The Rheumatologist
COVID-19 News
  • Connect with us:
  • Facebook
  • Twitter
  • LinkedIn
  • YouTube
  • Feed
  • Home
  • Conditions
    • Rheumatoid Arthritis
    • SLE (Lupus)
    • Crystal Arthritis
      • Gout Resource Center
    • Spondyloarthritis
    • Osteoarthritis
    • Soft Tissue Pain
    • Scleroderma
    • Vasculitis
    • Systemic Inflammatory Syndromes
    • Guidelines
  • Resource Centers
    • Axial Spondyloarthritis Resource Center
    • Gout Resource Center
    • Psoriatic Arthritis Resource Center
    • Rheumatoid Arthritis Resource Center
    • Systemic Lupus Erythematosus Resource Center
  • Drug Updates
    • Biologics & Biosimilars
    • DMARDs & Immunosuppressives
    • Topical Drugs
    • Analgesics
    • Safety
    • Pharma Co. News
  • Professional Topics
    • Ethics
    • Legal
    • Legislation & Advocacy
    • Career Development
      • Certification
      • Education & Training
    • Awards
    • Profiles
    • President’s Perspective
    • Rheuminations
    • Interprofessional Perspective
  • Practice Management
    • Billing/Coding
    • Quality Assurance/Improvement
    • Workforce
    • Facility
    • Patient Perspective
    • Electronic Health Records
    • Apps
    • Information Technology
    • From the College
    • Multimedia
      • Audio
      • Video
  • Resources
    • Issue Archives
    • ACR Convergence
      • Systemic Lupus Erythematosus Resource Center
      • Rheumatoid Arthritis Resource Center
      • Gout Resource Center
      • Abstracts
      • Meeting Reports
      • ACR Convergence Home
    • American College of Rheumatology
    • ACR ExamRheum
    • Research Reviews
    • ACR Journals
      • Arthritis & Rheumatology
      • Arthritis Care & Research
      • ACR Open Rheumatology
    • Rheumatology Image Library
    • Treatment Guidelines
    • Rheumatology Research Foundation
    • Events
  • About Us
    • Mission/Vision
    • Meet the Authors
    • Meet the Editors
    • Contribute to The Rheumatologist
    • Subscription
    • Contact
  • Advertise
  • Search
You are here: Home / Articles / BMI Feasible As Pre-Screening Tool for Osteoporosis in Women

BMI Feasible As Pre-Screening Tool for Osteoporosis in Women

October 24, 2015 • By Larry Hand

  • Tweet
  • Email
Print-Friendly Version / Save PDF

NEW YORK (Reuters Health)—A body mass index (BMI) of less than 28 alone may be a tool to prescreen younger postmenopausal women for osteoporosis, according to a new study.

You Might Also Like
  • Routine Osteoporosis Screening in Men Proves Cost-Effective
  • Pulse-Echo Ultrasound Useful for Osteoporosis Screening
  • RA Patients May Not Receive Needed Osteoporosis Screening & Treatment

“For young postmenopausal white women aged 50–64, current prescreening modalities identifying candidates for DXA (dual-energy X-ray absorptiometry) scan … are not performing better than BMI alone,” Dr. Xuezhi (Daniel) Jiang from the Sidney Kimmel Medical College of Thomas Jefferson University in Reading, Pa., told Reuters Health by email.

ad goes here:advert-1
ADVERTISEMENT
SCROLL TO CONTINUE

“Although it is not our authors’ intention to suggest BMI alone as an alternative independent osteoporosis prescreening modality, BMI should be carefully considered while clinicians try to determine who should be referred for DXA scan. A better osteoporosis prescreening risk assessment tool remains to be developed,” he explained.

Dr. Jiang and colleagues compared the screening performance of BMI with five currently recommended modalities for advising DXA in postmenopausal women. The five modalities are:

ad goes here:advert-2
ADVERTISEMENT
SCROLL TO CONTINUE
  • The U.S. Preventive Services Task Force (USPSTF) fracture risk assessment tool (FRAX) threshold of at least 9.3% for 10-year risk of major osteoporotic fracture;
  • The Osteoporosis Self-Assessment Tool (OST) based on age and weight (weight in kg minus age in years) with a score of <2;
  • The Simple Calculated Osteoporosis Risk Estimation (SCORE) that calculates a score based on age, race, rheumatoid arthritis (RA), nontraumatic fractures of the spine, hip, or wrist, prior estrogen therapy use and weight with a score of <-2;
  • The Osteoporosis Risk Assessment Instrument (ORAI), which calculates a score based on age, weight and estrogen therapy use with a score of at least nine; and
  • A risk-factor (RF) score based on women having one or more of the following: hip or spine fracture after age 50, parental hip fracture, ever or current long-term use of steroids, current smoking, small stature and medical history of RA.

The researchers recruited 445 postmenopausal women aged 50–64 presenting for DXA test based on the above scores between 2007–2009. They obtained results of each DXA for analysis and conducted a telephone survey to gather data on age, race, weight, height, osteoporosis risk factors, current smoking and other factors. The women had the DXA tests at one of four Jefferson radiology sites in the greater Hartford, Conn., area.

Most of the women (95%) were white, the average age was 57, and the mean BMI was 27. Thirty-eight (8.5%) had osteoporosis and three (0.7%) had an osteoporotic fracture. Of the 445 women, only one was underweight, 195 were normal weight, 132 were overweight and 117 were obese.

Pages: 1 2 | Single Page

Filed Under: Conditions Tagged With: BMI, Fractures, Osteoporosis, postmenopause, Women

You Might Also Like:
  • Routine Osteoporosis Screening in Men Proves Cost-Effective
  • Pulse-Echo Ultrasound Useful for Osteoporosis Screening
  • RA Patients May Not Receive Needed Osteoporosis Screening & Treatment
  • Osteoporosis Screening Is Underutilized Despite Recommendations

Simple Tasks

Learn more about the ACR’s public awareness campaign and how you can get involved. Help increase visibility of rheumatic diseases and decrease the number of people left untreated.

Visit the Simple Tasks site »

ACR Convergence

Don’t miss rheumatology’s premier scientific meeting for anyone involved in research or the delivery of rheumatologic care or services.

Visit the ACR Convergence site »

Meeting Abstracts

Browse and search abstracts from the ACR Convergence and ACR/ARP Annual Meetings going back to 2012.

Visit the Abstracts site »

The Rheumatologist newsmagazine reports on issues and trends in the management and treatment of rheumatic diseases. The Rheumatologist reaches 11,500 rheumatologists, internists, orthopedic surgeons, nurse practitioners, physician assistants, nurses, and other healthcare professionals who practice, research, or teach in the field of rheumatology.

About Us / Contact Us / Advertise / Privacy Policy / Terms of Use

  • Connect with us:
  • Facebook
  • Twitter
  • LinkedIn
  • YouTube
  • Feed

Copyright © 2006–2022 American College of Rheumatology. All rights reserved.

ISSN 1931-3268 (print)
ISSN 1931-3209 (online)