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Having a T-score between -1.0 and -2.5 is not pre-osteoporosis or a medical condition, but it is very important for people with low bone density to develop a good plan to prevent bone loss and osteoporosis. Dr. Wermers says the best way to take good care of your bones is to make sure you get enough calcium in your diet and make sure you exercise. It is a comparison of a patient's bone mineral density to that of a healthy 30-year-old. "A combination of aerobic walking where youre bearing your body weight, putting weight on your heels," says Dr. Wemers. As a person with low bone mass, you can take steps to help slow down your bone loss and prevent osteoporosis in your future. This information is extremely useful as we age, especially for women who are 65 and older and are concerned about their overall health. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. But I suspect that few understand what the T score means, and even fewer know about the hidden value of the Z score. Telephone: 800-624-BONE | Fax: 202-293-2356 | Email: NIHBoneInfo@mail.nih.gov, Bone Mass Measurement: What the Numbers Mean, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Spanish-Language Publications (en espaol), https://www.niams.nih.gov/health-topics/bone-health, World Health Organization definitions based on bone density levels, https://www.accessdata.fda.gov/scripts/cder/daf, National Institute of Diabetes and Digestive and Kidney Diseases, U.S. Department of Health and Human Services, Surgeon Generals Report on Bone Health and Osteoporosis, Surgeon Generals Report: What It Means to You, Informe del Cirujano General Sobre la Salud de los Heusos y Osteoporosis: Lo Que Significa Para Usted, Surgeon Generals Report: What It Means to You (). NWFhMTU1MWIzZDE3ZmRiYjJjNzc0ZjM4NzU0NTM3OTNjMmE3NjkwOTI3Yzkz However, how often women should be screened is a topic that remains controversial and undecided, with no definitive scientific evidence to provide guidance. For women > or = 70 years of age, a lower cut-off point has been chosen, i.e. green leafy vegetables, such as broccoli, cabbage and okra, but not spinach. Margaret Gourlay, MD, assistant professor of family medicine, University of North Carolina, Chapel Hill. What is the highest T-score for osteoporosis? Why it matters . ImDr. Susan Brown. After excluding some women for various reasons -- such as having osteoporosis already or a history of fractures -- almost 5,000 women were placed into one of four groups depending on their bone density. Can you increase bone density after 70? forms of exercise that build muscle can also increase bone density. Older Adult Health, Osteoporosis, Women's Health. The American Bone Health Fracture Risk Calculator estimates fracture risk for women and men over age 45. Why are magnetic field lines closed curved? Jan. 18, 2012 -- Women with normal or nearly normal bone density at age 67 may not need repeat testing for about 15 years, according to a new study of nearly 5,000 women. Keep in mind that, starting in her mid-30s, the average woman will lose 35% of her cortical bone mass and 50% of her trabecular bone mass over her lifetime (assuming she doesnt take steps to limit bone loss). A T score of -1 to -2.5 indicates osteopenia (low bone density). The information provided by a BMD test can help your doctor decide which prevention or treatment options are right for you. Differences between your BMD and that of the healthy young adult norm are measured in units called standard deviations (SDs). Toll Free: 888-INFO-FDA (888-463-6332) This common infection requires antibiotics. What is bone density? Ages from 61-80: percent for female is25-36, percent for men is 13-25. What is the fastest way to increase bone density? If you have low bone mass, there are things you can do to help slow down bone loss. A score of 0 means your BMD is equal to the norm for a healthy young adult. Individuals as young as 30 years old are now having their bone density checked regularly, especially if they have a genetic predisposition to arthritis, osteoporosis, or even autoimmune diseases. This test can help you to determine at which rate your body is slowing down or degenerating, which can be helpful if you are diagnosed with osteoporosis or if you have another autoimmune or bone-related disorder. Dr. Wermers adds, Many individuals can consider a 'drug holiday' or break from their osteoporosis therapy after35 years, but this applies only in certain circumstances and should be reviewed with your health care provider.. What is a Z-score in a bone density test? Watch: Dr. Wermers discusses bone loss in women. YjQ2ZmQzZmYwMzM2NzVmNmI0NTlmMjRiODQ5NjQzY2RjNGU2ZDdjYjA5Nzli Neither Dr. Susan Brown PhD nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. The T score measures how closely your bone density compares to that of an average 30-year-old of the same sex. Assessment of bone mineral density in a 70-year-old woman using the T-score and Z-score. The study only included women, Adler points out. Lots of people around every region of the world want to measure their bone mass percentage, but they think it is a hard step for them to know. Elsewhere in your testing results, you will find out your Z score. You should need to keep regular exercising and eat those foods which are high in calcium, if you are at higher age then you must need to take multivitamins, and you should need to skip the habit of cigarettes and alcohol. It hardly seems realistic to be worried about having lower bone density that a 30-year-old but theres good reason to pay attention when your bone density is much lower than people your own age. "Their bone density was very stable.". A T-score between 1 and 2.5 indicates that you have low bone mass, although not low enough to be diagnosed with osteoporosis. In fact, calcium balance should be determined over a much longer time period. It is painless a bit like having an x-ray. Z-score. NTIzYjA4ZTdhNGFmYjY5OWI3NmQyYmJiOWE2ODIwYzE0NWFlY2ExYTQyZDFj Other risk factors, such as family history and certain medicines, help to work out if you're at risk of . Bones kind of peak out around your 30s and then you start to decline gradually in your bone and muscle," says Dr. Wermer. -----BEGIN REPORT----- Most commonly, your BMD test results are compared to the bone mineral density of a healthy young adult, and you are given a T-score. The T score represents the comparison of the subjects bone mass to that of a healthy 30-year-old. A woman's risk of breaking a hip is equal to her combined risk of breast, uterine and ovarian cancer. The women were enrolled in the Study of Osteoporotic Fractures in 1986-1988, when they were aged 65 or older. As the chart shows, a T score of 1.0 is described as osteopenia, and 2.5 is described as osteoporosis even though bone density bears little relationship to fracture risk (but thats ). Even though bone density screening is recommended for women 65 years and older, less than 25 percent have a bone density measurement. If your bones are stronger than the average adult, your bone mass may be +1 or +2 SD indicating that your bones have a mass 10-20% above that of the average 30 year old. In that case, almost half (48 percent) of seniors -- more than 52 percent of women and 44 percent of men -- had osteopenia, the data showed. Contrary to popular (mis)understanding, the T score does not measure fracture risk or indicate that you need bone drugs. Since Medicare will pay for a bone-density scan every two years, that's what many women have been getting. Osteoporosis Diagnosis. eiusmod tempor incididunt ut labore et dolore magna aliqua. The low risk group included two T-score ranges: T-scores -1.49 to -1.01, and normal BMD (those with T-scores of -1.00 or higher). Can I improve my T-score? In all women, a 0.8% (SE, 0.3) difference in hip bone mineral density was associated with each hour per week difference in sporting activity, with effects more evident in premenopausal women. There are also Z scores that compare your bone density to others your same age, but T scores are used to determine bone mass. Some signs of poor bone density or even bone thinning and osteoporosis at any age might include: While in the past it was highly recommended that both men and women have their bone density checked after the age of 65, technology has since come a long way. As a service to our readers, American Bone Health provides access to our library of archived content. OTA0MDY3ODkzYjIyNTFhNjIyNzQ3MzE1YTFlNDhlOWJhZDFmZWE3ZmMyMjk4 Website:https://www.fda.gov. OTRjNzFkZDVhNzBhZDQ3NDQ5ZWM4OTM3NzdhYjkwNWY5ZmE3YzBjMGYyMjFj The normal ranges for bone mass are as follows: Women. The human body is 50-75% water. Fracture (previous) Learn my time-tested 6 step natural approach to bone health in my online courses. Answer. People with higher intakes of magnesium have a higher bone mineral density, which is important in reducing the risk of bone fractures and osteoporosis. ''This study is only a few thousand, and there are some inherent biases in the way the study was done," says Cosman, a professor of clinical medicine at Columbia University College of Physicians and Surgeons in New York, and an osteoporosis specialist at Helen Hayes Hospital, West Haverstraw, N.Y. One example, she says, is excluding those with a history of fractures. A healthy body makes our body organs more strong and more active. The findings suggest that ''those women who have this very mild version [of osteopenia], just under normal bone, probably don't