Fracture prediction and the definition of osteoporosis in children and adolescents: the ISCD 2013 Pediatric Official Positions

Nick Bishop; Paul Arundel; Emma Clark; Paul Dimitri; Joshua Farr; Graeme Jones; Outi Makitie; Craig F Munns; Nick Shaw; International Society of Clinical Densitometry

doi:10.1016/j.jocd.2014.01.004

Fracture prediction and the definition of osteoporosis in children and adolescents: the ISCD 2013 Pediatric Official Positions

J Clin Densitom. 2014 Apr-Jun;17(2):275-80. doi: 10.1016/j.jocd.2014.01.004. Epub 2014 Mar 14.

Authors

Nick Bishop¹, Paul Arundel², Emma Clark³, Paul Dimitri², Joshua Farr⁴, Graeme Jones⁵, Outi Makitie⁶, Craig F Munns⁷, Nick Shaw⁸; International Society of Clinical Densitometry

Affiliations

¹ Department of Human Metabolism, Academic Unit of Child Health, University of Sheffield, Sheffield, UK; Sheffield Children's Hospital, Sheffield, UK. Electronic address: [email protected].
² Department of Human Metabolism, Academic Unit of Child Health, University of Sheffield, Sheffield, UK; Sheffield Children's Hospital, Sheffield, UK.
³ Academic Rheumatology, Musculoskeletal Unit, University of Bristol, Bristol, UK.
⁴ College of Medicine, Mayo Clinic, Rochester, MN, USA.
⁵ Musculoskeletal Unit, Menzies Research Institute, Hobart, Australia.
⁶ Pediatric Endocrinology and Metabolic Bone Diseases, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland.
⁷ Bone and Mineral Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
⁸ Department of Endocrinology and Diabetes, Birmingham Children's Hospital, Birmingham, UK.

PMID: 24631254
DOI: 10.1016/j.jocd.2014.01.004

Abstract

The ISCD 2007 Pediatric Official Positions define osteoporosis in children on the basis of fracture history and low bone density, adjusted as appropriate for age, gender, and body size. The task force on fracture prediction and osteoporosis definition has reviewed these positions and suggests modifications with respect to vertebral fracture and the definition of a significant fracture history and draws attention to the need to consider degree of trauma as a factor that may modify fracture risk prediction.

Keywords: Dual-energy X-ray absorptiometry; ethnicity; fracture; pediatric; trauma.

Publication types

Practice Guideline

MeSH terms

Adolescent
Child
Fractures, Bone / epidemiology*
Fractures, Bone / physiopathology
Humans
Osteoporotic Fractures / epidemiology
Osteoporotic Fractures / physiopathology
Risk Assessment
Spinal Fractures / epidemiology
Spinal Fractures / physiopathology