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Nutrition and Skeletal Health in Blacks

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Part of the book series: Nutrition and Health ((NH))

Abstract

Population groups in Africa are extremely diverse genetically. The focus of this chapter is on African Americans, a group whose African ancestors came predominantly from West Africa and that also reflects a variable admixture of European and other genetic influences. The bone density values and fracture rates of at least some African populations differ from those of US blacks (1), and the nutritional and other environmental influences in the United States are quite different from those in many African countries.

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References

  1. Melton LJ III, Marquez MA, Achenbach SJ, et al. Variations in bone density among persons of African heritage. Osteopor Int 2002; 13(7):551–559.

    Article  Google Scholar 

  2. Barrett JA, Baron JA, Karagas MR, Beach ML. Fracture risk in the U.S. medicare population. J Clin Epidemiol 1999; 52(3):243–249.

    Article  PubMed  CAS  Google Scholar 

  3. Bohannon AD, Hanlon JT, Landerman R, Gold DT. Association of race and other potential risk factors with nonvertebral fractures in community-dwelling elderly women. Am J Epidemiol 1999; 149(11): 1002–1009.

    Article  PubMed  CAS  Google Scholar 

  4. Cummings SR, Cauley JA, Palermo L, et al. Racial differences in hip axis lengths might explain racial differences in rates of hip fracture. Study of Osteoporotic Fractures Research Group. Osteopor Int 1994; 4(4):226–229.

    Article  CAS  Google Scholar 

  5. Looker AC, Wahner HW, Dunn WL, et al. Updated data on proximal femur bone mineral levels of US adults. Osteopor Int 1998; 8(5):468–489.

    Article  CAS  Google Scholar 

  6. Aloia JF, Vaswani A, Yeh JK, Flaster E. Risk for osteoporosis in black women. Calcif Tissue Int 1996; 59(6):415–423.

    Article  PubMed  CAS  Google Scholar 

  7. Kleerekoper M, Nelson DA, Peterson EL, et al. Reference data for bone mass, calciotropic hormones, and biochemical markers of bone remodeling in older (55–75) postmenopausal white and black women. J Bone Miner Res 1994; 9(8):1267–1276.

    Article  PubMed  CAS  Google Scholar 

  8. Finkelstein JS, Lee ML, Sowers M, et al. Ethnic variation in bone density in premenopausal and early perimenopausal women: effects of anthropometric and lifestyle factors. J Clin Endocrinol Metab 2002; 87(7):3057–3067.

    Article  PubMed  CAS  Google Scholar 

  9. Luckey MM, Wallenstein S, Lapinski R, Meier DE. A prospective study of bone loss in AfricanAmerican and white women—a clinical research center study. J Clin Endocrinol Metab 1996; 81(8):2948–2956.

    Article  PubMed  CAS  Google Scholar 

  10. Nelson DA, Simpson PM, Johnson CC, Barondess DA, Kleerekoper M. The accumulation of whole body skeletal mass in third- and fourth-grade children: effects of age, gender, ethnicity, and body composition. Bone 1997; 20(1):73–78.

    Article  PubMed  CAS  Google Scholar 

  11. McCormick DP, Ponder SW, Fawcett HD, Palmer JL. Spinal bone mineral density in 335 normal and obese children and adolescents: evidence for ethnic and sex differences. J Bone Miner Res 1991; 6(5):507–513.

    Article  PubMed  CAS  Google Scholar 

  12. Li JY, Specker BL, Ho ML, Tsang RC. Bone mineral content in black and white children 1 to 6 years of age. Early appearance of race and sex differences. Am J Dis Child 1989; 143(11):1346–1349.

    PubMed  CAS  Google Scholar 

  13. Bell NH, Shary J, Stevens J, Garza M, Gordon L, Edwards J. Demonstration that bone mass is greater in black than in white children. J Bone Miner Res 1991; 6(7):719–723.

    Article  PubMed  CAS  Google Scholar 

  14. Henry YM, Eastell R. Ethnic and gender differences in bone mineral density and bone turnover in young adults: effect of bone size. Osteopor Int 2000; 11(6):512–517.

