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老年男性的骨小梁评分、骨密度与骨折之间的关系:综合综述

RELATIONSHIP BETWEEN TBS SCORE, BONE DENSITY AND FRACTURES IN OLDER MEN: INTEGRATIVE REVIEW.

作者信息

Borba Alexandre Coutinho, Terra Newton Luiz, Areosa Silvia Virginia Coutinho

机构信息

Pontifícia Universidade Católica do Rio Grande do Sul, Instituto de Geriatria e Gerontologia, Porto Alegre, RS, Brasil.

Universidade de Santa Cruz do Sul, Santa Cruz do Sul, RS, Brasil.

出版信息

Acta Ortop Bras. 2022 Aug 26;30(4):e253507. doi: 10.1590/1413-785220223004e253507. eCollection 2022.

Abstract

Population ageing is an inexorable truth. This is the reason for an increase in the number of studies analyzing common pathologies, such as osteoporosis, in older people. Osteoporosis is a disease resulting from bone fragility, thus increasing the risk of fracture. Although the occurrence is predominant in women, studies analyzing the male population have raised interest among the scientific community. Nevertheless, there is no consensus regarding the best way to estimate the risk of fracture. Bone density testing and TBS (trabecular bone score) assessments are alternatives available for diagnosing. To assess the relationship between bone mineral density, the changes in TBS and fractures in older men. We conducted an integrative review of the literature in the LILACS, Scopus and PubMed databases, searching for studies in the last five years. We found 97 studies, and five of these matched our guiding question. We found five articles that matched our selecting criteria. All five presented the importance of using TBS for a better accuracy in improving the estimate of risk of fracture in older men. The association of TBS with bone density is important to best estimate the risk of fracture in elder men.

摘要

人口老龄化是一个不可避免的事实。这就是分析老年人常见病症(如骨质疏松症)的研究数量增加的原因。骨质疏松症是一种由骨脆性导致的疾病,从而增加了骨折风险。尽管这种情况在女性中更为普遍,但分析男性群体的研究引起了科学界的关注。然而,关于评估骨折风险的最佳方法尚无共识。骨密度测试和骨小梁骨评分(TBS)评估是可供诊断的选择。为了评估老年男性骨矿物质密度、TBS变化与骨折之间的关系。我们对LILACS、Scopus和PubMed数据库中的文献进行了综合回顾,搜索过去五年的研究。我们找到了97项研究,其中五项符合我们的指导性问题。我们找到了五篇符合我们选择标准的文章。所有五篇文章都表明,使用TBS对于更准确地评估老年男性骨折风险具有重要意义。TBS与骨密度的关联对于最佳评估老年男性骨折风险很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b0f/9425967/4ad692508b1b/1809-4406-aob-30-04-e253507-gf1.jpg

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