{"id":2544,"date":"2009-03-03T11:26:18","date_gmt":"2009-03-03T11:26:18","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/medosteoporosis\/"},"modified":"2025-05-14T19:11:22","modified_gmt":"2025-05-14T19:11:22","slug":"medosteoporosis","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/medosteoporosis\/","title":{"rendered":"Diagnostic Criteria for Osteoporosis"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div class=\"Section1\">\n<p class=\"MsoNormal\">Osteoporosis is defined as a metabolic bone disease &#8220;characterized by low bone mass and microarchitectural deterioration of bony tissue leading to enhanced bone fragility and a consequent increase in fracture risk.<\/p>\n<p><!--more--><\/p>\n<p class=\"MsoNormal\">World Health Organization (WHO) definition of osteoporosis is only applicable (at present) to Bone Mineral Density (BMD) measurements using DXA (Dual X-ray Absorptiometry)<\/p>\n<p class=\"MsoNormal\">BMD as measured by DXA is expressed as absolute BMD (g\/cm2) and may be designated by either the number of standard deviations (SD) from the young normal mean (T score). The WHO developed guidelines for their use in the clinical diagnosis of osteoporosis and is based on the T score, with a T score of less than -1.0 being defined as osteopenic and a T score of less than -2.5 being referred as osteoporotic.<\/p>\n<p class=\"MsoNormal\"><span class=\"GramE\"><strong>WHO<\/strong><\/span><strong> Criteria for Osteoporosis<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"border: 1pt solid windowtext; padding: 0cm 3.5pt; width: 149.6pt;\" valign=\"top\" width=\"199\">\n<p class=\"MsoNormal\"><strong>Category<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 96.9pt; border: 1pt 1pt 1pt medium solid solid solid none windowtext windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"129\">\n<p class=\"MsoNormal\"><strong>Fracture Risk<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 202.4pt; border: 1pt 1pt 1pt medium solid solid solid none windowtext windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"270\">\n<p class=\"MsoNormal\"><strong>Action<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 3.5pt; width: 149.6pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"199\">\n<p style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong>Normal <\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">BMD &lt; 1 SD below youngadult reference range<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 96.9pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"129\">\n<p class=\"MsoNormal\">Below average<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 202.4pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"270\">\n<p class=\"MsoNormal\">Be watchful for &#8220;clinical triggers&#8221;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 3.5pt; width: 149.6pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"199\">\n<p style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong>Osteopenia <\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">BMD 1-2.5 SD below young adult reference range<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 96.9pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"129\">\n<p class=\"MsoNormal\">Above average<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 202.4pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"270\">\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Consider prevention in peri\/postmenopausal in women.<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Be watchful for clinical triggers.<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Possibly repeat investigations in 2-3 years.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 3.5pt; width: 149.6pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"199\">\n<p style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong>Osteoporosis <\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">BMD &gt; 2.5 SD below young adult reference mean<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 96.9pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"129\">\n<p class=\"MsoNormal\">High<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 202.4pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"270\">\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Exclude secondary causes.<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Therapeutic intervention indicated in most patients.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 3.5pt; width: 149.6pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"199\">\n<p style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong>Severe Osteoporosis <\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">BMD &gt; 2.5 SD below young adult reference mean, plus 1 or more fragility fractures<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 96.9pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"129\">\n<p class=\"MsoNormal\">Established osteoporosis<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 202.4pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"270\">\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Exclude secondary causes.<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Therapeutic intervention indicated in most patients.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"MsoNormal\">\n<\/div>\n<div class=\"Section1\"><\/div>\n<p class=\"MsoNormal\"><span class=\"SpellE\"><strong>References<\/strong><\/span><strong>:<\/strong><\/p>\n<ol style=\"margin-top: 0cm;\">\n<li class=\"MsoNormal\">World Health Organization Study Group on Assessment of Fracture Risk and Its Application to Screening and Postmenopausal Osteoporosis. Report of a WHO Study Group. Technical Report Series (No. 84), 1994<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: May 21, 2005<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[153],"tags":[1667,1666,16,15,14,13,1665,1664,1663,306],"class_list":["post-2544","post","type-post","status-publish","format-standard","hentry","category-endocrinology-and-metabolism","tag-ams","tag-bmd","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-metabolism","tag-osteoporosis","tag-traumatology","tag-who"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2544","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2544"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2544\/revisions"}],"predecessor-version":[{"id":9116,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2544\/revisions\/9116"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2544"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2544"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2544"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}