    Article  CAS  Google Scholar 

  15. Gilsanz V, Skaggs DL, Kovanlikaya A, et al. Differential effect of race on the axial and appendicular skeletons of children. J Clin Endocrinol Metab 1998; 83(5):1420–1427.

    Article  PubMed  CAS  Google Scholar 

  16. Gilsanz V, Roe TF, Mora S, Costin G, Goodman WG. Changes in vertebral bone density in black girls and white girls during childhood and puberty. N Engl J Med 1991; 325(23):1597–1600.

    Article  PubMed  CAS  Google Scholar 

  17. Wang MC, Aguirre M, Bhudhikanok GS, et al. Bone mass and hip axis length in healthy Asian, black, Hispanic, and white American youths. J Bone Miner Res 1997; 12(11):1922–1935.

    Article  PubMed  CAS  Google Scholar 

  18. Liel Y, Edwards J, Shary J, Spicer KM, Gordon L, Bell NH. The effects of race and body habitus on bone mineral density of the radius, hip, and spine in premenopausal women. J Clin Endocrinol Metab 1988; 66(6):1247–1250.

    Article  PubMed  CAS  Google Scholar 

  19. Aloia JF, Vaswani A, Mikhail M, Flaster ER. Body composition by dual-energy X-ray absorptiometry in black compared with white women. Osteopor Int 1999; 10(2):114–119.

    Article  CAS  Google Scholar 

  20. Meier DE, Luckey MM, Wallenstein S, Lapinski RH, Catherwood B. Racial differences in preand postmenopausal bone homeostasis: association with bone density. J Bone Miner Res 1992; 7(10):1181–1189.

    Article  PubMed  CAS  Google Scholar 

  21. Nelson DA, Kleerekoper M, Parfitt AM. Bone mass, skin color and body size among black and white women. Bone Miner 1988; 4(3):257–264.

    PubMed  CAS  Google Scholar 

  22. Harris SS, Wood MJ, Dawson-Hughes B. Bone mineral density of the total body and forearm in premenopausal black and white women. Bone 1995; 16(4 suppl):311S–315S.

    Google Scholar 

  23. Aloia JF, Vaswani A, Feuerman M, Mikhail M, Ma R. Differences in skeletal and muscle mass with aging in black and white women. Am J Physiol Endocrinol Metab 2000; 278(6):E1153–E1157.

    Google Scholar 

  24. Meier DE, Luckey MM, Wallenstein S, Clemens TL, Orwoll ES, Waslien CI. Calcium, vitamin D, and parathyroid hormone status in young white and black women: association with racial differences in bone mass. J Clin Endocrinol Metab 1991; 72(3):703–710.

    Article  PubMed  CAS  Google Scholar 

  25. Bell NH, Greene A, Epstein S, Oexmann MJ, Shaw S, Shary J. Evidence for alteration of the vitamin D-endocrine system in blacks. J Clin Invest 1985; 76(2):470–473.

    Article  PubMed  CAS  Google Scholar 

  26. Harris SS, Dawson-Hughes B. Seasonal changes in plasma 25-hydroxyvitamin D concentrations of young American black and white women. Am J Clin Nutr 1998; 67(6):1232–1236.

    PubMed  CAS  Google Scholar 

  27. Harris SS, Soteriades E, Coolidge JA, Mudgal S, Dawson-Hughes B. Vitamin D insufficiency and hyperparathyroidism in a low income, multiracial, elderly population. J Clin Endocrinol Metab 2000; 85(11):4125–4130.

    Article  PubMed  CAS  Google Scholar 

  28. Matsuoka LY, Wortsman J, Chen TC, Holick MF. Compensation for the interracial variance in the cutaneous synthesis of vitamin D. J Lab Clin Med 1995; 126(5):452–457.

    PubMed  CAS  Google Scholar 

  29. Perry HM 3rd, Horowitz M, Morley JE, et al. Aging and bone metabolism in African American and Caucasian women. J Clin Endocrinol Metab 1996; 81(3):1108–1117.

