A comparison between peripheral BMD and central BMD measurements in the prediction of spine fractures in men

Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
N HongsdusitElizabeth Barrett-Connor

Abstract

Most of the research on osteoporosis has been conducted on women. Few studies have compared central and peripheral densitometry and their association with vertebral fractures in men. The present study was designed to compare peripheral bone mineral density (BMD) measurements with central BMD measurements, and to examine their association with radiographic spine fracture in men. We studied 402 community-dwelling men aged 45-92 years (mean: 70 years) from the Rancho Bernardo Study cohort who attended a clinic visit between 1988 and 1992 when BMD measurements of the midshaft radius, ultradistal wrist, lumbar spine, and total hip were obtained, and who returned for lateral X-rays of the thoracic and lumbar spine an average of 4 years later. Logistic regression, T-scores, and quintiles were used to analyze BMD and its association with vertebral fractures. The prevalence of osteoporosis defined by the National Osteoporosis Foundation criteria (for women) was 14.2% at the spine and 13% at the hip. Because there are no validated definitions of osteoporosis based on the ability to predict fracture risk for peripheral densitometry, the frequency of overlap by bone site was calculated among men in the lowest quintile of each site. Of the ...Continue Reading

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Citations

May 1, 2012·Journal of Clinical Densitometry : the Official Journal of the International Society for Clinical Densitometry·Paul R SieberLeanne Schimke
Dec 14, 2011·Journal of Clinical Densitometry : the Official Journal of the International Society for Clinical Densitometry·Yin-Juan ChangJun-Ping Tian
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Oct 25, 2006·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Cora E LewisUNKNOWN Osteoporotic Fractures in Men (MrOS) Study Research Group
Jan 17, 2015·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·S Y LeeK H Sung
Aug 29, 2018·Archives of Osteoporosis·Pedro F Saint-MauriceKathleen F Janz

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