answering Risk Factor Questions

Respond to the risk factor questions with either "yes" or "no" as applicable. Ensure completeness and accuracy in providing this information. f you are lacking information, leave it blank, and SHAFRE will adjust the algorithms accordingly.

Bone Density Measurement

If bone mineral density (BMD) measurements are available, select the manufacturer of the DXA scanner used and enter the measurement result from the femoral neck. Alternatively, you can use the T-score based on the female reference value from NHANES III. If BMD measurements are not available, leave this section blank.

Review and Interpret Results

Once all information is entered, review the results generated by the Risk Assessment Tool. Interpret the risk assessment report carefully, considering the patient's overall health status and individual risk factors.

Review and Interpret Results

Once all information is entered, review the results generated by the Risk Assessment Tool. Interpret the risk assessment report carefully, considering the patient's overall health status and individual risk factors.

Taking Action

Based on the risk assessment report, formulate appropriate management strategies and interventions to address identified fracture risks. Consult with healthcare professionals for further evaluation and guidance if necessary.

Feedback and Support

Provide feedback on the tool's usability and effectiveness to help us improve our services. For any questions or assistance, contact our support team for prompt assistance.

Healthy Aging
Fracture and Bone-Related Articles

Dive into a curated collection of research papers, articles, and publications stemming from our extensive studies on bone health and fracture risk assessment. Stay informed about the latest advancements in the field and explore the insights gleaned from our comprehensive research efforts.

2023

Paluch AE, Bajpai S, Ballin M, Bassett DR, Buford TW, Carnethon MR, Chernofsky A, Dooley EE, Ekelund U, Evenson KR, Galuska DA, Jefferis BJ, Kong L, Kraus WE, Larson MG, Lee IM, Matthews CE, Newton RL Jr, Nordström A, Nordström P, Palta P, Patel AV, Pettee Gabriel K, Pieper CF, Pompeii L, Rees-Punia E, Spartano NL, Vasan RS, Whincup PH, Yang S, Fulton JE; Steps for Health Collaborative. Prospective Association of Daily Steps With Cardiovascular Disease: A Harmonized Meta-Analysis. Circulation. 2023 Jan 10;147(2):122-131.

2023

Bloniecki, V., Ulfvarson, J., Javanshiri, K. et al. The Geras Solutions Cognitive Test for Assessing Cognitive Impairment: Normative Data from a Population-Based Cohort. J Prev Alzheimers Dis 10, 207–211 (2023).

2023

Muñoz Esquivel K, Gillespie J, Kelly D, Condell J, Davies R, McHugh C, Duffy W, Nevala E, Alamäki A, Jalovaara J, Tedesco S, Barton J, Timmons S, Nordström A. Factors Influencing Continued Wearable Device Use in Older Adult Populations: Quantitative Study. JMIR Aging. 2023 Jan 19;6:e36807.

2022

Ballin M, Antonsson O, Rosenqvist V, Nordström P, Nordström A. Association of Dog Ownership with Accelerometer-Measured Physical Activity and Daily Steps in Older Adults: A Population-Based Cross-Sectional Study. BMC Public Health. BMC Public Health. 2021 Dec 21;21(1):2313

2022

Kelly D, Condell J, Gillespie J, Munoz Esquivel K, Barton J, Tedesco S, Nordstrom A, Åkerlund Larsson M, Alamäki A. Improved screening of fall risk using free-living based accelerometer data. J Biomed Inform. 2022 Jul;131:104116.

2022

Vikberg S, Björk S, Nordström A, Nordström P, Hult A. Feasibility of an Online Delivered, Home-Based Resistance Training Program for Older Adults - A Mixed Methods Approach. Front Psychol. 2022 Jun 3;13:869573

2021

Ballin M, Nordström P, Nordström A. Associations of Light, Moderate to Vigorous, and Total Physical Activity With the Prevalence of Metabolic Syndrome in 4,652 Community-Dwelling 70-Year-Olds: A Population-Based Cross-Sectional Study. J Aging Phys Act. 2021 Jan 7:1-9.