    Article  PubMed  CAS  Google Scholar 

  30. Looker AC, Dawson-Hughes B, Calvo MS, Gunter EW, Sahyoun NR. Serum 25-hydroxyvitamin D status of adolescents and adults in two seasonal subpopulations from NHANES III. Bone 2002; 30(5):771–777.

    Article  PubMed  CAS  Google Scholar 

  31. Parikh N ET, Hill J, Phillips E, Rao D. Prevalence of vitamin D depletion among subjects seeking advice on osteoporosis: a five-year cross sectional study with therapeutic and public health implications. J Bone Miner Res 2002; 17(suppl 1):S201.

    Google Scholar 

  32. Balluz LS, Kieszak SM, Philen RM, Mulinare J. Vitamin and mineral supplement use in the United States. Results from the Third National Health and Nutrition Examination Survey. Arch Fam Med 2000; 9(3):258–262.

    Article  PubMed  CAS  Google Scholar 

  33. Bell RA, Quandt SA, Spangler JG, Case LD. Dietary calcium intake and supplement use among older African American, white, and Native American women in a rural southeastern community. J Am Dietet Assoc 2002; 102(6):844–847.

    Article  Google Scholar 

  34. Clemens TL, Adams JS, Henderson SL, Holick MF. Increased skin pigment reduces the capacity of skin to synthesise vitamin D3. Lancet 1982; 1(8263):74–76.

    Article  PubMed  CAS  Google Scholar 

  35. Brazerol WF, McPhee AJ, Mimouni F, Specker BL, Tsang RC. Serial ultraviolet B exposure and serum 25 hydroxyvitamin D response in young adult American blacks and whites: no racial differences. J Am Coll Nutr 1988; 7(2):111–1118.

    PubMed  CAS  Google Scholar 

  36. Ervin RB, Kennedy-Stephenson J. Mineral intakes of elderly adult supplement and non-supplement users in the third national health and nutrition examination survey. J Nutr 2002; 132(11):3422–3427.

    PubMed  CAS  Google Scholar 

  37. Siega-Riz AM, Popkin BM. Dietary trends among low socioeconomic status women of childbearing age in the United States from 1977 to 1996:a comparison among ethnic groups. J Am Med Womens Assoc 2001; 56(2):44–48, 72.

    PubMed  CAS  Google Scholar 

  38. Rao DR, Bello H, Warren AP, Brown GE. Prevalence of lactose maldigestion. Influence and interaction of age, race, and sex. Dig Dis Sci 1994; 39(7):1519–1524.

    Article  PubMed  CAS  Google Scholar 

  39. Wiecha JM, Fink AK, Wiecha J, Hebert J. Differences in dietary patterns of Vietnamese, white, African-American, and Hispanic adolescents in Worcester, Mass. J Am Dietet Assoc 2001; 101(2): 248–251.

    Article  CAS  Google Scholar 

  40. Looker AC, Loria CM, Carroll MD, McDowell MA, Johnson CL. Calcium intakes of Mexican Americans, Cubans, Puerto Ricans, non-Hispanic whites, and non-Hispanic blacks in the United States. J Am Dietet Assoc 1993; 93(11):1274–1279.

    Article  CAS  Google Scholar 

  41. Pribila BA, Hertzler SR, Martin BR, Weaver CM, Savaiano DA. Improved lactose digestion and intolerance among African-American adolescent girls fed a dairy-rich diet. J Am Dietet Assoc 2000; 100(5):524–528; quiz 529–530.

    Article  CAS  Google Scholar 

  42. Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999–2000. JAMA 2002; 288(14):1723–1727.

    Article  PubMed  Google Scholar 

  43. Looker AC. The skeleton, race, and ethnicity. J Clin Endocrinol Metab 2002; 87(7):3047–3750.

    Article  PubMed  CAS  Google Scholar 

  44. Dawson-Hughes B, Deehr MS, Berger PS, Dallal GE, Sadowski LJ. Correction of the effects of source, source strength, and soft-tissue thickness on spine dual-photon absorptiometry measurements. Calcif Tissue Int 1989; 44(4):251–257.

