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Updated: Oct 12, 2025
Scanning Skeletal Remains for Bone Mineral Density in Forensic Contexts
Published on: January 29, 2018
Height adjustment reduces occurrence of low bone mineral density in children and adolescents with HIV
Leonardo Bandeira de Andrade1, Thiago Fachini Nogueira1, Deisi Maria Vargas2
1Universidade de Blumenau, Centro de Ciências de Saúde, Departamento de Medicina - Blumenau (SC), Brazil.
Objective:
The aim of this study was to quantify the reduction of bone mineral density with and without height adjustment.
Methods:
A cross-sectional study was performed with 69 Brazilian children and adolescents vertically infected by HIV. Bone mineral density was measured by dual-energy absorptiometry in the lumbar spine. Anthropometric, demographic, and clinical variables were analyzed. A specific calculator was used for height adjustment.
Results:
The majority of participants (52.2%) were adolescents and did not present with immunological alterations (61%). Reduced bone mineral density (Z-score <-1) was present in 23.2% and low bone mass (Z-score <-2) in 5.8%. After height adjustment, these occurrences decreased to 11.6% and 0%, respectively. Patients with reduced bone mineral density had a higher mean age and lower body mass index than patients with normal bone mineral density.
Conclusion:
The occurrence of reduced bone mineral density decreased after adjustment for height.
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