Osteopenia

Changed by Patrick O'Shea, 4 Feb 2023
Disclosures - updated 3 Nov 2022: Nothing to disclose

Updates to Article Attributes

Body was changed:

Osteopenia refers to decreased bone mineral density. The change can be generalizedgeneralised or regional.

Terminology

The World Health Organizatiοn (WHO) has formalizedformalised criteria for osteopenia, defined as a bone mineral density score between -1 and -2.5 standard deviations compared to a young adult reference mean (T-score) based on dual energy x-ray absorptiometry (DEXA).

However, radiologists continue to use the term in a generic and qualitative manner to mean decreased bone density, without distinguishing osteopenia and osteoporosis. Because of this discrepancy, some have advocated avoiding the use of osteopenia on bone radiographs and CT in favorfavour of "demineralization"demineralisation1.

History and etymology

Osteopenia derives from the Greek words οστεον (osteon) meaning bone and πενια (penia) meaning poverty 2,3.

NB: the spelling "osteopaenia" is erroneous and should never be used, see paenia vs penia article

  • -<p><strong>Osteopenia </strong>refers to decreased <a href="/articles/bone-mineral-density">bone mineral density</a>. The change can be <a href="/articles/generalised-osteopenia-1">generalized</a> or <a href="/articles/regional-osteopenia-2">regional</a>.</p><h4>Terminology</h4><p>The <a title="World Health Organizatiοn (WHO)" href="/articles/world-health-organizatin-who">World Health Organizatiοn (WHO)</a> has formalized criteria for osteopenia, defined as a bone mineral density score between -1 and -2.5 standard deviations compared to a young adult reference mean (T-score) based on <a href="/articles/dual-energy-x-ray-absorptiometry-1">dual energy x-ray absorptiometry (DEXA)</a>.</p><p>However, radiologists continue to use the term in a generic and qualitative manner to mean decreased bone density, without distinguishing osteopenia and <a href="/articles/osteoporosis-3">osteoporosis</a>. Because of this discrepancy, some have advocated avoiding the use of osteopenia on bone radiographs and CT in favor of "demineralization" <sup>1</sup>.</p><h4>History and etymology</h4><p>Osteopenia derives from the Greek words οστεον (osteon) meaning bone and πενια (penia) meaning poverty <sup>2,3</sup>.</p><p>NB: the spelling "osteopaenia" is erroneous and should never be used, see <a href="/articles/penia-vs-paenia-suffixes">paenia vs penia article</a></p>
  • +<p><strong>Osteopenia </strong>refers to decreased <a href="/articles/bone-mineral-density">bone mineral density</a>. The change can be <a href="/articles/generalised-osteopenia-1">generalised</a> or <a href="/articles/regional-osteopenia-2">regional</a>.</p><h4>Terminology</h4><p>The <a title="World Health Organizatiοn (WHO)" href="/articles/world-health-organizatin-who">World Health Organizatiοn (WHO)</a> has formalised criteria for osteopenia, defined as a bone mineral density score between -1 and -2.5 standard deviations compared to a young adult reference mean (T-score) based on <a href="/articles/dual-energy-x-ray-absorptiometry-1">dual energy x-ray absorptiometry (DEXA)</a>.</p><p>However, radiologists continue to use the term in a generic and qualitative manner to mean decreased bone density, without distinguishing osteopenia and <a href="/articles/osteoporosis-3">osteoporosis</a>. Because of this discrepancy, some have advocated avoiding the use of osteopenia on bone radiographs and CT in favour of "demineralisation" <sup>1</sup>.</p><h4>History and etymology</h4><p>Osteopenia derives from the Greek words οστεον (osteon) meaning bone and πενια (penia) meaning poverty <sup>2,3</sup>.</p><p>NB: the spelling "osteopaenia" is erroneous and should never be used, see <a href="/articles/penia-vs-paenia-suffixes">paenia vs penia article</a></p>

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