Investigation of the level of agreement between bone mineral density and trabecular bone score regarding gender, age and body mass index

IF 1.1 Q4 IMMUNOLOGY
Alireza Rajaei, Ideh Kamkar, F. Farsad
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Abstract

Introduction: Increasing and maintaining bone density can play a role in preventing osteoporosis, as changes in the trabecular bone score (TBS) and bone mineral density (BMD) affect bone density, especially in the spine. Objectives: The present study aimed to determine the level of agreement between TBS and BMD in patients with osteoporosis and also to investigate the relationship between these two indices with body mass index (BMI). Patients and Methods: Data were collected from 843 patients, referred to the densitometry department of Resalat hospital. BMD and TBS were measured in the subjects to determine the risk of osteoporosis. The results of BMD were measured based on T-score level. The patients’ individual and clinical characteristics were also recorded and factors influencing the prognosis of density changes were evaluated. Moreover, the effect of BMI was investigated in this study. Results: The mean age of patients was 55.5 years. The kappa coefficient and Spearman’s correlation coefficient of BMD and TBS were 0.004 and -0.015, respectively. There was a significant correlation between BMI and BMD in men. The kappa coefficient gradually increased from normal bone density to osteoporosis. There was a significant negative correlation between BMI and BMD, while a significant positive correlation between height and BMD in women was existed. On the other hand, a significant negative correlation between weight and BMD was detected accordingly. Conclusion: According to the results of our study, there is no agreement between BMD and TBS.
调查骨矿物质密度和骨小梁评分在性别、年龄和体重指数方面的一致程度
导论:增加和维持骨密度可以预防骨质疏松症,因为骨小梁评分(TBS)和骨矿物质密度(BMD)的变化会影响骨密度,尤其是脊柱。目的:本研究旨在确定骨质疏松症患者TBS和BMD之间的一致程度,并探讨这两个指标与体重指数(BMI)之间的关系。患者和方法:资料收集自Resalat医院密度测量科转诊的843例患者。测量受试者的骨密度和TBS以确定骨质疏松症的风险。以T-score水平测定骨密度。记录患者的个体及临床特征,评价影响密度变化预后的因素。此外,本研究还探讨了BMI的影响。结果:患者平均年龄55.5岁。骨密度与TBS的kappa系数和Spearman相关系数分别为0.004和-0.015。在男性中,BMI和BMD之间存在显著的相关性。从骨密度正常到骨质疏松,kappa系数逐渐增大。BMI与骨密度呈显著负相关,女性身高与骨密度呈显著正相关。另一方面,体重与骨密度呈显著负相关。结论:根据我们的研究结果,骨密度与TBS之间没有一致性。
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来源期刊
CiteScore
1.70
自引率
0.00%
发文量
65
审稿时长
3 weeks
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