The interpretation of bone densitometry results in children differs from that in older adults. The statements from this and other expert panels provide general guidance to the pediatrician, but decisions about ordering and interpreting bone densitometry still require clinical judgment. Some of these recommendations are evidence-based, whereas others reflect expert opinion, because data are sparse on many topics. ![]() The report emphasizes updated consensus statements generated at the 2013 Pediatric Position Development Conference of the International Society of Clinical Densitometry by an international panel of bone experts. This clinical report summarizes current knowledge about bone densitometry in the pediatric population, including indications for its use, interpretation of results, and risks and costs. The role of densitometry in the management of children at risk of bone fragility is less clear. In older adults, bone densitometry has been shown to predict fracture risk and reflect response to therapy. ![]() Pediatric patients with genetic and acquired chronic diseases, immobility, and inadequate nutrition may fail to achieve expected gains in bone size, mass, and strength, leaving them vulnerable to fracture. Concerns about bone health and potential fragility in children and adolescents have led to a high interest in bone densitometry.
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