Serum 25-hydroxyvitamin D and bone mineral density among Hispanic men
- A. B. AraujoAffiliated withNew England Research Institutes Email author
- , T. G. TravisonAffiliated withNew England Research Institutes
- , G. R. EscheAffiliated withNew England Research Institutes
- , M. F. HolickAffiliated withSection of Endocrinology, Diabetes, and Nutrition, Department of Medicine, Boston University School of Medicine
- , T. C. ChenAffiliated withSection of Endocrinology, Diabetes, and Nutrition, Department of Medicine, Boston University School of Medicine
- , J. B. McKinlayAffiliated withNew England Research Institutes
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There are few data on the skeletal health of Hispanic men. We observed differences in vitamin D deficiency and low BMD between Hispanic ethnic subgroups that persisted with adjustment for risk factors. Our data indicate a substantial burden of low BMD and vitamin D deficiency among Hispanic men.
Disparities within ethnic groups are generally ignored, but in evolving populations they may have implications for public health. We examined ethnic variation in serum 25-hydroxyvitamin D [25(OH)D] and bone mineral density (BMD) among Hispanic American men.
Three hundred and fifty-eight Hispanic males 30 to 79 years of age were studied. Logistic regression models assessed variation in odds of vitamin D deficiency (<20 ng/mL) and low BMD (T-score<−1) by ethnicity, with and without adjustment for risk factors (age, smoking, occupation, physical activity, body mass index, and sunlight exposure).
Vitamin D deficiency was most common among Puerto Rican (26%), compared with Dominican (21%), Central American (11%), and South American (9%) men. Percentages with low BMD were: South American (44%), Puerto Rican (34%), Dominican (29%), and Central American (23%). Adjustment for age and risk factors failed to account for Hispanic subgroup differences in vitamin D deficiency and low BMD. Population estimates indicate a substantial burden of low BMD and vitamin D deficiency among Hispanic men.
Our findings underscore the importance of examining the skeletal health of Hispanic subgroups, and suggest that a considerable number of Hispanic men may be at elevated risk of fracture and vitamin D deficiency.
KeywordsBone densitometry Epidemiology Hispanic Men Population study Vitamin D
- Serum 25-hydroxyvitamin D and bone mineral density among Hispanic men
Volume 20, Issue 2 , pp 245-255
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- Bone densitometry
- Population study
- Vitamin D
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- Author Affiliations
- 1. New England Research Institutes, 9 Galen Street, Watertown, MA, 02472, USA
- 2. Section of Endocrinology, Diabetes, and Nutrition, Department of Medicine, Boston University School of Medicine, Boston, MA, 02118, USA