Alert
Close

Think you know AARP? What you don't know about us may surprise you. Discover all the 'Real Possibilities'

HIGHLIGHTS

Open

REAL POSSIBILITIES

AARP Real Possibilities

DRIVER SAFETY

Piggy bank on the road - AARP Driver Safety

Take the new AARP Smart Driver Course!

Contests and
Sweeps

Dream Vacation Sweepstakes

10 weeks. 10 amazing trips. Seize your chance to win!
See official rules. 

CHECK OUT OUR
NEW IPAD APP!

ATM Mobile App for iPhone and Ipad

Enjoy the best of AARP’s award-winning publications

on the go with the new

AARP ePubs iPad App

KEEP BRAIN ACTIVE!

AARP Games - Play Now!

AARP BOOKS

Planning for Long-Term Care for Dummies

Get expert advice on planning for your own or a relative’s future care needs.

Webinars

Learn From the Experts

Sign up now for an upcoming webinar or find materials from a past session.

Learning centers

Get smart strategies for managing health conditions.

 

Arthritis

Heart Disease

Diabetes

Most Popular

Viewed

Commented

share your thoughts

What does the health care law mean to you? Your story is important. We read and learn from every story and it helps us in our educational efforts. We may even use your comments (with permission) to brief legislators, inspire readers and more. Please share your story with us. Do

Health Discovery

How Often Do Women Need a Bone Density Test?

Women with normal bones may delay retesting

Women over 65 with normal results on a bone density test to detect osteoporosis may not need to be retested every other year and possibly can wait considerably longer than that, according to new research.

Sign up for the AARP Health Newsletter.

The study, published in the New England Journal of Medicine and funded by the National Institutes of Health, attempts to clarify how often a woman should have a test so her doctor can catch the condition in its early stages and start treatment before she breaks a bone.

A baseline bone density test is recommended by the National Osteoporosis Foundation and other professional groups for all women 65 years old and older. Medicare pays for a test every two years and many doctors order them that frequently.

But the U.S. Preventive Services Task Force, an independent panel that evaluates evidence for health services, has argued that there is no strong scientific evidence to support routine testing every two years.

The researchers sought to shed light on the debate by analyzing data from nearly 5,000 women 67 years old and older who were part of a long-running nationwide research study that began in 1986. None of the women had osteoporosis or a history of hip or spinal fractures at the start of the study. They all had bone density measurements early in the study and periodically thereafter, starting two years later.

The researchers sorted the women into four groups, according to their T-scores, a measure that compares bone density to that of a healthy 30-year-old. They then determined how often they would have had to be screened before 10 percent of them developed osteoporosis.

The researchers found that high-risk women with advanced bone thinning needed the most frequent screening, because it took only a year for 10 percent of them to progress to osteoporosis. Women with moderate bone loss were found to benefit from a test after five years. Surprisingly, it took more than 15 years for 10 percent of the women with normal bone density or mild bone loss to develop osteoporosis — longer than the researchers expected. 

Based on the study results, women without risk factors should “ask for a bone density test as soon as possible after age 65” and then discuss the appropriate time for the next test with their doctor, says lead author Margaret Gourlay, M.D., of the University of North Carolina at Chapel Hill. “That would be much more effective than relying on imaging specialists to dictate screening schedules.”

Clifford Rosen, M.D., of Tufts University School of Medicine in Boston, who was not involved in the study, agrees that more flexible guidelines are needed. “Let's target women who need more frequent tests, rather than putting all women on a regular schedule, whether they need a scan or not.”

Also of interest: Can wrinkles predict bone density?

Related Video

Martina Navratilova demonstrates how to build functional fitness through balance, posture, and torso exercises.

Topic Alerts

You can get weekly email alerts on the topics below. Just click “Follow.”

Manage Alerts

Processing

Please wait...

progress bar, please wait

Tell Us WhatYou Think

Please leave your comment below.

Health Blog

Discounts & Benefits

bring health To Life-Visual MD

AARP bookstore

AARP Bookstore - woman reaches for book on bookshelf

VISIT THE HEALTH SECTION

Find titles on brain health, drug alternatives, nutrition and losing weight. Do