Journal of Clinical Densitometry最新文献

{"title":"Combined baseline P1NP and TRAcP5b classification predicts differential bone mineral density response to romosozumab: A retrospective cohort study of 287 postmenopausal women","authors":"Ryo Nakano,&nbsp;Ayumi Ichisawa,&nbsp;Kenya Saruta,&nbsp;Masakazu Kogawa,&nbsp;Akira Fukuda","doi":"10.1016/j.jocd.2026.101747","DOIUrl":"10.1016/j.jocd.2026.101747","url":null,"abstract":"<div><div><em>Introduction</em> Individual bone turnover markers predict bone mineral density response to romosozumab; however, their combined assessment has not been evaluated. We investigated whether a simple classification based on baseline procollagen type I N-terminal propeptide and tartrate-resistant acid phosphatase 5b levels predicts differential lumbar spine bone mineral density response and fracture risk during romosozumab treatment.</div><div><em>Methods:</em> This retrospective study analyzed 287 female patients (mean age, 76.9 years) treated with 210 mg monthly romosozumab for 12 months at a single center in Japan (2019–2025). Patients were classified into four groups by baseline procollagen type I N-terminal propeptide and tartrate-resistant acid phosphatase 5b levels above or below the women-only cohort median (59.5 ng/mL and 456 mU/dL, respectively): both high (n = 114), high/low (n = 30), low/high (n = 31), and both low (n = 112). A pre-specified sensitivity analysis used fixed cutoffs from published Japanese premenopausal reference data (65 ng/mL; 440 mU/dL).</div><div><em>Results:</em> Lumbar spine bone mineral density change differed significantly across groups (Kruskal–Wallis p &lt; 0.001). The both-high group showed the highest median gain (+11.0%), with 55.0% achieving &gt; 10% increase, while the both-low group showed the lowest (+6.0%, 19.1% achieving &gt; 10%; pairwise p &lt; 0.001). The fracture rate was 2.6% versus 11.7% (Fisher’s exact test, p = 0.009). Multivariate logistic regression confirmed both-high status as an independent predictor of &gt;10% response (odds ratio 3.35, 95% confidence interval 1.71–6.55, p &lt; 0.001) and prior treatment as a negative predictor (odds ratio 0.38, p = 0.003). The sensitivity analysis with fixed cutoffs yielded qualitatively identical results (both-high odds ratio 2.84, 95% confidence interval 1.47–5.48, p = 0.002).</div><div><em>Conclusions:</em> Combined baseline procollagen type I N-terminal propeptide and tartrate-resistant acid phosphatase 5b classification identified postmenopausal women with differential bone mineral density responses to romosozumab. The concordance between empirical cohort medians and published Japanese premenopausal upper reference limits suggests the classification can be operationalized with fixed, externally derived cutoffs in future studies.</div></div>","PeriodicalId":50240,"journal":{"name":"Journal of Clinical Densitometry","volume":"29 4","pages":"Article 101747"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lumbar spine-hip T-score discordance in atypical femoral fracture: An exploratory systematic review and meta-analysis","authors":"Dong-Ju Lim,&nbsp;Ha-Rim Sung,&nbsp;Dong-Yong Kim","doi":"10.1016/j.jocd.2026.101748","DOIUrl":"10.1016/j.jocd.2026.101748","url":null,"abstract":"<div><div><em>Objective:</em> Atypical femoral fracture is rare. We evaluated whether lumbar spine-hip T-score discordance, a dual-energy X-ray absorptiometry-derived densitometric phenotype, is enriched among atypical femoral fracture cases compared with controls.</div><div><em>Methods:</em> PubMed, Embase, Cochrane Library, Web of Science, KoreaMed, and RISS were searched from inception to December 31, 2025. Comparative studies of adults with American Society for Bone and Mineral Research-defined atypical femoral fracture that reported lumbar spine and femoral neck T-scores with discordance data were included. Study-level grouped 2 × 2 data were pooled using random-effects models. T-score timing was extracted; it was not uniformly reported. Certainty was assessed using GRADE.</div><div><em>Results:</em> Three Korean retrospective case-control studies including 160 atypical femoral fracture cases and 513 controls were eligible. Discordance definitions were non-equivalent: World Health Organization category mismatch, Delta T-score ≥1.0, and Delta T-score ≥1.5. Discordance prevalence was 103/160 (64.4%) in cases and 170/513 (33.1%) in controls. The pooled random-effects odds ratio was 4.16 (95% CI 2.30-7.52; I² 56.9%). The low-lumbar-spine pattern showed greater case enrichment (odds ratio 7.76; 95% CI 1.70-35.51; I² 86.8%). GRADE certainty was Very Low.