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Peripheral bone mineral density measurements taken in the primary care setting were highly predictive of short-term fracture risk in a recent longitudinal, observational study of postmenopausal women.
In the 160 women over age 50 who participated in the National Osteoporosis Risk Assessment (NORA) study, peripheral bone densitometry of the heel, finger, or forearm revealed that almost 40% of the women had osteopenia, and 7% had osteoporosis, reported Dr. Ethel S. Sins of Columbia University New York, and her colleagues.
All of the women in the study, the largest of its kind, were over age 50 and had no prior diagnosis of low bone mineral density (BMD).
Of the 163,979 participants who were followed for about 12 months, fracture risk was found to be tour times higher in those with osteoporosis, and nearly two times higher in those with osteopenia, compared with those who had normal BMD measurements (JAMA 286[22]:2815-22, 2001).
Age, personal or maternal history of fracture, ...