need another bone density test for 15 years," says Adler, not speaking on behalf of the Veterans Administration. NWVjZGM0NDE0MjMxNjdhNzFjODk3MGNmNjMxMjljNTUzOTk5NTVmMjYzOTM3 Women With Normal Bone Density at 67 May Not Need Repeat Test for 15 Years, Researchers Say. So, if your bone density differs from the average 30-year-olds (which it probably will! A lifelong lack of calcium plays a role in the development of osteoporosis. This content is for informational and educational purposes only. The Journal of Bone and Mineral Research study included 58,637 patients with osteoporosis and 225,084 age- and gender-matched controls. They had two to five repeat tests. A DEXA scan is not the only way of measuring bone strength. Although no bone density test is 100-percent accurate, the BMD test is an important predictor of whether a person will have a fracture in the future. Osteoporosis is a bone disease that causes your bones to be weak and more likely to break. "Your body undergoes this constant process of digging out old bone, filling it in with new bone, and it takes roughly 10 years to go through your whole entire skeleton," says Dr. Wermers. The given factors will directly affect the bones: For strong bones, you need to make your life routine more active rather than an inactive lifestyle. Can I repair or reverse issues related to bone density? Fax: 202-293-2356 Both Gourlays study, and the Study of Osteoporotic Fractures, are supported by grants from the National Institutes of Health. ZDdlZjQ3NjZiYTc5ZTkzOTNjYzA5YmRlNDAwZjNiOWY0OTJjNWE5ODZkY2E3 The test is most accurate for women of average stature, between 5 feet and 5 feet 10 inches tall. It can either be given as a pill form or theres IV, intravenous forms of these as well that can be given, and theres if people can take the pills, well often use the pills. Taking this drug can . Identifying Gender and Racial Disparities in Heart Attack Care, Pelvic Organ Prolapse Is Common and Treatable, What Every Woman Needs to Know About Stroke, 4 Things Every Woman Should Know About Heart Health. TheU.S. Preventive Services Task Forceand theMulti-Society Task Forceon colon cancer encourage patients to startscreeningat Do prescription opioids impact cognitive function in older adults? YjRjYjExMzNjMzllOGM2ZTRmYjA0OThhMmMxN2ZkNDc3OGZlMjUxMGU4MTdh They include walking, hiking, jogging, climbing stairs, playing tennis, and dancing. A normal score ranges from one standard deviation lower than that (-1) to anything higher. What is the SI unit of acceleration Class 9? Variations in water content are caused by many factors: - Salt - Sugar - Alcohol - Dehydration - Dieting - Women's monthly cycle The number of minerals that are detected in the bones during a bone density test can indicate how healthy and strong an individuals bones are at any age or time in their lives. Men. WebMD does not provide medical advice, diagnosis or treatment. Eating disorders. The T-score will compare a patient's bone density against that of a healthy 30-year-old person, while the Z-score compares the results to someone in the same age and sex group as the patient. The lower your score, the weaker your bones are: T-score of -1.0 or above = normal bone density. For postmenopausal women and men age 50 older, the T score is used, which measures them against an average, healthy 30-year-old adult. What is a good bone density test result? The only way to prevent that muscle and bone loss is to really focus on those healthy lifestyle factors. Most people who follow these tips don't have these side effects. However, it depends on where your score falls within the risk range and your lifestyle. If you have low bone mass that is not low enough to be diagnosed as osteoporosis, this is sometimes referred to as osteopenia. The Best Benefits of HughesNet for the Home Internet User, How to Maximize Your HughesNet Internet Services, Get the Best AT&T Phone Plan for Your Family, Floor & Decor: How to Choose the Right Flooring for Your Budget, Choose the Perfect Floor & Decor Stone Flooring for Your Home, How to Find Athleta Clothing That Fits You, How to Dress for Maximum Comfort in Athleta Clothing, Update Your Homes Interior Design With Raymour and Flanigan, How to Find Raymour and Flanigan Home Office Furniture, Do Not Sell Or Share My Personal Information. Bethesda,MD20892-3676 Lately, his Colorectal canceris the second-leading cause of cancer death in the U.S. 1.Introduction. The bone density in a human being is the measurement of how many minerals (such as calcium) are detected inside of the bones. The most commonly used BMD test is called a central dual-energy x-ray absorptiometry, or central DXA test. Mayo Clinic Minute: Exercise helps prevent bone fractures and falls, Dont be bad to the bone: How to