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A prospective evaluation of bone mineral density measurement in females who have fallen
Author(s) -
Julia L. Newton,
Rose Anne Kenny,
Richard Frearson,
R. M. Francis
Publication year - 2003
Publication title -
age and ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.014
H-Index - 143
eISSN - 1468-2834
pISSN - 0002-0729
DOI - 10.1093/ageing/afg062
Subject(s) - bone mineral , medicine , heel , osteoporosis , dual energy x ray absorptiometry , bone density , dual energy , gold standard (test) , lumbar , hip fracture , cohort , nuclear medicine , lumbar spine , lumbar vertebrae , orthodontics , physical therapy , surgery , radiology , anatomy
The National Service Framework for Older Persons recognises the relationship between falls and osteoporosis; however, the best method for the evaluation of bone mineral density measurement in fallers is unclear. Dual energy X-ray absorptiometry of lumbar spine and hip is the gold standard for bone mineral density measurement, but is time consuming and may not be readily available. A cheaper, more portable alternative is peripheral dual energy X-ray absorptiometry of the heel. This predicts overall fracture risk as effectively as dual X-ray at the spine and hip, although site specific measurements provide the best estimate of fracture risk at a particular location.

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