2021

Tedesco S, Andrulli M, Larsson MÅ, Kelly D, Alamäki A, Timmons S, Barton J, Condell J, O’Flynn B, Nordström A. Comparison of Machine Learning Techniques for Mortality Prediction in a Prospective Cohort of Older Adults. International Journal of Environmental Research and Public Health. 2021; 18(23):12806.

2021

Moore K, O'Shea E, Kenny L, Barton J, Tedesco S, Sica M, Crowe C, Alamaki A, Condell J, Nordstrom A, Timmons S. Older Adults' Experiences With Using Wearable Devices: Qualitative Systematic Review and Meta-synthesis. JMIR Mhealth Uhealth. 2021 Jun 3;9(6):e23832.

2021

Kelly D, Esquivel KM, Gillespie J, Condell J, Davies R, Karim S, Nevala E, Alamäki A, Jalovaara J, Barton J, Tedesco S, Nordström A. Feasibility of Sensor Technology for Balance Assessment in Home Rehabilitation Settings. Sensors (Basel). 2021 Jun 28;21(13):4438

2021

Scott D, Johansson J, Gandham A, Ebeling PR, Nordstrom P, Nordstrom A. Associations of accelerometer-determined physical activity and sedentary behavior with sarcopenia and incident falls over 12 months in community-dwelling Swedish older adults. J Sport Health Sci. 2021 Sep;10(5):577-584.

2021

Sörlén N, Hult A, Nordström P, Nordström A, Johansson J. Short-term balance training and acute effects on postural sway in balance-deficient older adults: a randomized controlled trial. BMC Sports Sci Med Rehabil. 2021 Mar 9;13(1):23.

2020

Eriksson M, Nääs S, Berginström N, Nordström P, Hansson P, Nordström A. Sedentary behavior as a potential risk factor for depression among 70-year-olds. J Affect Disord. 2020 Feb 15;263:605-608

2020

Scott D, Johansson J, Ebeling PR, Nordstrom P, Nordstrom A. Adiposity Without Obesity: Associations with Osteoporosis, Sarcopenia, and Falls in the Healthy Ageing Initiative Cohort Study. Obesity (Silver Spring). 2020 Nov;28(11):2232-2241.

2020

Ballin M, Nordström P, Niklasson J, Alamäki A, Condell J, Tedesco S, Nordström A. Daily step count and incident diabetes in community-dwelling 70-year-olds: a prospective cohort study. BMC Public Health. 2020 Nov 30;20(1):1830

2020

Nordström A, Bergman J, Björk S, Carlberg B, Johansson J, Hult A, Nordström P. A multiple risk factor program is associated with decreased risk of cardiovascular disease in 70-year-olds: A cohort study from Sweden. PLoS Med. 2020 Jun 11;17(6):e1003135

2020

Ballin M, Hult A, Björk S, Lundberg E, Nordström P, Nordström A. Web-based exercise versus supervised exercise for decreasing visceral adipose tissue in older adults with central obesity: a randomized controlled trial. BMC Geriatr. 2020 May 12;20(1):173.

2020

Alamäki A, Nevala E, Barton, J, Condell J, Munoz Esquivel K, Nordström A, Tedesco S, Kelly D, Heaney D. Wearable Technology Supported Home Rehabilitation Services in Rural Areas -Emphasis on Monitoring Structures and Activities of Functional CapacityPublications of Karelia University of Applied Sciences B, Handbooks and Article collections: 58 ISBN: 978-952-275-283-3

2019

Ballin M, Lundberg E, Sörlén N, Nordström P, Hult A, Nordström A. Effects of Interval Training on Visceral Adipose Tissue in Centrally Obese 70-Year-Old Individuals: A Randomized Controlled Trial. 2019 Journal of the American Geriatrics Society, 67(8), 1625-1631.

2019

Hult A, Johansson J, Nordström P, Nordström A. Objectively Measured Physical Activity in Older Adults With and Without Diabetes. Clin Diabetes. 2019 Apr;37(2):142-149.

2019

Johansson J, Jarocka E, Westling G, Nordström A, Nordström P. Predicting incident alls: Relationship between postural sway and limits of stability in older adults. Hum Mov Sci 2019 10;66:117-123

2019

Vikberg S, Sorlen N, Branden L, Johansson J, Nordstrom A, Hult A, Nordstrom P. Effects of Resistance Training on Functional Strength and Muscle Mass in 70-Year-Old Individuals With Pre-sarcopenia: A Randomized Controlled Trial. J Am Med Dir Assoc 2019;20:28-34.

