Bone Mineral Density Screening Interval and Transition to Osteoporosis in Asian Women

Background Bone mineral density (BMD) testing is indicated for women aged 65 years, but screening strategies for osteoporosis are controversial. Currently, there is no study focusing on the BMD testing interval in Asian populations. The current study aimed to evaluate the estimated time interval for...

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Main Authors: Hyunju Park, Heera Yang, Jung Heo, Hye Won Jang, Jae Hoon Chung, Tae Hyuk Kim, Yong-Ki Min, Sun Wook Kim
Format: Article
Language:English
Published: Korean Endocrine Society 2022-06-01
Series:Endocrinology and Metabolism
Subjects:
Online Access:http://www.e-enm.org/upload/pdf/enm-2022-1429.pdf
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author Hyunju Park
Heera Yang
Jung Heo
Hye Won Jang
Jae Hoon Chung
Tae Hyuk Kim
Yong-Ki Min
Sun Wook Kim
author_facet Hyunju Park
Heera Yang
Jung Heo
Hye Won Jang
Jae Hoon Chung
Tae Hyuk Kim
Yong-Ki Min
Sun Wook Kim
author_sort Hyunju Park
collection DOAJ
description Background Bone mineral density (BMD) testing is indicated for women aged 65 years, but screening strategies for osteoporosis are controversial. Currently, there is no study focusing on the BMD testing interval in Asian populations. The current study aimed to evaluate the estimated time interval for screening osteoporosis. Methods We conducted a study of 6,385 subjects aged 50 years and older who underwent dual-energy X-ray absorptiometry screening more than twice at Samsung Medical Center as participants in a routine health checkup. Subjects were divided based on baseline T-score into mild osteopenia (T-score, <–1.0 to >–1.5), moderate osteopenia (T-score, ≤–1.5 to >–2.0), and severe osteopenia (T-score, ≤–2.0 to >–2.5). Information about personal medical and social history was collected by a structured questionnaire. Results The adjusted estimated BMD testing interval for 10% of the subjects to develop osteoporosis was 13.2 years in mild osteopenia, 5.0 years in moderate osteopenia, and 1.5 years in severe osteopenia. Conclusion Our study provides extended information about BMD screening intervals in Asian female population. Baseline T-score was important for predicting BMD screening interval, and repeat BMD testing within 5 years might not be necessary in mild osteopenia subjects.
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spelling doaj.art-1778a8df252f43da9b4ba9227c7e67082022-12-22T02:48:08ZengKorean Endocrine SocietyEndocrinology and Metabolism2093-596X2093-59782022-06-0137350651210.3803/EnM.2022.14292302Bone Mineral Density Screening Interval and Transition to Osteoporosis in Asian WomenHyunju Park0Heera Yang1Jung Heo2Hye Won Jang3Jae Hoon Chung4Tae Hyuk Kim5Yong-Ki Min6Sun Wook Kim7 Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Medical Education, Sungkyunkwan University School of Medicine, Seoul, Korea Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaBackground Bone mineral density (BMD) testing is indicated for women aged 65 years, but screening strategies for osteoporosis are controversial. Currently, there is no study focusing on the BMD testing interval in Asian populations. The current study aimed to evaluate the estimated time interval for screening osteoporosis. Methods We conducted a study of 6,385 subjects aged 50 years and older who underwent dual-energy X-ray absorptiometry screening more than twice at Samsung Medical Center as participants in a routine health checkup. Subjects were divided based on baseline T-score into mild osteopenia (T-score, <–1.0 to >–1.5), moderate osteopenia (T-score, ≤–1.5 to >–2.0), and severe osteopenia (T-score, ≤–2.0 to >–2.5). Information about personal medical and social history was collected by a structured questionnaire. Results The adjusted estimated BMD testing interval for 10% of the subjects to develop osteoporosis was 13.2 years in mild osteopenia, 5.0 years in moderate osteopenia, and 1.5 years in severe osteopenia. Conclusion Our study provides extended information about BMD screening intervals in Asian female population. Baseline T-score was important for predicting BMD screening interval, and repeat BMD testing within 5 years might not be necessary in mild osteopenia subjects.http://www.e-enm.org/upload/pdf/enm-2022-1429.pdfbone densityscreening intervalbone diseases, metabolicosteoporosis
spellingShingle Hyunju Park
Heera Yang
Jung Heo
Hye Won Jang
Jae Hoon Chung
Tae Hyuk Kim
Yong-Ki Min
Sun Wook Kim
Bone Mineral Density Screening Interval and Transition to Osteoporosis in Asian Women
Endocrinology and Metabolism
bone density
screening interval
bone diseases, metabolic
osteoporosis
title Bone Mineral Density Screening Interval and Transition to Osteoporosis in Asian Women
title_full Bone Mineral Density Screening Interval and Transition to Osteoporosis in Asian Women
title_fullStr Bone Mineral Density Screening Interval and Transition to Osteoporosis in Asian Women
title_full_unstemmed Bone Mineral Density Screening Interval and Transition to Osteoporosis in Asian Women
title_short Bone Mineral Density Screening Interval and Transition to Osteoporosis in Asian Women
title_sort bone mineral density screening interval and transition to osteoporosis in asian women
topic bone density
screening interval
bone diseases, metabolic
osteoporosis
url http://www.e-enm.org/upload/pdf/enm-2022-1429.pdf
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