preserve bone mass, Mayo Clinic Q and A: Calcium and exercise both important for bone health, Mayo Clinic Q and A: Early Bone Density Test May Be Useful for Some Women, Mayo Clinic Q and A: Finding the right osteoporosis medication. Learn how we can help. In some cases, a T-score can be improved. The bone density test takes only a few minutes, is not costly, and is reimbursable by Medicare, she says. In some cases, your doctor may recommend medication to prevent osteoporosis. ''We knew that the women who had thinner bones to start with would advance to osteoporosis faster," Gourlay tells WebMD. The result of a DEXA is a T-score, which your doctor can use to diagnose you. A T-score for bone density reflects how much your bone density is higher or lower than that of a healthy, 30-year-old adult. Our results offer an evidence-based starting point for this clinical decision., The study concluded that baseline BMD is the most important factor for doctors to consider in determining how often a patient should be screened. Bone density matters, especially as we age and begin to relax and take it easier physically on our bodies. The test can measure bone density at your hip and lumbar spine. Mayo Clinic Q and A: Advances in care for medication-resistant epilepsy. Due to a lack of available evidence, the Task Force did not make recommendations regarding osteoporosis screening in men. If you would like more information or to speak with one of our experts, please fill out the form below and we will contact you and discuss your concerns. So lets directly jump into the further information! The researchers estimated the time it would take for 10% of the women in each group to progress to osteoporosis. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.6/19/19, American Bone Health Fracture Risk Calculator. The test uses X-rays to measure how many grams of calcium and other bone minerals are packed into a segment of bone. Low bone mass can be caused by many factors such as: Although not everyone who has low bone mass will develop osteoporosis, low bone mass is an important risk factor for osteoporosis fractures. "Our study found it would take about 15 years for 10 percent of women in the highest bone density ranges to develop osteoporosis." "If a woman's bone density at age 67 is very good, then she doesn't need to be re-screened in two years or three years, because we're not likely to see much change," Gourlay said. However, guidelines are vague about how often to repeat the test, Gourlay tells WebMD. Watch: Exercise helps prevent bone fractures and falls. Keep in mind that if you have a lower fat percentage on your body then it considers better and active health. 123 Fifth Avenue, New York, NY 10160, It is recommended that women < 70 years old are treated if the bone mineral density T-score is. Fracture risk increases as bone mineral density declines. You are said to have osteopenia. In general, based on bone density levels, a repeat bone mineral density measurement could be considered between two and 10 years later. At what age should I start caring about my bone density? Medications That Can Be Bad for Your Bones, Tests to Determine Secondary Causes of Bone Loss, American Bone Health and Susan G. Komen Team Up for Healthy Living Campaign, How cancer patients can lower the risk of bisphosphonate-related osteonecrosis of the jaw (BRONJ), What we know about vitamin D and bone health, American Bone Health calls on Americans to know their risk factors and take action to prevent falls and broken bones during Falls Prevention Awareness Week, Understanding How Obesity Affects Bone Health and Risk of Fractures, American Bone Health calls on American to Build Better Bones during National Osteoporosis Month 2022. How long does it take for a DEXA bone density scan? MjExZjBjYzE2MWNmNTk2NzY2MzkwNTBkZTg3YWJiNDNjNjVmYzc2YzNlYzAz In osteoporosis, you break down more bone over time and it weakens and predisposes it to fracture.". A T score of -1 to +1 is considered normal bone density. Typically, the bone density of a woman at the age of 65 will measure at -1.19, or -1.11 for African American women. Bone density is more than 2.5 SD below the young adult mean, and there have been one or more osteoporotic fractures. But the good thing is that if you keep exercising and take a rich diet in the overall foods then it will surely increase the bone mass percentage, even in your 50s. Ages from 41- 60: percent for a female is 24-34, percent for men is 11-22. Water percentage and muscle mass are also important for the denser bone mass percentage if the woman is under 40. Ut enim ad minim. Get health and wellness tips and information from UNC Health experts once a month! It is highly advisable for women over the age of 50 who struggle with bone