Associations between trabecular bone score and bone mineral density in Taiwanese older adult men

Osteoporosis is a common bone disease in older adults, and it is a predictor of bone fracture. This study determined the mean trabecular bone score (TBS) of older Taiwanese men in different age groups and analyzed the effectiveness of TBS in predicting osteoporosis risk. A total of 1568 men aged...

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Main Authors: Mei-Lan Huang, Tsyh-Jyi Hsieh, Song-Shei Lin, Wen-Chuan Huang
Format: Article
Language:English
Published: MRE Press 2023-01-01
Series:Journal of Men's Health
Subjects:
Online Access:https://oss.jomh.org/files/article/20230130-28/pdf/JOMH15273.pdf
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author Mei-Lan Huang
Tsyh-Jyi Hsieh
Song-Shei Lin
Wen-Chuan Huang
author_facet Mei-Lan Huang
Tsyh-Jyi Hsieh
Song-Shei Lin
Wen-Chuan Huang
author_sort Mei-Lan Huang
collection DOAJ
description Osteoporosis is a common bone disease in older adults, and it is a predictor of bone fracture. This study determined the mean trabecular bone score (TBS) of older Taiwanese men in different age groups and analyzed the effectiveness of TBS in predicting osteoporosis risk. A total of 1568 men aged 50 and older were enrolled. The demographic characteristics; bone mineral density (BMD) T-scores of the spine, total hip, and femoral neck; and TBS of the spine were recorded to statistically determine osteoporosis-related factors. The average age (range) of the included patients was 59.5 ± 7.5 (50.0–92.7) years. The mean (range) TBS was 1.386 ± 0.073 (0.999–1.605). The TBS was moderately and positively correlated with the BMD T-scores of the spine, total hip, and femoral neck (r = 0.516, 0.499, and 0.480, respectively). The lowest of the BMD T-scores measured at multiple sites revealed a higher rate of osteoporosis (5.5%) than did BMD T-scores measured at individual sites. Moreover, bone microarchitecture degradation was noted in 2.2% of the patients. Compared with the use of BMD alone, a combination of BMD and TBS predicted more patients (1.4%) to be at a high risk of osteoporosis. Combining the lowest BMD and TBS revealed that 20.3% of patients aged ≥70 years had a high risk of osteoporosis. TBS can be used to clinically assess the risk of osteoporosis in older adults without osteoporosis. We recommend combining the lowest BMD T-score and TBS for predicting the risk of osteoporosis.
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spelling doaj.art-4bbaae7f18134635887c6a608631e49a2024-02-03T14:41:15ZengMRE PressJournal of Men's Health1875-68592023-01-01191152210.22514/jomh.2023.005S1875-6867(23)00463-3Associations between trabecular bone score and bone mineral density in Taiwanese older adult menMei-Lan Huang0https://orcid.org/0000-0002-1212-9827Tsyh-Jyi Hsieh1https://orcid.org/0000-0001-9076-6584Song-Shei Lin2https://orcid.org/0000-0002-4385-8918Wen-Chuan Huang3https://orcid.org/0000-0002-0916-6336Department of Medical Imaging, Chi Mei Medical Center, 710 Tainan, TaiwanDepartment of Medical Imaging, Chi Mei Medical Center, 710 Tainan, TaiwanDepartment of Medical Imaging and Radiological Sciences, Central Taiwan University of Science and Technology, 40601 Taichung, TaiwanSchool of Continuing Education, Fu Jen Catholic University, 242 Taipei, TaiwanOsteoporosis is a common bone disease in older adults, and it is a predictor of bone fracture. This study determined the mean trabecular bone score (TBS) of older Taiwanese men in different age groups and analyzed the effectiveness of TBS in predicting osteoporosis risk. A total of 1568 men aged 50 and older were enrolled. The demographic characteristics; bone mineral density (BMD) T-scores of the spine, total hip, and femoral neck; and TBS of the spine were recorded to statistically determine osteoporosis-related factors. The average age (range) of the included patients was 59.5 ± 7.5 (50.0–92.7) years. The mean (range) TBS was 1.386 ± 0.073 (0.999–1.605). The TBS was moderately and positively correlated with the BMD T-scores of the spine, total hip, and femoral neck (r = 0.516, 0.499, and 0.480, respectively). The lowest of the BMD T-scores measured at multiple sites revealed a higher rate of osteoporosis (5.5%) than did BMD T-scores measured at individual sites. Moreover, bone microarchitecture degradation was noted in 2.2% of the patients. Compared with the use of BMD alone, a combination of BMD and TBS predicted more patients (1.4%) to be at a high risk of osteoporosis. Combining the lowest BMD and TBS revealed that 20.3% of patients aged ≥70 years had a high risk of osteoporosis. TBS can be used to clinically assess the risk of osteoporosis in older adults without osteoporosis. We recommend combining the lowest BMD T-score and TBS for predicting the risk of osteoporosis.https://oss.jomh.org/files/article/20230130-28/pdf/JOMH15273.pdftrabecular bone scorebone mineral densityosteoporosisdxaolder men
spellingShingle Mei-Lan Huang
Tsyh-Jyi Hsieh
Song-Shei Lin
Wen-Chuan Huang
Associations between trabecular bone score and bone mineral density in Taiwanese older adult men
Journal of Men's Health
trabecular bone score
bone mineral density
osteoporosis
dxa
older men
title Associations between trabecular bone score and bone mineral density in Taiwanese older adult men
title_full Associations between trabecular bone score and bone mineral density in Taiwanese older adult men
title_fullStr Associations between trabecular bone score and bone mineral density in Taiwanese older adult men
title_full_unstemmed Associations between trabecular bone score and bone mineral density in Taiwanese older adult men
title_short Associations between trabecular bone score and bone mineral density in Taiwanese older adult men
title_sort associations between trabecular bone score and bone mineral density in taiwanese older adult men
topic trabecular bone score
bone mineral density
osteoporosis
dxa
older men
url https://oss.jomh.org/files/article/20230130-28/pdf/JOMH15273.pdf
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