Piene H, Nord E
Avdeling for Samfunnsmedisin, Statens Institutt for Folkehelse, Oslo.
Tidsskr Nor Laegeforen. 1992 Oct 20;112(25):3212-5.
With a view to preventing hip fractures, bone mineral density measurements have been suggested as a means of selecting individuals at risk. We suggest two focuses in a preventive strategy: selection and information. The overlap in mineral density distributions among women who experience hip fractures and those who do not leads to a high number of inconclusive measurements as regards placing individuals into two such groups. The measurements should therefore be used primarily to inform individuals about their risk. In order to evaluate this technology, prospective studies on bone mineral density measurements prior to oestrogen hormone replacement therapy are highly desirable.
为预防髋部骨折，有人建议通过测量骨矿物质密度来筛选高危个体。我们建议在预防策略上关注两个重点：筛选和信息告知。髋部骨折女性与未发生骨折女性的骨密度分布存在重叠，这导致在将个体划分到这两组时，有大量测量结果无法得出明确结论。因此，测量主要应用于让个体了解自身风险。为评估这项技术，非常有必要开展关于雌激素替代疗法前骨矿物质密度测量的前瞻性研究。
