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Standard of care

TEST PASSPORT · REVIEWED JULY 2026

DXA: bone density + body composition

Use clinical bone density correctly—and treat body composition as a trend, not a grade.

Central DXA is the clinical standard for bone mineral density. Some facilities add body-composition estimates, which are useful when repeated on the same machine under similar conditions.

Body & performance diagnostic testing visualization
DXA / DECISION GUIDE
ACCESSImaging centerLow-dose X-ray
TURNAROUNDSame day to several daysProvider and location dependent
RELATIVE COST$$–$$$Total downstream cost matters
COMMERCE STATUSFacility pathwayLocal DXA referral with bone + composition options

HOW TO USE THIS PAGE

Decide whether this test deserves a place in your plan.

  1. 01
    Confirm the question

    Be clear about what decision the result would change before ordering.

  2. 02
    Check fit and preparation

    Review who it helps, who should pause and how to protect the quality of the signal.

  3. 03
    Plan the response

    Know what you will do with a normal, abnormal or unclear result.

01 / WHO SHOULD TAKE IT

Fit the test to
the person.

Testing is useful when the result can change a real decision. These are educational selection criteria, not a diagnosis or personal order.
GOOD-FIT QUESTIONS
  • Women 65+ and men 70+, plus younger adults with defined bone-loss risk
  • People with fragility fracture, bone-loss conditions or medications
  • Athletes or patients with a specific body-composition decision and consistent follow-up conditions
PAUSE BEFORE ORDERING
  • Monthly body-fat tracking
  • Comparing numbers across different machine models as if identical

02 / SIGNAL VS. STORY

What it tells you.
What it cannot.

THE SIGNAL
01

Bone mineral density at clinically relevant sites

02

T-score or Z-score in the correct population

03

Estimated lean mass, fat mass and regional distribution when included

THE LIMIT
01

Body composition depends on machine, software and hydration

02

T-scores and Z-scores are not interchangeable

03

A scan does not measure muscle quality, strength or fracture risk by itself

03 / MARKERS + RANGES

Read the panel
without chasing flags.

The report should show its own method, units and laboratory reference interval. Clinical decision thresholds may be different from a lab interval. We do not invent a universal “optimal” range where authoritative guidance does not support one.
01Femoral neck and total hip BMD

Use the laboratory unit and method, then interpret with symptoms, trend and the decision this marker can change.

02Lumbar spine BMD

Use the laboratory unit and method, then interpret with symptoms, trend and the decision this marker can change.

03T-score / Z-score

Use the laboratory unit and method, then interpret with symptoms, trend and the decision this marker can change.

04Lean and fat mass

Use the laboratory unit and method, then interpret with symptoms, trend and the decision this marker can change.

05Appendicular lean mass when available

Use the laboratory unit and method, then interpret with symptoms, trend and the decision this marker can change.

MEN, WOMEN + LIFE-STAGE CONTEXT

The correct range is personal context—not pink versus blue numbers.

Where biology differs, we call it out. Clinical interpretation should also reflect organs present, hormone therapy, pregnancy, age, medications and health history.

Women

Routine bone-density indications begin earlier; menopause, early ovarian insufficiency and pregnancy/lactation history can change risk.

Men

Routine indications often begin later, but low testosterone, steroids, fragility fracture and other risks can justify earlier testing.

04 / PREPARATION

Protect the quality
of the signal.

The best assay cannot rescue the wrong timing, wrong specimen or wrong question. Follow the ordering clinician and laboratory instructions when they differ from this general guide.
01Consistency

Use the same facility and machine when trending body composition.

02Day of scan

Follow instructions on calcium supplements, clothing and recent contrast studies.

03Pregnancy

Tell the facility if pregnancy is possible because DXA uses ionizing radiation.

REPEAT CADENCEBone-density repeat timing depends on baseline risk and treatment. Body-composition trends need months, not weeks.

05 / AFTER THE RESULT

Turn the number
into a next step.

  1. 01

    Use clinical scores appropriate to age and sex

  2. 02

    Pair composition with strength, waist and performance

  3. 03

    Address fracture risk with the full clinical picture

DO NOT WAIT ON A CONSUMER TEST

A fragility fracture, sudden height loss or severe new back pain needs clinical assessment

06 / MODERN BIO SELECT

Built for a responsible purchase path.

The booking flow should distinguish clinical bone DXA from wellness body-composition scans.
FACILITY PATHWAY

DXA: bone density + body composition

Future format
Local DXA referral with bone + composition options
Price position
Transparent facility cash price
Before checkout
Eligibility · method · privacy · total cost · interpretation · abnormal-result routing
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07 / SCIENTIFIC FOUNDATION

Open the source.
Check the claim.

We prefer official guidance, clinical standards and primary scientific records. A source supports the specific point described on this passport—not every marketing use of the test.