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Old 09-11-2006, 05:29 PM   #1
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Bone Density Test Question

I have just been diagnosed with osterporosis after doing a bone density test. I received my ''T-Score'', but have not received my ''Z-Score''. I have asked for this to be sent to me. I was wondering what the difference, or meaning, of these two scores mean?

Thanks for any input,

Montesflus

 
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Old 09-11-2006, 07:22 PM   #2
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Re: Bone Density Test Question

Hi: The differences, as I understand them are, the T score which measures you against much younger women from (20-30 yrs old) or the Z score which is from your own age group.

If you rec'd a densitometry scan (spelling ) and not a dexa scan, you'll probably only get your t score. If you rec'd a dexa scan it should have both readings. I was told by Eli Lily, that the z scores are not important! and very adamant about that. I had a hard time understanding this since why would they even do both scores if it wasn't important...

But on the other hand I would rather be compared to the first group since that is when you start to lose bone. If I was compared to people my age, there are way too many variables that are possibly present, meds, calcium et. al, and exercise (exact time/length spent) HRT therapy, etc, etc, and if I can't completely duplicate their treatment exactly, then it seems skewed to me, because how could we compare ourselves. IMHO The only way to compare your results to anothers is to exactly duplicate theirs, or it's not much info at all.
HTH

Last edited by DesertBloom; 09-11-2006 at 07:50 PM.

 
Old 09-11-2006, 09:40 PM   #3
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Re: Bone Density Test Question

Hmmmmm. Thx for that. I (sort of) understand what you said. Thanks for taking the time to reply. Actually, I'm not really THAT bothered (even though I was diagnosed with osteoporosis (I'm 62). I'm not going to take the usual prescriptions (fosamax, boniva, etc). Too many horror stories resulting from their use. I also read - on quite a few sites - that the bone formation from fosamax, is NOT necessarily ''good bone'' - hence all the excruciating bone and muscle pain resuting from these meds, not to mention a whole host of other stuff, a never-ending list of horror: Nobody's proven that these drugs do actually prevent fractures, either. And it's perfectly possible to have STRONG bones without them being ''dense''. So I'll just continue with my supplements (calcium, magnesium, vit D and vit K), walking 1-2 hours daily (that means plenty of sunlight, also a good source of vit D) and weight bearing exercise. I feel fine and apart from the usual aches and pains (natural for my age), I'm not having trouble with my bones, and NOT FALLING, either!! Perhaps the docs should concentrate more on the prevention of falls, than bone density

 
Old 09-11-2006, 10:10 PM   #4
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Re: Bone Density Test Question

Hi: If there is something specific you don't understand, that I said, then don't hesitate to ask. Sometimes my explanations are hard to understand.

But one thing I wanted to mention, was I agreed with you on the falling theory, and if you can prevent falls you'll be much safer.

When I started Forteo I had to go to a meeting conducted by Eli Lily where they explained the disease, how the drug works etc. but one thing that really threw me, but now I believe, is that usually the fracture occurs "before" the fall. I was asked by the moderator how I thought fractures occured and of course said, that aside from "spontaneous" fractures, I thought it was falling that caused them. She immediately corrected me and said, that 80% of all fractures occur "before" the fall thus causing you to fall after the break because the bone can no longer keep you upright. Make of this what you will, but this was what was pounded into our heads She also mentioned that stepping off a curb was the #1 cause of fractures if you have a low enough t score, and it was the stepping down that causes the fracture and then the fall follows. They both make sense to me, but I think the point was that all of the people in the room had below -3.6 t scores and some as low as -5, so we were to be careful since we are all at the severe osteo/established level where you are at high risk for spontaneous fractures, which of course wouldn't require a fall at all. My doc told me I could fracture sneezing, coughing too hard and rolling over in bed. One of her patients fractured 7 ribs getting a spoon out of a drawer.

HTH

Pam

 
Old 09-12-2006, 03:44 AM   #5
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Re: Bone Density Test Question

Quote:
Originally Posted by montesflus
...Nobody's proven that these drugs do actually prevent fractures, either...
Not true. Many studies have shown that there are reduced rates of fracture in patients taking bisphosphonates, with the reduction rate as high as 50%.

 
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