density issues or women over the age of 6065 to receive their own DEXA bone density scans regularly as they age. OGFmYzMzNjJlZTBhYjg2MGE2NTFhMDVhYTMxZDRiMTE0MmZhNThlODQ0ODE1 In addition to obtaining your initial DEXA scan results, repeating the scan every two to five years is recommended, depending on your risk factors. Toll free: 800-624-BONE (2663) The study is published in The New England Journal of Medicine. "The new thing we showed was a clear difference between low-risk and high-risk groups and how rapidly they developed osteoporosis.". Occasionally, new information on medication is released. You may want to consider getting a test earlier than 65 if you: Have a family history of osteoporosis Higher rates of water content are found in babies and children. Input your search keywords and press Enter. The short answer is no, osteoporosis cannot be completely reversed and is not considered curable, but there are a number of health and lifestyle adjustments you can make to improve bone loss. Analysis of the mean bone density scores showed a confidence interval (at level of significance 95%) of 1.159 g/cm2 to 1.185 g/cm2 for women aged 40-44 years and 1.105 g/cm2 to 1.141 g/cm2 for women aged 50-54 years. Osteoporosis People with osteoporosis have a T-score of. MDIxNzBmMzk1ODBjNzBjZTc5ZGRhYTNlZTcyNDAyZTExNjhiZDY0NmE0Njg5 Weight-bearing exercises force you to work against gravity. What Does a Narcissistic Injury Feel Like? The third stage of osteopenia and osteoporosis. There are multiple reasons why women are . No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.6/19/19. A Z-score compares your bone density to the average bone density of people your own age and gender. When you have poor bone density, you may be struggling with early-onset osteoporosis or another degenerating syndrome or condition. How Often Should a Woman Buy New Clothes? Forget medication NOTE: Any post menopausal woman should always request her T-score rather than just her Z-score. MTE4NTJiNDg4YzgzYjU1MTMwY2JmOGU0NDZmNWI5MDhhZjFkZjNlNTA5OWMy Mayo Clinic Minute: Who should be screened for colorectal cancer? What is normal bone density for a 50 year old female? . The greater the negative number, the more severe the osteoporosis. People with malnutrition generally have lower bone mineral density than people who get enough nutrients from their diet [8, 9, 10]. What are the three stages of osteoporosis? What is a T-score in a bone density scan? In fact, with the proper diet, human body bones will get stronger and help you in every age, no matter if you are above 50 years. Drugs@FDA is a searchable catalog of FDA-approved drug products. Bone density should also be measured in women between the ages of 50 and 65 who are considered high risk for osteoporosis. Y2M5NWI1NjVlNDcwN2Y0M2YxODI2YzRkNGQ5OWNlMTk1OTk1OGZiMTdlZjRl Daily dietary calcium intake was related to total body bone mineral content and forearm bone mineral density (1.4 +/- 0.7% increase for every 1000 mg). Your Z-score on a bone density test can indicate whether or not your body is aging at an average rate, faster than normal, or even at a slower-than-average pace. In some instances, you may also have the ability to improve your bone density even after being diagnosed with osteoporosis with the proper treatments, vitamins, minerals, supplements, and diet choices. Then, for several years, the breakdown of bone occurs at a much greater pace than the building of new bone. About one year for those with severe osteopenia. They had two to five repeat tests. That was longer than we expected, and its great news for this group of women, Gourlay said. Overweight correlated only moderately significantly with the bone density. A medical condition or medication to treat such a condition that negatively affects bone. UNC researchers are spreading the word about these disparities and starting a conversation about how to change them. The result is your T score. NDNiZThlNzFhZDc4MGY1MGMwOTk1OGM5NWQ2OWM1ZjYzNTEzZDk1OTUxNWIz If you are able to catch the degradation of your bone density before it becomes osteoporosis, you may be able to utilize various vitamins, minerals, and supplements to help boost your bone density and your bodys overall strength and health. Typically, individuals who are diagnosed with poor bone density have lower bone density than the average person, but the density is not quite low enough to be officially diagnosed as osteoporosis. The pointer shows where the user is in this range. Also, bone content is the total percentage of bone minerals as compared to the other body weight. So, if your bone density differs from the average 30-year-olds (which it probably will! Interpreting a bone density scan is not always straightforward, as it is important to take various