Bone densitometry in infants and young children: The 2013 ISCD pediatric official positions

Heidi J. Kalkwarf, Steven A. Abrams, Linda A. DiMeglio, Winston W.K. Koo, Bonny L. Specker, Hope Weiler

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Infants and children <5 yr were not included in the 2007 International Society for Clinical Densitometry Official Positions regarding Skeletal Health Assessment of Children and Adolescents. To advance clinical care of very young children, the International Society for Clinical Densitometry 2013 Position Development Conference reviewed the literature addressing appropriate methods and skeletal sites for clinical dual-energy X-ray absorptiometry (DXA) measurements in infants and young children and how results should be reported. DXA whole-body bone mineral content and bone mineral density for children ≥3 yr and DXA lumbar spine measurements for infants and young children 0-5 yr were identified as feasible and reproducible. There was insufficient information regarding methodology, reproducibility, and reference data to recommended forearm and femur measurements at this time. Appropriate methods to account for growth delay when interpreting DXA results for children <5 yr are currently unknown. Reference data for children 0-5 yr at multiple skeletal sites are insufficient and are needed to enable interpretation of DXA measurements. Given the current scarcity of evidence in many areas, it is likely that these positions will change over time as new data become available.

Original languageEnglish (US)
Pages (from-to)243-257
Number of pages15
JournalJournal of Clinical Densitometry
Volume17
Issue number2
DOIs
StatePublished - Apr 2014

Fingerprint

Densitometry
Photon Absorptiometry
Pediatrics
Bone and Bones
Bone Density
Forearm
Femur
Spine
Growth

Keywords

  • Bone mineral content
  • Bone mineral density
  • Clinical assessment
  • Dual-energy X-ray absorptiometry
  • Guideline

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Orthopedics and Sports Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

Bone densitometry in infants and young children : The 2013 ISCD pediatric official positions. / Kalkwarf, Heidi J.; Abrams, Steven A.; DiMeglio, Linda A.; Koo, Winston W.K.; Specker, Bonny L.; Weiler, Hope.

In: Journal of Clinical Densitometry, Vol. 17, No. 2, 04.2014, p. 243-257.

Research output: Contribution to journalArticle

Kalkwarf, Heidi J. ; Abrams, Steven A. ; DiMeglio, Linda A. ; Koo, Winston W.K. ; Specker, Bonny L. ; Weiler, Hope. / Bone densitometry in infants and young children : The 2013 ISCD pediatric official positions. In: Journal of Clinical Densitometry. 2014 ; Vol. 17, No. 2. pp. 243-257.
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