Indications for bone densitometry

  • Postmenopausal women or older men with a history of minimal trauma fracture.
  • Women over 60 years and men over 70 years with risk factors such as history of fracture in first degree relative, low body weight (< 57kg) or BMI (< 21kg/m²), history of COPD or heavy alcohol intake, premature menopause or hypogonadism in males.
  • Any woman over 65 years or man over 75 years considering specific measures to prevent osteoporosis.
  • Individual prescribed glucocorticoids or other medications associated with osteoporosis, e.g. anti-convulsants.
  • Consider early measurements in women with premature menopause (post menopausal bone loss is related to duration since menopause).

Only measure bone density when the result will impact on decision making.