Diagnosis of Osteoporosis in Children
- *Corresponding Author:
- Dr. Javier Chiarpenello
Department of Endocrinology
Metabolism and Nutrition Hospital Provincial del Centenario
Tel: +54 0341 153 103 979
E-mail: [email protected]
Received date: June 24, 2015; Accepted date: May 30, 2016; Published date: June 02, 2016
Citation: Chiarpenello J (2016) Diagnosis of Osteoporosis in Children. Endocrinol Metab Syndr 5:237. doi:10.4172/2161-1017.1000237
Copyright: © 2016 Chiarpenello J. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Since the endorsed use of pediatric bone software to assess bone mass through DXA in the 1990s, some concepts have been established to arrive at a correct interpretation of bone mineral density in this population. This review describes all elements that should be considered when diagnosing bone mineral density diminished for age. The use of the Z-score instead of the T-score and the history of bone fractures (only fractures of long bones and vertebral crushing are considered clinically relevant) are discussed. The evaluation of BMD (Bone Mineral Density) values by DXA according to pubertal stage, sex, and bone age is clarified. In addition mention is made of diseases which must be ruled out by clinical and biochemical parameters; the latter vary according to age and sex, so that the normal reference value for adults should not be used.