Miami Herald

When do you need a bone density test?

- Mayo Clinic News Network

health is good, this test can be a baseline measuremen­t for future testing.

For men without fractures, the answer isn’t quite as clear. The U.S. Preventive Services Task Force doesn’t recommend routine bone density testing for men. Because men have a higher bone mass and lose bone more slowly than women, they’re at a lower risk of fracture. There’s also no conclusive evidence that osteoporos­is medication­s can prevent fractures in men. However, up to 1 in 4 men over 50 will break a bone due to osteoporos­is. Groups such as the National Osteoporos­is Foundation still recommend testing for men 70 and older.

Men 50-69 and women under 65 also may want to have bone density testing if they have risk factors for osteoporos­is, including a family history of the disease or a history of fractures. Another risk factor is taking certain kinds of drugs that can interfere with the body’s process of rebuilding bone. Examples of these drugs include steroid medication­s, such as prednisone, and immunosupp­ressant medication­s, such as those taken after an organ transplant or bone marrow transplant.

People over 50 who have broken a bone and people who have lost 1.5 inches of height or more also may need a bone density test to screen for osteoporos­is.

Bone density test results are reported in a measuremen­t known as a “T-score.” A T-score of minus 1 or higher is normal. A score of minus 2.5 or lower is osteoporos­is. The range between normal and osteoporos­is is considered osteopenia, a condition where bone density is below the normal range and puts a person at higher risk for developing osteoporos­is. Osteopenia also raises the risk for breaking a bone.

There are things you can Most young, healthy people do not need a bone density test. But as you age, your risk for osteoporos­is increases because bone density tends to decrease as people grow older. That is especially true in women. If you're a woman 65 or older, a bone density test is recommende­d. Even if testing reveals your bone health is good, this test can be a baseline measuremen­t for future testing.

do to help keep your bones stay healthy as you get older:

Exercise is important.

Be sure to include a combinatio­n of weight-bearing exercises, such as walking, jogging, running or stairclimb­ing.

Eat a healthy diet, making ● sure to get the right amounts of calcium and

vitamin D.

If you smoke, stop. Research

● suggests that tobacco use contribute­s to weak bones.

Limit the amount of

● alcohol you drink. Regularly having more than two alcoholic drinks a day raises your risk of osteoporos­is, possibly because alcohol can interfere with the body’s

ability to absorb calcium.

Talk to your health care provider about getting a bone density test, and discuss with him or her any concerns you have about your bone health. Taking steps now can help ensure good bone health in the future.

 ?? ROBERT KNESCHKE TNS ??
ROBERT KNESCHKE TNS

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