Osteoporosis International

, Volume 20, Issue 12, pp 2079–2085

The prevalence of significant left–right hip bone mineral density differences among black and white women

  • J. D. Alele
  • D. L. Kamen
  • K. L. Hermayer
  • J. Fernandes
  • J. Soule
  • M. Ebeling
  • T. C. Hulsey
Original Article

DOI: 10.1007/s00198-009-0915-0

Cite this article as:
Alele, J.D., Kamen, D.L., Hermayer, K.L. et al. Osteoporos Int (2009) 20: 2079. doi:10.1007/s00198-009-0915-0

Abstract

Summary

In a cross-sectional retrospective study, we examined the prevalence of significant opposite hip bone mineral density difference among white and black women. Left–right hip bone mineral density difference was a common finding in both races, raising the possibility that osteoporosis can be missed if only one hip is imaged.

Introduction

We examined the prevalence of significant left–right hip bone mineral density (BMD) difference among black and white female subjects and its implications on the diagnosis of osteoporosis.

Methods

This was a retrospective review of dual energy X-ray absorptiometry (DXA) data in black and white subjects age 50 years and older. One thousand four hundred seventy-seven scans obtained using a GE Lunar Prodigy scanner in dual hip mode were analyzed (24% black, 76% white). Significant left–right hip BMD difference was considered present when the subregion least significant change (LSC) was exceeded. Its prevalence was determined, along with consequences on the diagnosis of osteoporosis.

Results

Significant differences in BMD were common in both races; the LSC was exceeded in 47% of the patients at the total hip, 37% at the femoral neck, and 53% at the trochanter. Diagnostic agreement was lower when the LSC was exceeded than when it was not. The LSC was exceeded in a statistically significant number of black and white patients with normal or osteopenic spines and unilateral hip osteoporosis.

Conclusions

Significant left–right hip BMD difference is a common finding among black and white women and can result in osteoporosis being missed if only one hip is imaged.

Keywords

Black womenBone mineral densityDual energy X-ray absorptiometryHipOsteoporosisWhite women

Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2009

Authors and Affiliations

  • J. D. Alele
    • 1
  • D. L. Kamen
    • 2
  • K. L. Hermayer
    • 1
  • J. Fernandes
    • 1
  • J. Soule
    • 1
  • M. Ebeling
    • 3
  • T. C. Hulsey
    • 3
  1. 1.Division of Endocrinology, Diabetes and Medical GeneticsMedical University of South CarolinaCharlestonUSA
  2. 2.Division of RheumatologyMedical University of South CarolinaCharlestonUSA
  3. 3.Division of Pediatric EpidemiologyMedical University of South CarolinaCharlestonUSA