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A scanner used to measure bone density using dual energy X-ray absorptiometry. Bone density, or bone mineral density, is the amount of bone mineral in bone tissue.The concept is of mass of mineral per volume of bone (relating to density in the physics sense), although clinically it is measured by proxy according to optical density per square centimetre of bone surface upon imaging. [1]
Peak bone mass is the maximum amount of bone a person has during their life. [1] It typically occurs in the early 20s in females and late 20s in males. [ 2 ] Peak bone mass is typically lower in females than males, and is also lower in White people and Asians compared to black populations. [ 1 ]
Bone densities are often given to patients as a T score or a Z score. A T score tells the patient what their bone mineral density is in comparison to a young adult of the same gender with peak bone mineral density. A normal T score is -1.0 and above, low bone density is between -1.0 and -2.5, and osteoporosis is -2.5 and lower.
In particular, physical exercise can be beneficial for bone density in postmenopausal women, [140] and lead to a slightly reduced risk of a bone fracture (absolute difference 4%). [141] Weight bearing exercise has been found to cause an adaptive response in the skeleton, [142] promoting osteoblast activity and protecting bone density. [143]
Osteoporosis is defined by the World Health Organization in women as a bone mineral density 2.5 standard deviations below peak bone mass, relative to the age and sex-matched average, as measured by dual energy X-ray absorptiometry, with the term "established osteoporosis" including the presence of a fragility fracture. [13]
Osteoporosis is a disease of bone where there is reduced bone mineral density, increasing the likelihood of fractures. [95] Osteoporosis is defined in women by the World Health Organization as a bone mineral density of 2.5 standard deviations below peak bone mass, relative to the age and
The trabecular bone has much higher metabolic activity than the cortical bone and so is affected by age, disease and therapy-related changes earlier and to a greater degree than cortical bone. This means that QCT of the spine has an advantage compared to other bone density tests because earlier changes in bone mineral density may be detected . [1]
The trabecular bone score is a measure of bone texture correlated with bone microarchitecture and a marker for the risk of osteoporosis. Introduced in 2008, [ 1 ] its main projected use is alongside measures of bone density in better predicting fracture risk in people with metabolic bone problems.