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Assessing fracture risk and/or bone density is crucial before initiating exercise in patients with bone loss or bone metastases. This assessment helps identify individuals who may be at higher risk for fractures due to their compromised bone health. Understanding the extent of bone density loss can inform the selection of safe and appropriate exercise regimens that minimize the risk of injury while still providing benefits.

Additionally, evaluating fracture risk allows healthcare professionals to tailor exercise prescriptions that focus on strengthening muscles and improving balance, thereby potentially reducing the likelihood of falls and fractures. It provides insight into the management of the patient’s overall safety during physical activity and helps determine the intensity and type of exercises that would be suitable.

While cardiac health, weight loss, and flexibility assessments are also important aspects of a comprehensive fitness evaluation, they do not specifically address the critical considerations for patients at risk for bone-related injuries. Therefore, focus on fracture risk and bone density is paramount in this particular clinical context.