This study attempted to determine the effect of Pictogram on the knowledge and practices of elderly high risk for osteoporosis ages 60 and above of Barangay Linabo Dapitan City, Zamboanga del Norte. This is a pre and post-interventional study. In the preintervention, a self-administered 15 item knowledge questionnaire was used to assess basic knowledge among 50 respondents regarding osteoporosis. The intervention was done in one room where the posters were already displayed and arranged. The first post-intervention one evaluation (P-I) was done right after the visual link exhibit, followed by the post-evaluation two (P-2) after a week and post-evaluation three (P-3) after one month. Observations lasted for one month. When ANOVA and Mcnemar’s Change Test was used in the analysis of mean knowledge and practice scores, respectively, it was found out that there was a significant increase in the mean knowledge scores of respondents with preintervention. However, when the post one evaluation (P-1) was compared to post two evaluation (P-2) a significant decrease was noted (11.02 and 10.32, respectively with a p-value of .000), meaning knowledge decay. There was also a significant decrease when mean scores of P-2 and P-3 evaluations were compared (10.32 and 9.40, respectively with a p-value of .006), meaning further knowledge decay. The decay of P-3 evaluation, however, was not comparable to P-1(8.42 and 9.40, respectively with a p-value of .022). On practices, the daily milk drinkers increased from 12 before the intervention to 20 in post-intervention, with a p-value of .008 indicating a significant change. With regards to weekly milk drinkers, it increased from 4 in the pre-intervention to 9 in the post-intervention. All in all the number of respondents who drank milk before the intervention was 16 and it increased to 29 after the intervention p-value = .000 indicating a significant change in the overall practices of respondents after the intervention. With the limited financial and time elements, the pictogram study provided effective insights in improving the knowledge and practices of elderly high risk for osteoporosis among elders.