2019

Scott D, Johansson J, McMillan LB, Ebeling PR, Nordstrom A, Nordstrom P. Mid-calf skeletal muscle density and its associations with physical activity, bone health and incident 12-month falls in older adults: The Healthy Ageing Initiative. Bone. 2019 Mar;120:446-451.

2019

Scott D, Johansson J, McMillan LB, Ebeling PR, Nordstrom P, Nordstrom A. Associations of Sarcopenia and Its Components with Bone Structure and Incident Falls in Swedish Older Adults. Calcif Tissue Int. 2019 Jul;105(1):26-36.

2018

Johansson J., Hult A., Morseth B., Nordström A. Nordström P. Self-reported protein intake and properties of bone in community-dwelling older individuals Archives of Osteoporosis. 2018 Jan 31;13(1):10

2018

K Muñoz Esquivel, E Nevala, A Alamäki, J Condell, D Kelly, R Davies, D Heaney, A Nordström, M Åkerlund Larsson, D Nilsson, J Barton and S Tedesco Remote Rehabilitation: A Solution to Overloaded & Scarce Health Care Systems. Trends in Telemedicine & E-health 2018

2018

Hallkvist O. M., Johansson J., Nordström A., Nordström P. Hult A. Dairy Product Intake and Bone Properties in 70-year-old Men and Women Archives of Osteoporosis. 2018 Jan 29;13(1):9

2017

Johansson J, Nordström A, Gustafson Y, Westling G, Nordström P. Increased postural sway during quiet stance as a risk factor for prospective falls in community-dwelling elderly individuals. Age Ageing. 2017 Nov 1;46(6):964-970

2016

Johansson J, Nordstrom A, Nordstrom P. Greater Fall Risk in Elderly Women Than in Men is Associated with Increased Gait Variability During Multitasking. JAMDA In 2016;17:535-40.

2016

Nordström A, Hadrévi J, Olsson T, Franks PW, Nordström P. Higher Prevalence of Type 2 Diabetes in Men Than in Women Is Associated With Differences in Visceral Fat Mass. J Clin Endocrinol Metab. 2016 Oct;101(10):3740-3746.

2015

Berginstrom N, Johansson J, Nordstrom P, Nordstrom A. Attention in Older Adults: A Normative Study of the Integrated Visual and Auditory Continuous Performance Test for Persons Aged 70 Years. Clin Neuropsychol 2015:1-16.

2015

Johansson J, Nordström A, Nordström P. Objectively measured physical activity is associated with parameters of bone in 70-year-old men and women. Bone. 2015 Dec;81:72-79

2012

Toss F, Wiklund P, Nordstrom P, Nordstrom A. Body composition and mortality risk in later life. Age and ageing. 2012;41(5):677-81.

2011

Nordstrom P, Eklund F, Bjornstig U, Nordstrom A, Lorentzon R, Sievanen H, Gustafson Y. Do Both Areal BMD and Injurious Falls Explain the Higher Incidence of Fractures in Women than in Men? Calcified Tissue Int. 2011;89(3):203-10.

2011

Wiklund P, Nordström A, Jansson JH, Weinehall L, Nordström P. Low bone mineral density is associated with increased risk for myocardial infarction in men and women. Osteoporos Int. 2012 Mar;23(3):963-70.

2011

Toss F, Wiklund P, Franks PW, Eriksson M, Gustafson Y, Hallmans G, Nordström P, Nordström A. Abdominal and gynoid adiposity and the risk of stroke. International journal of obesity. 2011;35(11):1427-32.

2010

Nordstrom A, Eriksson M, Stegmayr B, Gustafson Y, Nordstrom P. Low bone mineral density is an independent risk factor for stroke and death. Cerebrovasc Dis. 2010;29(2):130-6.

2010

Wiklund P, Toss F, Jansson JH, Eliasson M, Hallmans G, Nordström A, Franks PW, Nordström P. Abdominal and gynoid adipose distribution and incident myocardial infarction in women and men. Int J Obes (Lond). 2010 Dec;34(12):1752-8.

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