    Article  PubMed  CAS  Google Scholar 

  45. Bikle DD, Ettinger B, Sidney S, Tekawa IS, Tolan K. Differences in calcium metabolism between black and white men and women. Miner Electrolyte Metab 1999; 25(3):178–184.

    Article  PubMed  CAS  Google Scholar 

  46. Need AG, Horowitz M, Morris HA, Nordin BC. Vitamin D status: effects on parathyroid hormone and 1,25-dihydroxyvitamin D in postmenopausal women. Am J Clin Nutr 2000; 71(6):1577–1581.

    PubMed  CAS  Google Scholar 

  47. Fuleihan GE, Gundberg CM, Gleason R, et al. Racial differences in parathyroid hormone dynamics. J Clin Endocrinol Metab 1994; 79(6):1642–1647.

    Article  PubMed  CAS  Google Scholar 

  48. Finkelstein JS, Sowers M, Greendale GA, et al. Ethnic variation in bone turnover in pre- and early perimenopausal women: effects of anthropometric and lifestyle factors. J Clin Endocrinol Metab 2002; 87(7):3051–3056.

    Article  PubMed  CAS  Google Scholar 

  49. Weinstein RS, Bell NH. Diminished rates of bone formation in normal black adults. N Engl J Med 1988; 319(26):1698–1701.

    Article  PubMed  CAS  Google Scholar 

  50. Cosman F, Morgan DC, Nieves JW, et al. Resistance to bone resorbing effects of PTH in black women. J Bone Miner Res 1997; 12(6):958–966.

    Article  PubMed  CAS  Google Scholar 

  51. Dawson-Hughes B, Harris S, Kramich C, Dallal G, Rasmussen HM. Calcium retention and hormone levels in black and white women on high- and low-calcium diets. J Bone Miner Res 1993; 8(7):779–787.

    Article  PubMed  CAS  Google Scholar 

  52. Dawson-Hughes B, Harris SS, Finneran S, Rasmussen HM. Calcium absorption responses to calcitriol in black and white premenopausal women. J Clin Endocrinol Metab 1995; 80(10):3068–3072.

    Article  PubMed  CAS  Google Scholar 

  53. Tilyard MW, Spears GF, Thomson J, Dovey S. Treatment of postmenopausal osteoporosis with calcitriol or calcium. N Engl J Med 1992; 326(6):357–362.

    Article  PubMed  CAS  Google Scholar 

  54. Geusens P, Vanderschueren D, Verstraeten A, Dequeker J, Devos P, Bouillon R. Short-term course of 1,25(OH)2D3 stimulates osteoblasts but not osteoclasts in osteoporosis and osteoarthritis. Calcif Tissue Int 1991; 49(3):168–173.

    Article  PubMed  CAS  Google Scholar 

  55. Gallagher JC, Goldgar D. Treatment of postmenopausal osteoporosis with high doses of synthetic calcitriol. A randomized controlled study. Ann Intern Med 1990; 113(9):649–655.

    PubMed  CAS  Google Scholar 

  56. Harris SS, Soteriades E, Dawson-Hughes B. Secondary hyperparathyroidism and bone turnover in elderly blacks and whites. J Clin Endocrinol Metab 2001; 86(8):3801–3804.

    Article  PubMed  CAS  Google Scholar 

  57. Kyriakidou-Himonas M, Aloia JF, Yeh JK. Vitamin D supplementation in postmenopausal black women. J Clin Endocrinol Metab 1999; 84(11):3988–3990.

    Article  PubMed  CAS  Google Scholar 

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Harris, S.S. (2004). Nutrition and Skeletal Health in Blacks. In: Holick, M.F., Dawson-Hughes, B. (eds) Nutrition and Bone Health. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-740-6_14

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  • DOI: https://doi.org/10.1007/978-1-59259-740-6_14

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-451-7

  • Online ISBN: 978-1-59259-740-6

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