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Bone mineral density of normal Chinese women in Taiwan

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Summary

Bone mineral density (BMD) may be different in different ethnic groups. To determine BMD and the effect of aging and body weight upon it in healthy Chinese women living in the Taipei urban area, we measured BMD of 116 healthy women aged 18–80 years using a commercially available dual photon absorptiometer (DPA).

The BMD of the lumbar spine (L2–L4) remained relatively constant and had a mean value of 1.12 g/cm2 at age 20–49 years; it then decreased significantly from age 50 and up in a linear fashion with an apparent slope of about 0.01 g/cm2/year. The BMD of the total body skeleton showed a similar pattern. The trend and the absolute BMD values of the lumbar spine at all ages are similar to those previously reported for a U.S. white population. However, the BMD at the hip region revealed levels of about 10–15% lower than what was reported for a U.S. white population and was comparable to the femoral neck BMD of Japanese women measured with the same machine. The correlation among the BMDs at different sites for each subject was significant (r=0.72–0.8), but the BMD measured at a single site cannot be used to predict the BMD found at the other sites because of the substantial variation. The stepwise regression analysis showed that both age and body weight influenced BMD. Our data suggest that Chinese women are not at less risk for osteoporotic fractures, and that body weight contributes to the BMD measured at specific sites in our population even when the overtly obese subjects were excluded.

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References

  1. Riggs BL, Melton LJ III (1986) Involutional osteoporosis. N Engl J Med 314:1676–1686

    Article  PubMed  CAS  Google Scholar 

  2. Melton LJ III, Riggs BL (1983) Epidemiology of age-related fractures. In: Avioli LV (ed) The osteoporotic syndrome. Grune & Stratton, New York, pp 45–72

    Google Scholar 

  3. Farmer ME, White LR, Brody JA (1984) Race and sex differences in hip fracture incidence. Am J Public Health 44:1374–1380

    Google Scholar 

  4. Cohn SH, Yasumura AS, Aloia JF, Zanzi I, Ellis KJ (1977) Comparative skeletal mass and radial bone mineral content in black and white women. Metabolism 26:171–178

    Article  PubMed  CAS  Google Scholar 

  5. Liel Y, Edwards J, Shary J, Spicer KM, Gordon L, Bell NH (1988) The effect of race and body habitus on bone mineral density of the radius, hip and spine in premenopausal women. J Clin Endocrinol Metab 66:1247–1250

    PubMed  CAS  Google Scholar 

  6. Luckey MM, Meier DE, Mandeli JP, DaCosta MC, Hubbard ML, Goldsmith SJ (1989) Radial and vertebral bone density in white and black women: evidence for racial differences in premenopausal bone homeostasis. J Clin Endocrinol Metab 69:762–770

    PubMed  CAS  Google Scholar 

  7. Ross PD, Orimo H, Wasnich RD, Vogel JM, Mclean CJ, Davis JW, Nomura A (1989) Methodological issues in comparing genetic and environmental influences on bone mass. Bone Miner 7:67–77

    Article  PubMed  CAS  Google Scholar 

  8. Genant HK, Block JE, Steiger P, Glueer CC, Ettinger B, Harris ST (1989) Appropriate use of bone densitometry. Radiology 170:817–822

    PubMed  CAS  Google Scholar 

  9. Yano K, Wasnich RD, Vogel JM, Heilbrun LK (1984) Bone mineral measurements among middle-aged and elderly Japanese residents in Hawaii. Am J Epidemiol 119:751–764

    PubMed  CAS  Google Scholar 

  10. Nomura A, Wasnich RD, Heilbrun LK, Ross PD, Davis JW (1989) Comparison of bone mineral content between Japanborn and US-born Japanese subjects in Hawaii. Bone Miner 6:213–223

    Article  PubMed  CAS  Google Scholar 

  11. Han IK, Park WK, Choi WW, Shin HH, Kim SW (1988) A study on hormonal changes and bone densities in Korean menopausal women. J Kor Soc Endocrinol 4:21–28

