Official positions of the International Society for Clinical Densitometry (ISCD) on DXA evaluation in children and adolescents

Maria Luisa Bianchi, Sanford Baim, Nick J. Bishop, Catherine M. Gordon, Didier B. Hans, Craig B. Langman, Mary B. Leonard, Heidi J. Kalkwarf

Research output: Contribution to journalArticle

98 Citations (Scopus)

Abstract

Dual-energy X-ray absorptiometry (DXA) is the most widely used technical instrument for evaluating bone mineral content (BMC) and density (BMD) in patients of all ages. However, its use in pediatric patients, during growth and development, poses a much more complex problem in terms of both the technical aspects and the interpretation of the results. For the adults population, there is a well-defined term of reference: the peak value of BMD attained by young healthy subjects at the end of skeletal growth. During childhood and adolescence, the comparison can be made only with healthy subjects of the same age, sex and ethnicity, but the situation is compounded by the wide individual variation in the process of skeletal growth (pubertal development, hormone action, body size and bone size). The International Society for Clinical Densitometry (ISCD) organized a Pediatric Position Development Conference to discuss the specific problems of bone densitometry in growing subjects (9-19 years of age) and to provide essential recommendations for its clinical use.

Original languageEnglish
Pages (from-to)37-47
Number of pages11
JournalPediatric Nephrology
Volume25
Issue number1
DOIs
StatePublished - Jan 1 2010

Fingerprint

Photon Absorptiometry
Growth and Development
Bone Density
Healthy Volunteers
Pediatrics
Bone and Bones
Densitometry
Body Size
Reference Values
Hormones
Growth
Population

Keywords

  • Adolescents
  • Bone mineral density
  • Children
  • DXA
  • Fractures
  • Osteoporosis

ASJC Scopus subject areas

  • Nephrology
  • Pediatrics, Perinatology, and Child Health

Cite this

Bianchi, M. L., Baim, S., Bishop, N. J., Gordon, C. M., Hans, D. B., Langman, C. B., ... Kalkwarf, H. J. (2010). Official positions of the International Society for Clinical Densitometry (ISCD) on DXA evaluation in children and adolescents. Pediatric Nephrology, 25(1), 37-47. https://doi.org/10.1007/s00467-009-1249-z

Official positions of the International Society for Clinical Densitometry (ISCD) on DXA evaluation in children and adolescents. / Bianchi, Maria Luisa; Baim, Sanford; Bishop, Nick J.; Gordon, Catherine M.; Hans, Didier B.; Langman, Craig B.; Leonard, Mary B.; Kalkwarf, Heidi J.

In: Pediatric Nephrology, Vol. 25, No. 1, 01.01.2010, p. 37-47.

Research output: Contribution to journalArticle

Bianchi, ML, Baim, S, Bishop, NJ, Gordon, CM, Hans, DB, Langman, CB, Leonard, MB & Kalkwarf, HJ 2010, 'Official positions of the International Society for Clinical Densitometry (ISCD) on DXA evaluation in children and adolescents', Pediatric Nephrology, vol. 25, no. 1, pp. 37-47. https://doi.org/10.1007/s00467-009-1249-z
Bianchi, Maria Luisa ; Baim, Sanford ; Bishop, Nick J. ; Gordon, Catherine M. ; Hans, Didier B. ; Langman, Craig B. ; Leonard, Mary B. ; Kalkwarf, Heidi J. / Official positions of the International Society for Clinical Densitometry (ISCD) on DXA evaluation in children and adolescents. In: Pediatric Nephrology. 2010 ; Vol. 25, No. 1. pp. 37-47.
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