Role of DEXA and ultrasonometry in the evaluation of osteoporotic risk in postmenopausal women

Maturitas. 2002 Jun 25;42(2):113-7. doi: 10.1016/s0378-5122(02)00036-1.

Abstract

Background/aim: The aim of this study was to compare the role of quantitative ultrasonography (QUS) and dual energy X-ray absorptiometry (DEXA) in the assessment of osteoporosis.

Methods: From June 1999 to November 2001, 596 women who have not been diagnosed osteoporosis and without previous history of pathologic fractures were enrolled in this study. They had a mean age of 58.7+/-8.5 years, a mean height of 166+/-3.5 cm and a mean weight of 66+/-4.1 kg. According to the age, women were divided into three groups: group A included women between 45 and 55 years; group B women between 56 and 66 years and group C women between 67 and 77 years. Each patient underwent to both methods to determine the presence of osteoporosis.

Results: QUS resulted in a greater number of women of group A at risk of osteoporosis, whereas DEXA indicated that more women of group C were at increased osteoporotic risk. QUS and DEXA gave concordant results only in women of group B.

Conclusion: These results suggested that QUS screening for osteoporosis may be more suitable for 'younger' postmenopausal women.

MeSH terms

  • Absorptiometry, Photon
  • Aged
  • Case-Control Studies
  • Female
  • Humans
  • Middle Aged
  • Osteoporosis, Postmenopausal / diagnosis
  • Osteoporosis, Postmenopausal / epidemiology*
  • Postmenopause*
  • Risk Factors
  • Ultrasonography