</div><div><em>Conclusions:</em> Across three Korean studies with non-equivalent discordance definitions and heterogeneous comparators, lumbar spine-hip T-score discordance was more frequent among atypical femoral fracture cases. This exploratory, hypothesis-generating association should not be interpreted as a diagnostic threshold or individual-level prediction. Because atypical femoral fracture is rare and case-control sampling does not represent population prevalence, odds ratios cannot yield valid positive or negative predictive values.</div></div>","PeriodicalId":50240,"journal":{"name":"Journal of Clinical Densitometry","volume":"29 4","pages":"Article 101748"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3D–DXA cortical and trabecular parameters: agreement between hologic densitometers in clinical practice","authors":"Marta I Bracco,&nbsp;Jorge Malouf,&nbsp;Laurent Maïmoun,&nbsp;Xavier Nogues,&nbsp;Jean Paul Roux,&nbsp;François DuBoeuf,&nbsp;Ludovic Humbert","doi":"10.1016/j.jocd.2026.101749","DOIUrl":"10.1016/j.jocd.2026.101749","url":null,"abstract":"<div><div><em>Background:</em> Three–dimensional dual–energy X–ray absorptiometry (DXA) reconstructs three–dimensional maps of the proximal femur’s density distribution from standard hip DXA scans, enabling the estimation of trabecular and cortical bone parameters. The aim of this study was to assess the agreement of these three–dimensional cortical and trabecular femur parameters across different series and models of Hologic densitometers.</div><div><em>Methodology:</em> The study cohort was composed of 103 women and men recruited from four clinical centers in Spain and France. Subjects had duplicated hip DXA scans using different Hologic scanners from the Horizon, Discovery, and QDR 4500 series. Analyses were performed using 3D–Shaper software. Inter–scanner agreement was evaluated using Deming regression and Bland–Altman analysis. A multiple linear regression was used to investigate the impact of patients’ age and BMI on the magnitude of inter–scanner differences. Furthermore, the clinical impact of inter–scanner variability was assessed by evaluating the agreement in the classification of DXA and 3D–Shaper bone parameters as normal, low, or very low density.</div><div><em>Results:</em> The parameters demonstrated strong inter–device agreement across all clinical centers and scanner models, with coefficients of determination greater than 0.91. Absolute biases were less than 2.5 mg/cm³ for integral volumetric (v) bone mineral density (BMD), less than 2.9 mg/cm³ for trabecular vBMD, and less than 1.7 mg/cm² for cortical surface (s) BMD. No statistically significant bias was found between parameters obtained from different scanners. Furthermore, a high classification agreement was found for all parameters, with cortical sBMD reaching the agreement level of standard DXA areal (a) BMD.</div><div><em>Conclusions:</em> Standard and three–dimensional hip bone parameters showed excellent agreement across the evaluated Hologic scanners, with inter–scanner differences rarely affecting density classification. Further studies are needed to confirm generalizability to other Hologic devices.</div></div>","PeriodicalId":50240,"journal":{"name":"Journal of Clinical Densitometry","volume":"29 4","pages":"Article 101749"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpreting lumbar spine DXA after abdominal liposuction","authors":"Damiano Tambasco,&nbsp;Roberta Albanese,&nbsp;Federica Tomaselli","doi":"10.1016/j.jocd.2026.101750","DOIUrl":"10.1016/j.jocd.2026.101750","url":null,"abstract":"","PeriodicalId":50240,"journal":{"name":"Journal of Clinical Densitometry","volume":"29 4","pages":"Article 101750"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of low bone mineral density in women living with HIV and associated factors","authors":"Wulunggono Wulunggono,&nbsp;Suryo Anggoro Kusumo Wibowo,&nbsp;Sukamto Koesnoe,&nbsp;Muhammad Reynalzi Yugo,&nbsp;Em Yunir,&nbsp;Evy Yunihastuti","doi":"10.1016/j.jocd.2026.101745","DOIUrl":"10.1016/j.jocd.2026.101745","url":null,"abstract":"<div><div><em>Introduction:</em> The success of antiretroviral therapy has increased life expectancy for people living with HIV, leading to age-related comorbidities such as bone loss. Women living with HIV face dual risks from chronic HIV infection and estrogen deficiency. This study aimed to determine the prevalence of low bone mineral density in women living with HIV on antiretroviral therapy and analyze associated factors, specifically tenofovir disoproxil fumarate exposure, age, vitamin D, and postmenopausal status.