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Diagnostic categories for osteoporosis and low bone mass based upon BMD measurement by DXA

Diagnostic categories for osteoporosis and low bone mass based upon BMD measurement by DXA
Category Bone mass
Normal

A value for BMD within 1.0 SD of the young adult female reference mean (T-score greater than or equal to -1.0 SD).

Low bone mass (osteopenia) A value for BMD more than 1.0 but less than 2.5 SD below the young adult female reference mean (T-score less than -1 and greater than -2.5 SD).
Osteoporosis A value for BMD 2.5 or more SD below the young adult female reference mean (T-score less than or equal to -2.5 SD).
Severe (established) osteoporosis A value for BMD more than 2.5 SD below the young adult female reference mean in the presence of one or more fragility fractures.
BMD: bone mineral density; DXA: dual-energy x-ray absorptiometry; SD: standard deviation.
Data from: WHO scientific group on the assessment of osteoporosis at the primary health care level: Summary meeting report, 2004. Geneva: World Health Organization, 2007.
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