dexa scan results?

[Cfmad298601]

My dexa scan results came through, as below, would very much appreciate anyone being able to give me an idiots insight into the outcome?

>> Lumbar spine BMD [ 0.937 ] (g/cm2), T-score [-1.0 ], Z-score [ 0.5 ] (total)

Femoral neck BMD [0.752 ] (g/cm2), T-score [-0.9 ], Z-score [0.5 ]

Total Hip BMD [ 0.803 ] (g/cm2), T-score [-1.1 ], Z-score [-0.1 ]

Comparison

No previous.

Conclusion:

T-score Classification: Borderline osteopaenia in hip.

Fracture Risk using FRAX score (completed with information available at the time of scanning).

Please confirm risk factors and score before making treatment decisions by visiting: sheffield.ac.uk/FRAX/:

The estimated 10-year risk for a major osteoporotic fracture is 8.9% and for a hip fracture is 0.7% .

Note FRAX only takes into account femoral neck BMD. <<<<<<

Many thanks to all.

[PMRpro Ambassador]

"Borderline osteopenia" - if the hip t-score had been -1.0 instead of -1.1 it would have been normal!! The femoral neck - which is the bit they usually worry about - is perfectly normal, as if you were in your 30s! Anybody would be delighted to have those results and you do NOT need any bone protection medications except maybe calcium anc vit D to keep the readings where they are despite pred which can deplete both.

[Cfmad298601 in reply to PMRpro]

Borderline - that’s the bit that worried me, thought I was a crumbling wreck!

Thank you for your input, just wish the rest of me was like a 30 year old 🙄. I do try and have a reasonable diet and love my Greek yogurt!

I have been taking the iCal vit tabs and also the AA horse pills, which I would love to dump.

[PMRpro Ambassador in reply to Cfmad298601]

I wouldn't be taking any more AA with current results like that. They are as near normal as matters and an ideal time to take a drug holiday from the AA which is recommended every few years at least.

Osteopenia isn't a pathological term. all it means is that your bone density is lower than the peak. The t-scores are indicators of where on the scale you lie and as DL has said, -1,0 is the borderline between normal and osteopenia but it then runs to -2,5 before it turns to the term osteoporosis. And even that is just a number plucked out of thin air where they decided it was time to be concerned. Most people who fracture bones have a normal bone density!

[DorsetLady PMRGCAuk volunteer]

see this - and as PMRpro has said -1.1 is the LOWEST step on the osteopenia scale-not sure how that can be regarded as an issue.

Understanding Bone Density Test Results

1. A T-score of -1.0 or above is normal bone density. Examples are 0.9, 0 and -0.9.

2. A T-score between -1.0 and -2.5 means you have low bone density or osteopenia. ...

3. A T-score of -2.5 or below is a diagnosis of osteoporosis. ...

4. The lower a person's T-score, the lower the bone density.

[piglette]

Not bad, very close to normal.