Osteoporosis, bone & mineral

Trabecular Bone Score (TBS) Varies with Correction for Tissue Thickness Versus Body Mass Index: Implications When Using Pediatric Reference Norms

J Bone Miner ResPublished Cross-sectional study

Main finding · TBS valueResult — go to the resultMean difference 0.06

Authors' conclusion

These systematic differences preclude the development of a simple formula to allow conversion of TBSBMI to TBSTH "equivalents."

Study context

Population
Healthy youth
Participants
189 participants
Exposure
TBS by tissue-thickness algorithm vs body mass index (BMI)-adjusted algorithm
Outcome
TBS value

Main finding

As reported in the abstract

Mean difference

0.06

P < 0.0001

Observational data: associations, not effects.

Further findings

TBS Z-score using TBSBMI against Bone Mineral Density in Childhood Study (BMDCS) TBSTH reference values

Falsely higher TBS Z-score; mean difference (IQR 0.3 to 1.6)
0.73

Original publication

Trabecular Bone Score (TBS) Varies with Correction for Tissue Thickness Versus Body Mass Index: Implications When Using Pediatric Reference Norms. J Bone Miner Res. Published 13 February 2023. doi:10.1002/jbmr.4786

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