ailments, preexisting conditions, age, weight, and overall health into account when considering the results of a bone density scan. Signs and symptoms of poor bone density in the body. If you need more information about available resources in your language or another language, contact the NIH Osteoporosis and Related Bone Diseases ~ National Resource Center at NIHBoneInfo@mail.nih.gov. A T-score between -1.0 and -2.5 means you have low bone mass or osteopenia. These tests are often used for screening purposes and can help identify people who might benefit from follow-up bone density testing at the hip and lumbar spine. ), that difference will be characterized as 1.5 if your bones are 1.5 SD below the mean, or +1.2 if theyre 1.2 SD above the mean. Dr. Wermers says the important thing about these medications is they can only be used for about two years total. The score that you receive from your bone density (BMD or DXA) test is measured as a standard deviation from the mean. If you believe Wordfence should be allowing you access to this site, please let them know using the steps below so they can investigate why this is happening. a Z-score below -1. . As the chart above shows, a T score of 1.0 is described as osteopenia, and 2.5 is described as osteoporosis even though bone density bears little relationship to fracture risk (but thats another story). How Many Bras Does the Average Woman Own? Estimates in women were 26.4 years and 13.5 years. Study Participants. Your tendons, the tough tissues connecting muscles to bones, become less flexible because their water content drops by as much as 55 . If your bone density measurement indicates that your bone density is between 1.0 and 2.49 standard deviations (SD) below what would be expected in the average young man or woman, then you are said to have a bone density in the osteopenic range. The fourth stage of osteopenia and osteoporosis. The T score represents the comparison of the subject's bone mass to that of a healthy 30-year-old. Examples are 0.9, 0 and -0.9. OTkwMDA0MzQxODJlZmFkMDA0YzU1MmZkY2NiMTIxZDRmNGU3MzRkMTk1ZTkw And what happens in any disease of the bone is if you break down more bone than you form or if you form more bone than you should. These occur when even mild impact causes a fracture of the wrist, back, hip or other bones. Please note the date of the last review on all articles. Your bone density is only one of many factors that affect your bone health. A T-score is a standard deviation a mathematical term that calculates how much a result varies from the average or mean. MWM1NDdiNmRjY2NlOWEzYjAwZTQ5YWI3YWNiNTE3ODNkYmZjODNhN2M2ZTQ4 The lower your score, the weaker your bones are: Analysis of the mean bone density scores showed a confidence interval (at level of significance 95%) of 1.159 g/cm2 to 1.185 g/cm2 for women aged 40-44 years and, What is a normal bone density for a 70 year old woman? Your bone density is then compared to the average BMD of an adult of your sex and race at the age of peak bone mass (approximately age 25 to 30). Bone density is between 1 and 2.5 SD below the young adult mean (1 to 2.5 SD). A bone density test (also called bone densitometry or DXA) involves a special X-ray machine and is the only way for doctors to determine whether you have osteoporosis. 3% - 5%. As shown in the table below, a T-score between +1 and 1 is considered normal or healthy. The findings suggest doctors should focus on patients with severe osteopenia, he says. A Z-score is quite similar to a T-score when it comes to bone density tests. Typically, a DEXA bone density scan will last anywhere between 15 and 30 minutes, depending on the practitioner you choose as well as your age and the setup that is available to you. In mind that if you have low bone mass that is not the only to! Dr. Wemers 65 and older and are concerned about their overall health used BMD can! Muscles to bones, become less flexible because their water content drops by as much 55., putting weight on your heels, '' says Dr. Wemers hip and lumbar spine Advances in for... Wermers discusses bone loss is to really focus on patients with osteoporosis. `` help slow down bone loss to... What is a standard deviation lower than that of a healthy young adult mean ( 1 to 2.5 below! Broccoli, cabbage and okra, but not spinach how often to repeat the test called. To work against gravity women, Adler points out +1 and 1 is considered normal bone density normal... Impact causes a fracture of the subject & # x27 ; s bone mass are also important for denser. Two and 10 years later 70-year-old woman using the T-score and Z-score @ FDA is a standard lower. Note the date of the subject & # x27 ; s bone mass to that of a healthy 30-year-old anything... 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