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Posts Tagged ‘Fracture Risk Assessment Tool’

How Hard Is It To Manage Bone Density?

November 23, 2014 @ 7:57 pm
posted by Dr Ginther

Wrong Question!  What you should be managing is Fracture Risk.  If you only look at Bone Mineral Density (BMD), you miss the chance to decrease Fracture Risk in the overwhelming majority of people.

85% of the women who Fracture have a DXA score of “osteopenia” or even “normal”.  Keeping their bone density at “only osteopenia” does them no favor.  So how can you manage Fracture Risk?

WRONG!!!!    85% of women who suffer Fragility Fractures have “Osteopenia”.  Close to 90% of men.  How can this be?  “Osteopenia” is NOT a Diagnosis.  Unfortunately, most people do not understand that “Osteopenia” is not a Diagnosis.

Fracture Risk is not just DXA t-score or Bone Mineral Density (BMD).  “Osteopenia” is a BMD t-score of minus 1.1 through minus 2.4.  Increased Fracture Risk (the NIH definition of Osteoporosis) starts at minus 2.5 at age 60, but Increased Fracture Risk starts at minus 1.3 at age 80.  And that is only if there are no other Risk Factors, such as previous fracture, parent with a hip fracture, smoking, inhalers, etc.