Ibrahim Muhsen1, Abdullah AlKhenizan2, Fahad Alsohaibani3. 1. Department of Medicine, College of Medicine, Alfaisal University, Riyadh, Saudi Arabia. 2. Department of Family Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. 3. Department of Medicine, Section of Gastroenterology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Sir,We would like to thank the author for his comments and interest in our study.[1] Our study was the first study to be conducted in cirrhotic patients in Saudi Arabia, supporting the need to apply preventative measures for the early diagnosis and management of osteoporosis among patients with cirrhosis. Clearly, as highlighted in our study, there is a need for larger prospective cohort studies to confirm this relationship.[2]With regards to the bone mineral density reference value, this study used dual-energy X-ray absorptiometry scan (Lunar iDXA, General Electric) which is standardized based on established international reference values. Finally, the study of Ardawi et al. was relatively a small study and included individuals from one city in the country, which limited its generalizability.[3]
Authors: M Salleh M Ardawi; Abdulraouf A Maimany; Talal M Bahksh; Hasan A N Nasrat; Waleed A Milaat; Raja M Al-Raddadi Journal: Osteoporos Int Date: 2004-05-27 Impact factor: 4.507