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Impact of beverage consumption, age, and site dependency on dual energy X-ray absorptiometry (DEXA) measurements in perimenopausal women: A prospective study

Archives of Medical Science Aug 24, 2017

Lo HC, et al. – Researchers conducted this study to figure out the best site for bone mineral density (BMD) measurements based on T–scores, age, and beverage consumption. In elderly Taiwanese women, a correlation was seen, of bone mineral density measurements at the hip and forearm with caffeine consumption This is a crucial finding since age and caffeine consumption are known risk factors for osteoporosis.

Methods

  • Researchers performed a prospective study, wherein, 271 women stratified by age (average age: 61.9 years) underwent dual energy X-ray absorptiometry (DEXA) scanning of their lumbar spine, hips, and forearms.
  • Osteoporosis was defined as a BMD of 2.5 standard deviations or more below the mean peak bone mass based on a reference population of adult women (translated as a T-score ≤ –2.5), as measured by DEXA.
  • They also assessed the participants regarding alcohol and caffeine consumption by a semiquantitative questionnaire.

Results

  • They observed a significant discrepancy in the classification of osteoporosis at different locations, with hip and forearm showing the best correlation (Pearson’s r = 0.627, p < 0.001).
  • Findings revealed that, for participants over 50 years of age, hip and forearm showed the best correlation.
  • They also noted significant correlations between forearm T-scores and caffeine consumed and, to a lesser extent, the level of alcohol consumption.
  • Results demonstrated that in the group ≤ 50 years of age, lumbar spine and forearm T-scores were only associated with alcohol consumption.
  • In addition, data reported that in the group over 50 years of age, hip and forearm T-scores were only associated with caffeine consumption.

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