Assessment of Bone Mineral Density Using Calcaneal Ultrasound Bone Densitometer in College-Going Boys and Girls of District Gurdaspur, Punjab

2017 ◽  
Vol 28 (3) ◽  
pp. 166-172
Author(s):  
Manjula Uppal ◽  
Rupinder Kaur
2013 ◽  
Vol 3 ◽  
pp. 23 ◽  
Author(s):  
Sunanda Bhatnagar ◽  
Vasavi Krishnamurthy ◽  
Sandeep S. Pagare

Objective: The aim of the study was to evaluate panoramic radiograph, a commonly taken dental radiograph as a screening tool to detect early osseous changes (normal, mildly or severely eroded) of the mandibular inferior cortex and measure the mandibular cortical width (CW) in post-menopausal women and correlate it with the bone mineral density (BMD) measured by the ultrasound bone sonometer at the mid-shaft tibia region. Materials and Methods: The study included females between 45 years and 65 years of age in their post-menopausal stage (no menstruation for at least 6-12 months). Mandibular indices (mandibular CW and mandibular cortical shape) were evaluated from panoramic radiographs. The BMD assessment was carried out at the mid-shaft tibia region, exactly half-way between the heel and the knee joint perpendicular to the direction of the bone, using an ultrasound bone sonometer. It is a non-invasive device designed for quantitative measurement of the velocity of ultrasound waves as speed of sound in m/s, capable of measuring bone density at one or more skeletal sites. Using 1994 WHO criteria the study subjects were categorized as Group 1: Normal, Group 2: Osteopenia, Group 3: Osteoporosis. (WHO T score for tibia BMD can be used as a standard). Results: The diagnostic efficacy of the panoramic radiograph in detecting osseous changes in post-menopausal women with low BMD was shown to have 96% specificity and 60% sensitivity with mandibular cortical shape and 58% specificity and 73% sensitivity with mandibular CW measurement. Factorial ANOVA analysis carried out indicated a significant correlation of BMD classification with mandibular cortical shape (F = 29.0, P < 0.001, partial eta squared [η2] =0.85), a non-significant correlation with mandibular CW, (F = 1.6, P = 0.23, η2 = 0.86), and a more significant correlation with combined cortical shape and width (F = 3.3, P < 0.05, η2 = 0.70). Conclusion: The study concludes that the combined mandibular cortical findings (P < 0.05) and mandibular cortical shape erosion alone (P < 0.001) on panoramic radiograph are effective indicators of osteoporosis in post-menopausal women.


2001 ◽  
Vol 12 (5) ◽  
pp. 406-411 ◽  
Author(s):  
D. J. Hunter ◽  
M. de Lange ◽  
T. Andrew ◽  
H. Snieder ◽  
A. J. MacGregor ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shahnaz Akil ◽  
Huda Al-Mohammed ◽  
Norah Al-Batati ◽  
Maissa Tirsen ◽  
Ahad Al-Otaibi ◽  
...  

Abstract Background The effect of pregnancy and breastfeeding on a female’s bone mineral density (BMD) is controversial. This prospective study aims to investigate the effect of parity on BMD among pre-menopausal multiparous females using quantitative ultrasound as a screening method and females with no pregnancies (nulliparous) as a control group. Methods A portable ultrasound-based bone densitometer (DMS PEGASUS SMART, Mauguio, France) was used to indirectly assess the BMD in 51 multiparous (29–45 years) and 51 nulliparous Arabic females (18–35 years) by quantifying the broadband ultrasound attenuation (BUA) from their right calcaneus bone. BUA > 70 db/mhz = normal, BUA 65–69.9 db/mhz = below average, BUA 55–64.9 db/mhz = osteopenia and BUA < 55 db/mhz = osteoporosis. Results There was a significant difference in mean BUA between multiparous and nulliparous females (74.1 db/mhz vs. 69.3 db/mhz, p = 0.006). The prevalence of normal BMD was significantly higher in the nulliparous group than in the multiparous group (70.6% vs. 47.1%, p = 0.02). Osteoporosis was found in the multiparous group only (3/51). Among the multiparous females who breastfed (43/51), a total of 51.2% (22/43) had normal BMD, 25.6% (11/43) had BMD below average, 18.6% (8/43) had osteopenia and 4.7% (2/43) had osteoporosis. No significant differences in mean BUA (p = 0.2) were found between the group of females who breastfed for one year (13/43; BUA: 70.5 ± 9.4), the group of females who breastfed for 6–11 months (8/43; BUA: 70.6 ± 10.0) and those who breastfed for less than six months (22/43; BUA: 71.6 ± 9.4). A binary logistic regression model built for predicting BMD normality showed significance for the variable parity (p = 0.03), while the effect of the possible confounding variables BMI and age on BMD normality was found to be non- significant (p = 0.1 and p = 0.6, respectively). Conclusion Parity affects the BMD, as assessed by a portable ultrasound-based bone densitometer, of young and middle-aged females as compared to the BMD of nulliparous females.


2006 ◽  
Vol 38 (Supplement) ◽  
pp. S532
Author(s):  
Valerie J. Spees ◽  
Stefan A. Czerwinski ◽  
Dana L. Duren ◽  
Derek W. Reed ◽  
W. Cameron Chumlea ◽  
...  

PLoS ONE ◽  
2012 ◽  
Vol 7 (2) ◽  
pp. e31726 ◽  
Author(s):  
Amandine Cournil ◽  
Sabrina Eymard-Duvernay ◽  
Assane Diouf ◽  
Claire Moquet ◽  
Julie Coutherut ◽  
...  

Author(s):  
Dr. Kanika Rathore ◽  
Dr. Vikrant Shekhawat ◽  
Dr. Mohan Singh ◽  
Dr. Pramila Choudhary

Summary -Peripheral bone density measurements are scarce and the factors, which predict bone mineral density at these sites, especially in children, are not clearly known. In this study, age, height, weight and BMI had a significant association on peripheral bone mineral density in healthy Indian school children. Introduction- Factors that lead to the attainment of peak bone mass at peripheral sites, during period of growth are not clearly known. Methods- Hundred children are randomly selected 7- to 17-year-old children from govt. and private schools were assessed clinically and a recording of their height and weight was undertaken. Bonemineral density measured by ultrasound bone densitometer. at the calcaneum (BMDca).  Results -bone mineral density is assessed in correlation of following parameters:-When age wise BMD was analysed between both study groups, government school children had lower BMD values in both age groups (7-11 years, 12-17 years) and the difference between BMD in both age groups was  statistically highly significant (p<0.01).Considering sex wise distribution of Bone mineral density it was clearly shown that BMD among private school children had higher values among both males and females, and the difference is statistically highly significant (p<0.01) among females. When Bone mineral density levels were compared according to BMI levels, the difference was observed to be not significantly associated with BMI levels (p>0.05) though government school children showed lower BMD levels as compared to private school children. Conclusion -age, nutrition, height and weight are significantly associated with BMD at peripheral sites. Keywords: Bone mineral density, Distal forearm, ultrasound bone densitometer, Socioeconomic status.


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