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Effect of Precision on Longitudinal Follow-Up of Bone Mineral Density Measurements in Elderly Women and Men.

Lenora, Janaka ; Åkesson, Kristina LU and Gerdhem, Paul LU (2010) In Journal of Clinical Densitometry 13(4). p.407-412
Abstract
Precision error of dual-energy X-ray absorptiometry exceeds the expected annual rate of bone loss in the elderly. The capacity to detect changes in areal bone mineral density (aBMD; g/cm(2)) over a 5-yr period was assessed. Six hundred ninety-one women, 75.2 (0.1)yr, from the Malmö OPRA-study, were measured using Lunar DPX-L (GE Lunar, Madison, WI), and 211 men, 74.7 (3.2)yr, from the Malmö Mr Os-study, were measured using Lunar Prodigy (GE Lunar) with follow-up 5yr later. Precision error was determined with 30 degrees of freedom. Least significant change (LSC, i.e., 2.77xprecision error) was calculated. Women's precision errors (g/cm(2)) for DPX-L were 0.028 (total hip [TH]) and 0.016 (lumbar spine [LS]), and for Prodigy, they were 0.009... (More)
Precision error of dual-energy X-ray absorptiometry exceeds the expected annual rate of bone loss in the elderly. The capacity to detect changes in areal bone mineral density (aBMD; g/cm(2)) over a 5-yr period was assessed. Six hundred ninety-one women, 75.2 (0.1)yr, from the Malmö OPRA-study, were measured using Lunar DPX-L (GE Lunar, Madison, WI), and 211 men, 74.7 (3.2)yr, from the Malmö Mr Os-study, were measured using Lunar Prodigy (GE Lunar) with follow-up 5yr later. Precision error was determined with 30 degrees of freedom. Least significant change (LSC, i.e., 2.77xprecision error) was calculated. Women's precision errors (g/cm(2)) for DPX-L were 0.028 (total hip [TH]) and 0.016 (lumbar spine [LS]), and for Prodigy, they were 0.009 (TH) and 0.039 (LS). In men, corresponding results for Prodigy were 0.014 and 0.031. In women, 41% and in men, 39% had aBMD changes exceeding the LSC at TH. Follow-up intervals (i.e., LSC/median rate of aBMD change) for both women and men were 8yr (TH) and 13yr (LS). Based on Prodigy precision data, follow-up intervals for women were 3 and 32yr at TH and LS. In summary, several years were needed to detect change. Only when a high rate of bone loss is suspected, a short follow-up time is possible, in elderly persons. (Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Duel energy x-ray absorptiometry, longitudinal follow-up, least significant change, elderly individuals, precision error.
in
Journal of Clinical Densitometry
volume
13
issue
4
pages
407 - 412
publisher
Elsevier
external identifiers
  • wos:000283892400012
  • pmid:20605500
  • scopus:77958478634
  • pmid:20605500
ISSN
1094-6950
DOI
10.1016/j.jocd.2010.04.004
language
English
LU publication?
yes
id
19da6022-d8f5-4ac0-b6e6-96a22124735c (old id 1645281)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20605500?dopt=Abstract
date added to LUP
2016-04-01 09:57:32
date last changed
2022-03-27 03:32:14
@article{19da6022-d8f5-4ac0-b6e6-96a22124735c,
  abstract     = {{Precision error of dual-energy X-ray absorptiometry exceeds the expected annual rate of bone loss in the elderly. The capacity to detect changes in areal bone mineral density (aBMD; g/cm(2)) over a 5-yr period was assessed. Six hundred ninety-one women, 75.2 (0.1)yr, from the Malmö OPRA-study, were measured using Lunar DPX-L (GE Lunar, Madison, WI), and 211 men, 74.7 (3.2)yr, from the Malmö Mr Os-study, were measured using Lunar Prodigy (GE Lunar) with follow-up 5yr later. Precision error was determined with 30 degrees of freedom. Least significant change (LSC, i.e., 2.77xprecision error) was calculated. Women's precision errors (g/cm(2)) for DPX-L were 0.028 (total hip [TH]) and 0.016 (lumbar spine [LS]), and for Prodigy, they were 0.009 (TH) and 0.039 (LS). In men, corresponding results for Prodigy were 0.014 and 0.031. In women, 41% and in men, 39% had aBMD changes exceeding the LSC at TH. Follow-up intervals (i.e., LSC/median rate of aBMD change) for both women and men were 8yr (TH) and 13yr (LS). Based on Prodigy precision data, follow-up intervals for women were 3 and 32yr at TH and LS. In summary, several years were needed to detect change. Only when a high rate of bone loss is suspected, a short follow-up time is possible, in elderly persons.}},
  author       = {{Lenora, Janaka and Åkesson, Kristina and Gerdhem, Paul}},
  issn         = {{1094-6950}},
  keywords     = {{Duel energy x-ray absorptiometry; longitudinal follow-up; least significant change; elderly individuals; precision error.}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{407--412}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Clinical Densitometry}},
  title        = {{Effect of Precision on Longitudinal Follow-Up of Bone Mineral Density Measurements in Elderly Women and Men.}},
  url          = {{https://lup.lub.lu.se/search/files/1424702/1687594.pdf}},
  doi          = {{10.1016/j.jocd.2010.04.004}},
  volume       = {{13}},
  year         = {{2010}},
}