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Definitions of normal bone density, osteopenia, and osteoporosis

Definitions of normal bone density, osteopenia, and osteoporosis
T-score Bone density
+1 to –1 Normal bone density
Bone density that is between 0 and 1 SD below the mean is considered to be normal. This may be reported as a T-score of +1 to –1. Treatment is not usually recommended for people with normal bone density, although preventive measures (eg, calcium supplements, weightbearing exercise) are recommended to prevent osteopenia and osteoporosis.
Between –1 and –2.5 Osteopenia
Bone density that is between 1 and 2.5 SD below the mean is called osteopenia. A person with osteopenia does not yet have osteoporosis but is at risk of developing it if not treated.
–2.5 or less Osteoporosis
Osteoporosis is defined as a BMD 2.5 or more SD below the mean of normal young women. The lower the bone density, the greater the risk of fracture.
The WHO has defined normal bone density as a value within 1 SD from average peak bone mass. SD is a statistical measure that defines how much a patient's result varies from the "average" young adult.
SD: standard deviation; BMD: bone mineral density; WHO: World Health Organization.
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