</div><div><em>Methodology:</em> A cross-sectional study was conducted at Cipto Mangunkusumo General Hospital, Jakarta, involving subjects aged 18–50 years who had been on antiretroviral therapy for at least two years. Bone mineral density was measured using Dual-energy X-ray Absorptiometry at the lumbar spine, total hip, femoral neck, and forearm. Serum 25-hydroxyvitamin D levels were measured using Chemiluminescent Microparticle Immunoassay. Multivariable robust Poisson regression analysis was performed to identify independent risk factors.</div><div><em>Results:</em> A total of 129 subjects were enrolled with a median age of 43 years. The prevalence of low bone mineral density was 20.1% (below the expected range for age 12.4%, osteopenia 5.4%, osteoporosis 2.3%). In the multivariable analysis, factors associated with low bone mineral density were tenofovir disoproxil fumarate exposure &gt;60 months (adjusted prevalence ratio 3.358; p = 0.028), age ≥40 years (adjusted prevalence ratio 3.799; p = 0.049), and postmenopausal status (adjusted prevalence ratio 4.908; p &lt; 0.0001). Vitamin D deficiency and Hepatitis C coinfection were not significantly associated with low bone mineral density.</div><div><em>Conclusions:</em> One in five women living with HIV on stable antiretroviral therapy exhibited low bone mineral density. Tenofovir disoproxil fumarate exposure &gt;60 months, age ≥40 years, and postmenopausal status are significant independent risk factors. Screening for these high-risk groups is recommended.</div></div>","PeriodicalId":50240,"journal":{"name":"Journal of Clinical Densitometry","volume":"29 4","pages":"Article 101745"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of pregnancy and selected aspects of female health on skeletal status and fracture incidence in postmenopausal women from the RACOST-POL Study","authors":"Piotr Adamczyk,&nbsp;Katarzyna Sedlaczek,&nbsp;Bogna Drozdzowska,&nbsp;Wojciech Pluskiewicz","doi":"10.1016/j.jocd.2026.101717","DOIUrl":"10.1016/j.jocd.2026.101717","url":null,"abstract":"<div><div><em>Introduction:</em> The postmenopausal bone health reflects the influence of various factors that have been in effect throughout life and hormonal regulation is among them. The aim of the current study is to investigate the effect of pregnancies and other factors related to female reproductive health on bone mineral density and the incidence of fractures in the postmenopausal period.</div><div><em>Material and methods:</em> We performed a case-control retrospective analysis in a group of 977 postmenopausal women from the RAC<img>OST-POL cohort.</div><div><em>Results:</em> In the study group, there were 894 (91.5%) women who had at least one delivery and breastfeeding was reported by 845 (86.5%) women. Bone mineral density (FN T-score) was not related to pregnancies and history of lactation, but correlated positively with age at menopause and with time of reproductive period. Low-energy fractures were reported by 286 women, which consists 29.3% of the study group. There was no difference in fracture prevalence between women who delivered (29.4%) or not (27.7%). Also the breastfeeding status was not related to fracture prevalence (28.9% in the subgroup declaring lactation and 31.8% in the others). Women with fractures had earlier age of menopause and shorter time of reproductive period in comparison to subjects without fractures (48.3 ± 5.2 vs. 49.5 ± 4.7 ys.; p &lt; 0.001; OR 0.95 (95% CI: 0.93 – 0.98), and 34.1 ± 5.5 vs. 35.5 ± 4.9 ys.; p &lt; 0.001; OR 0.95 (95% CI: 0.93 – 0.98), respectively). Additionally, fracture prevalence in the ‘early menopause’ (below 45 ys) subgroup was significantly higher (39.1%) than in all the others (27.8%) with OR 1.66 (95% CI: 1.13 – 2.42).