Osteoporosis screening in postmenopausal women aged 50-64 years: BMI alone compared with current screening tools

摘要

Objectives: Consensus on when to initiate DXA screening for early postmenopausal women (<65 years of age) is lacking. Low body mass index (BMI) has been proposed as one of the major risk factors for osteoporosis. This study sought to compare the predictive performance of BMI alone with 5 screening modalities (the U.S. Preventive services task force [USPSTF] FRAX threshold of 9.3%, a risk factor based approach [>= 1 risk factors], the osteoporosis self-assessment tool [OST <2], the osteoporosis risk assessment instrument [ORAI >= 9], and the simple calculated osteoporosis risk estimation [SCORE >= 6]) in identifying early postmenopausal women with osteoporosis.