Key clinical point: Bone mass, density, and strength should be maintained over the lifetime to prevent fragility fractures.

Major finding: The nonfracture group had 4%-11% greater BMD at the femoral neck and distal radius, and stronger bone structure at the tibia (distal, 6%; shaft, 3.6%).

Study details: 20-year, register-based follow-up of 187 postmenopausal women assigned to a fracture or nonfracture group; baseline bone properties were measured and physical performance assessed.

Disclosures: The authors received no funding for this study and had no conflicts of interest to declare.