</div><div><em>Conclusions:</em> Our study did not show a significant association between history of pregnancies or lactation and the skeletal status in the postmenopausal period. However, a shortened period between menarche and menopause and an earlier age at menopause may have a negative impact on bone health in later life. Presented results complement the knowledge on a wide and diverse spectrum of factors modifying bone health in postmenopausal women.</div></div>","PeriodicalId":50240,"journal":{"name":"Journal of Clinical Densitometry","volume":"29 3","pages":"Article 101717"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agreement analysis and inter-method agreement of quantitative ultrasound readings, and comparison with clinical risk factors: A bimodal approach to osteoporosis screening in the community of Terengganu","authors":"Nur Fatihah Abdullah,&nbsp;Mohd Salami Ibrahim,&nbsp;Wan Muhammad Azly Wan Zulkafli,&nbsp;Mohamad Zakwan Helmi Abu Bakar,&nbsp;Laila Maisarah A. Rahman,&nbsp;Mohd Ariff Bin Sharifudin,&nbsp;Harmy Mohamed Yusuf,&nbsp;Nur Azree Ferdaus Kamudin","doi":"10.1016/j.jocd.2026.101720","DOIUrl":"10.1016/j.jocd.2026.101720","url":null,"abstract":"<div><div><em>Introduction:</em> Osteoporosis is an increasingly prevalent condition in Malaysia, raising concern over fracture risk and its impact on healthcare. The limited availability of dual-energy X-ray absorptiometry (DXA) necessitates the development of practical alternatives for community-based screening. This study evaluated the inter-method agreement between quantitative ultrasound (QUS) and FRAX using a bimodal approach in community-based osteoporosis screening in Terengganu, Malaysia, and assessed the intra-rater reliability of QUS readings.</div><div><em>Methods:</em> A cross-sectional study was conducted between 2023 and October 2025 involving 450 participants recruited from urban, rural, and workplace settings. The data collected included age, calcium and vitamin D intake, use of osteoporosis medication, history of bone scans, physical activity, smoking status, and community bone health screening using the bimodal approach, which comprises calcaneal QUS and FRAX. Inter-rater agreement reliability between QUS and FRAX was assessed using Gwet’s AC2, while intra-rater reliability of the QUS measurement was determined using the intraclass correlation coefficient (ICC).</div><div><em>Results:</em> Overall, the calcium and vitamin D intake were relatively low, with only 43.5% of rural participants taking these supplements, and only 18.3% engaging in regular exercise. The QUS identified 52.2% of participants as prioritised (T-score less -1.5), while FRAX only 9.1% (&gt;10% major osteoporotic fracture or 3% hip fracture). Leveraging both readings, the bimodal approach identified 227 participants at high risk. The inter-method agreement supported this outcome between QUS and FRAX, which was fair (AC2 = 0.236). It was higher in males (AC2 = 0.925) and adults aged 60–80 years (AC2 = 0.930). The QUS reading showed consistency across repeated measures, with high intra-rater reliability of QUS (ICC = 0.89).</div><div><em>Conclusion:</em> The combination of QUS and FRAX in a bimodal screening approach provides a reliable method for assessing osteoporosis risk. This strategy provides a practical foundation for enhancing bone health screening, particularly in rural communities where access to DXA is limited.</div></div>","PeriodicalId":50240,"journal":{"name":"Journal of Clinical Densitometry","volume":"29 3","pages":"Article 101720"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of adenoma and gland hyperplasia on bone mineral density in primary hyperparathyroidism","authors":"Alexander Green,&nbsp;Kate Hardy,&nbsp;Oday Al-Dadah","doi":"10.1016/j.jocd.2026.101718","DOIUrl":"10.1016/j.jocd.2026.101718","url":null,"abstract":"<div><div><em>Background:</em> Parathyroid gland adenomas or hyperplasia can cause primary hyperparathyroidism where increased levels of parathyroid hormone (PTH) lead to increased bone resorption. Parathyroidectomy can attenuate or reverse this bone loss. This study compares the difference in gland histology on Bone Mineral Density (BMD) following parathyroidectomy.</div><div><em>Methods:</em> A retrospective cohort study of patients with primary hyperparathyroidism comparing BMD before and after parathyroidectomy between patients with single-gland adenomas and hyperplasia on histological examination. BMD was measured using Dual-Energy X-Ray Absorptiometry (DXA) at the lumbar spine, total hip, femoral neck, total forearm, distal one-third radius and ultra-distal radius. T-Scores and Z-Scores were calculated and compared.