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Interpreting the BMD
Your bone mineral density (BMD) test result is compared with two norms, "young normal" and "age-matched." Young normal, known as your T-score, compares your BMD test result to the optimal or peak density of a 30-year-old healthy adult. Age-matched, known as your Z-score, compares your BMD test result with what is expected for someone your age and with a similar body size. Among older adults, however, low BMD is common, so comparison with age-matched norms can be misleading.
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Scores below the norm are indicated in negative numbers. For example, a score from -1 to -2.5 indicates low bone mass, or osteopenia, and a score of below -2.5 indicates osteoporosis. For most BMD tests, a drop of one unit equals a 10 to 12 percent decrease in bone density. If the Z-score is especially low, your physician may need to order further tests to make sure that other processes are not causing the low density, rather than primary osteoporosis.
This BMD measurement is not the only thing that indicates an increased risk of fracture, though it is an important tool. Talking to your physician about other matters, such as your risk of falls, is also important.
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