Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
The fallacy of BMD: A critical review of the diagnostic use of dual X-ray absorptiometry
Autore:
Nielsen, SP;
Indirizzi:
Cent Hosp Hillerod, Dept Clin Physiol & Nucl Med, DK-3400 Hillerod, Denmark Cent Hosp Hillerod Hillerod Denmark DK-3400 d, DK-3400 Hillerod, Denmark
Titolo Testata:
CLINICAL RHEUMATOLOGY
fascicolo: 3, volume: 19, anno: 2000,
pagine: 174 - 183
SICI:
0770-3198(2000)19:3<174:TFOBAC>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
BONE-MINERAL DENSITY; DXA PENCIL-BEAM; POSTMENOPAUSAL WOMEN; MUSCLE STRENGTH; FAN-BEAM; SPINE DENSITOMETRY; MASS MEASUREMENTS; PHYSICAL-ACTIVITY; HIP FRACTURE; BODY-SIZE;
Keywords:
bone mineral density; dual X-ray absorptiometry; fracture risk; osteoporosis;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
59
Recensione:
Indirizzi per estratti:
Indirizzo: Nielsen, SP Cent Hosp Hillerod, Dept Clin Physiol & Nucl Med, DK-3400 Hillerod, Denmark Cent Hosp Hillerod Hillerod Denmark DK-3400 illerod, Denmark
Citazione:
S.P. Nielsen, "The fallacy of BMD: A critical review of the diagnostic use of dual X-ray absorptiometry", CLIN RHEUMA, 19(3), 2000, pp. 174-183

Abstract

The diagnostic use of BMD should be cautious as BMD is not an ideal measure of true bone density; it is not an ideal measure of bone strength; it does not predict fractures well; and it has inherent problems of accuracy and linearity. The limitations of BMD, based on the physical deficiencies of DXA, are further obscured by the introduction of T-scores. It is suggested that BMD and BMC, when used diagnostically and for fracture risk classification, be used after correction for body size and/or bone size, age and sex, and that measured values be evaluated in the Light of established mean fracture incidence data. BMD is not a parameter of sufficientvalidity to be the sole indicator of present and future fracture risk. A low BMD should be regarded one of several fracture risk factors. It seems that there is a need to redefine the T-score based definition of osteoporosis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/11/20 alle ore 14:28:18