    Google Scholar 

  12. Norimatsu H, Mori S, Uesato T, Yoshikawa T, Katsuyama N (1989) Bone mineral density of the spine and proximal femur in normal and osteoporotic subjects in Japan. Bone Miner 5:213–222

    Article  PubMed  CAS  Google Scholar 

  13. Yamazaki K, Kushida K, Kin K, Sumi Y, Denda M, Okamoto S, Taniguchi M, Inoue T, Mazess (1989) Bone mineral density of the spine in normal Japanese subjects by X-ray dual photon absorptiometry. J Bone Miner Res 4(1):S228

    Google Scholar 

  14. Hagiwara S, Miki T, Nishizawa Y, Ochi H, Onoyama Y, Morii H (1989) Quantification of bone mineral content using dual-photon absorptiometry in a normal Japanese population. J Bone Miner Res 4:217–222

    PubMed  CAS  Google Scholar 

  15. Sugimoto T, Tsutsumi M, Fujii Y, Negishi H, Fukase M, Fujita T (1989) Comparison of bone mineral density among Japanese, Korean and Taiwanese. J Bone Miner Res 4(1): S187

    Google Scholar 

  16. Tzen KY (1988) Bone density measurement by dual photon absorptiometry in osteoporotic patients in Taiwan. Proceedings of the First Asian Symposium on Osteoporosis. Excerpta Medica, Asia Pacific Congress Series 84:21–24

    Google Scholar 

  17. Mazess RB, Collich B, Trempe J, Barden H, Hanson J (1989) Performance evaluation of a dual energy bone densitometer. Calcif Tissue Int 44:228–232

    Article  PubMed  CAS  Google Scholar 

  18. Balseiro J, Fahey FC, Ziessman HA, Le TV (1988) Comparison of bone mineral density in both hips. Radiology 167:151–153

    PubMed  CAS  Google Scholar 

  19. Seldin DW, Esser PD, Alderson PO (1988) Comparison of bone mineral density measurements from different skeletal sites. J Nucl Med 29:168–173

    PubMed  CAS  Google Scholar 

  20. Ribot C, Tremollieres F, Pouilles JM, Bonneau M, Germain F, Louvet JP (1988) Obesity and postmenopausal bone loss: the influence of obesity on vertebral density and bone turnover in postmenopausal women. Bone 8:327–331

    Article  Google Scholar 

  21. Brodin JM (1973) Source of estrogen production in postmenopausal women. J Clin Endocrinol Metab 36:207–214

    Article  Google Scholar 

  22. Lanyon LE, Magee PT, Baggott DG 1979) The relationship of functional stress and strain to the process of bone remodeling: an experimental study on the sheep radius. J Biomech 12:593–600

    Article  PubMed  CAS  Google Scholar 

  23. Sambrook PN, Eisman JA, Furler SM, Pocock NA (1987) Computer modeling and analysis of cross-sectional bone density studies with respect to age and the menopause. J Bone Miner Res 2:109–114

    PubMed  CAS  Google Scholar 

  24. Mazess RB, Barden HS, Ettinger M (1987) Spine and femur density using dual-photon absorptiometry in US white women. Bone Miner 2:211–219

    Article  PubMed  CAS  Google Scholar 

  25. Huang P-C, Yu S-L, Lee S-M, Kao M-D, Lee N-Y, Hong C-L, Wu T-H, Yaung C-L (1983) Dietary survey in Taiwan area 1980–81. J Chinese Nutrition Soc 8:1–20

    Google Scholar 

  26. Silverman SL, Madison RE (1988) Decreased incidence of hip fracture in Hispanics, Asians and Blacks: California hospital discharges data. Am J Public Health 78:1482–1483

    Article  PubMed  CAS  Google Scholar 

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Tsai, KS., Huang, KM., Chieng, PU. et al. Bone mineral density of normal Chinese women in Taiwan. Calcif Tissue Int 48, 161–166 (1991). https://doi.org/10.1007/BF02570550

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  • DOI: https://doi.org/10.1007/BF02570550

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