“…According to EGAT cohort data, one standard deviation (SD) decrease in TBS was associated with approximately 1.3-fold greater risk of vertebral fracture in male. Similarly, in another study of 407 postmenopausal women from Police General Hospital in Bangkok, the odds ratio of fracture was 1.35 for a one SD decrease in TBS [ 76 ]. Additionally, combined low TBS and BMD was found to be associated with a 4-fold increased risk vertebral fracture among 86 patients with thalassemia [ 77 ].…”