</div><div><em>Results:</em> A total of 118 patients were included (Adenoma Group n = 82; Hyperplasia Group n = 36). On presentation, a lower proportion of patients with adenomas were symptomatic with renal calculi (14.5% versus 35.3%, p = 0.013). The Hyperplasia Group had lower pre-operative BMD in their lumbar spine (p = 0.031), femoral neck (p = 0.002), total forearm (p = 0.022), and distal one-third radius (p = 0.009) and higher rates of osteoporosis (p = 0.023). The Adenoma Group had higher post-operative BMD gains in the femoral neck (3.3% versus 0.4%, p = 0.029).</div><div><em>Conclusion:</em> Primary hyperparathyroidism caused by hyperplasia presents with worse BMD loss than that of adenoma. Following parathyroidectomy, adenoma demonstrates greater BMD recovery compared to hyperplasia. BMD gain is primarily within mixed cortical/trabecular bone of the hip whilst no relative gain was observed in the spine or forearm, reflecting different manifestations of bone resorption between these histological variants.</div></div>","PeriodicalId":50240,"journal":{"name":"Journal of Clinical Densitometry","volume":"29 3","pages":"Article 101718"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148334083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Real-world evaluation and management of osteoporosis in postmenopausal women following distal radius fracture","authors":"Byung Hun Oh,&nbsp;Jae Kwang Kim,&nbsp;Young Ho Shin","doi":"10.1016/j.jocd.2026.101691","DOIUrl":"10.1016/j.jocd.2026.101691","url":null,"abstract":"<div><div><em>Introduction:</em> This study aimed to evaluate the factors associated with the initiation and maintenance of osteoporosis evaluation and management in postmenopausal women following distal radius fracture (DRF).</div><div><em>Materials and methods</em>: We retrospectively reviewed 341 consecutive postmenopausal women who sustained a DRF after minor trauma between January 2018 and August 2021. Data on baseline characteristics, general medical condition (assessed using the American Society of Anesthesiologists classification system), dual-energy X-ray absorptiometry (DXA) results, and osteoporosis treatments before and up to two years following DRF were collected.</div><div><em>Results:</em> After excluding 36 patients who were receiving anti-osteoporosis medication at the time of DRF, 305 patients were recommended for DXA evaluation after DRF. Sixteen patients (5.2%) with normal DXA results were not prescribed medication. Fifty patients (16.4%) either declined DXA evaluation or refused to initiate anti-osteoporosis medications (refusal group), while 239 patients initiated anti-osteoporosis medication (initiation group). A significantly higher portion of patients in the initiation group underwent surgery for DRF compared with the refusal group (82.0% vs. 68.0%, <em>p</em> = 0.03). Among the 239 patients who initiated anti-osteoporosis treatment, 164 (68.6%) maintained medication for two years. In multivariable analysis, only a diagnosis of osteoporosis rather than osteopenia was significantly associated with medication maintenance (odds ratio 1.960; 95% confidence interval, 1.117–3.440, <em>p</em> = 0.02).</div><div><em>Conclusions:</em> This study found that postmenopausal women who received non-operative treatment or had osteopenia on DXA are less likely to initiate or maintain osteoporosis evaluation and management following DRF. Clinicians need to emphasize osteoporosis evaluation and treatment adherence, particularly in these patients following DRF.</div></div>","PeriodicalId":50240,"journal":{"name":"Journal of Clinical Densitometry","volume":"29 2","pages":"Article 101691"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sarcopenic obesity negatively affects composite indices of femoral neck strength in premenopausal women","authors":"Nour Khalil ,&nbsp;Rawad El Hage ,&nbsp;Emne Hammoud,&nbsp;Elie Maliha,&nbsp;Gisèle El Khoury,&nbsp;Zaher El Hage,&nbsp;Christophe Jacob","doi":"10.1016/j.jocd.2026.101667","DOIUrl":"10.1016/j.jocd.2026.101667","url":null,"abstract":"","PeriodicalId":50240,"journal":{"name":"Journal of Clinical Densitometry","volume":"29 2","pages":"Article 101667"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146015653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}