Categorization of osteoporosis, Osteopenia (low bone mass), and Normal bone mass based upon BMD measurement by DXA (or DEXA)

Category Bone mass
Normal A value for BMD within 1 SD of the young adult female reference mean (T-score greater than or equal to -1 SD).
osteopenia (Low bone mass) A value for BMD more than 1 but less than 2.5 SD below the young adult female reference mean (T-score less than -1 and greater than -2.5 SD).
Osteoporosis A value for BMD 2.5 or more SD below the young adult female reference mean (T-score less than or equal to -2.5 SD).
Severe (established) osteoporosis A value for BMD more than 2.5 SD below the young adult female reference mean in the presence of one or more fragility fractures.
BMD: bone mineral density; DXA: dual-energy x-ray absorptiometry; SD: standard deviation.
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