Abstract: Background and Objectives: Osteoporosis is a global problem occurring in every geographic area and affecting 150 million men and women worldwide. Osteoporosis is defined as a reduction of bone mass(or density) or the presence of a fragility fracture. Based on recommendation of a WHO committee, osteoporosis is defined as a bone density that falls 2.5 standard deviation (SD) below the mean for young healthy adults of the same race and gender also referred to as T-score of -2.5. Those who fall at the lower end of the young normal range ( a T-score of >1SD below the mean ) are defined as osteopenic having low bone density and are considered to be at increased risk of osteoporosis.Materials and methods: This population based cross sectional study attempts to measure the peripheral ie. heel bone mineral density (BMD) by p-DEXA technique in adults Measurement of BMD:In the DEXA technique two X-ray energies are used to estimate the area of mineralised tissue and the mineral content is divided by the area, which partially corrects for body size. Results: Among total of 173 individuals ( 106 women and 67 men) Women had 137 risk factors and men had 71 risk factors. Among them there are 39 people who had no risk factors and 134 people had one or more risk factors. Among 134 individuals 65 people (50%) had one risk factor and 69 people(50%) had two risk factors. Conclusion: Identification of people at risk of osteoporosis by p-DEXA method was useful in adults and we can implement preventive strategies to improve bone health and reduce the personal and economic burden of osteoporosis.