Osteoporosis is a risk factor for hip and other fractures. Hypertension is a progressive silent disease affecting bone mass and structure, leading to increased susceptibility to fractures. The aim of this study was to determine the role of hypertension for fracture risk in osteoporotic women.

This comparative cross sectional study was conducted among 54 hypertensive and 34 non-hypertensive osteoporotic female patients at two tertiary centers in Dhaka city during the period of 1st January to 31st December, 2017. Data were collected by face-to-face interview using semi-structured questionnaire and checklist. Online assessment of fracture risk probability was done among the two groups by FRAX tool and statistical analysis was performed by Statistical Packages for Social Sciences (SPSS-23).

The study revealed that the mean ages were 61.94±9.362 years in hypertensive and 59.18±11.269 years in non-hypertensive patients. Majority were housewives in hypertensive (96.3%) and non-hypertensive (82.4%) patients. It was found that the mean duration of hypertension was 6.41±4.049 years in osteoporotic women where as the mean duration of osteoporosis were 8.80±5.022 years in hypertensive and 7.53±5.920 years in non-hypertensive patients. The difference of major osteoporotic fracture (MOF) risk by age was significantly (X², P˂0.05) higher among the patients belonged to age group 60–79 years as well as comparatively higher in hypertensive patients. MOF risk by hypertension was comparatively higher among the hypertensive patients but it was not statistically significant (X², Thp˃0.05). On the other hand, hip fracture (HF) risk by hypertension was comparatively higher among the hypertensive patients and it was statistically significant (X², P˂0.05).

The study reflected that the fracture risk was significantly higher in hypertensive patients.