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Published on: January 29, 2018
Variations in bone density among persons of African heritage
L J Melton III1, M A Marquez, S J Achenbach
1Department of Health Sciences Research, Mayo Clinic and Mayo Foundation, Rochester, MN 55905, USA.
Bone density varies significantly among African heritage groups. African-American and Somali women show higher bone mineral apparent density than white women, indicating diverse bone metabolism within these populations.
Area of Science:
- Bone biology and epidemiology
- Human skeletal health
- Ethnic variations in bone metabolism
Background:
- The epidemiology of bone loss in populations of African heritage is not well understood.
- Previous research has not adequately detailed bone mineral density (BMD) differences across diverse ethnic groups.
Purpose of the Study:
- To compare bone mineral density (BMD) and bone mineral apparent density (BMAD) in African-American (AA) and Somali women and men against white subjects.
- To investigate potential ethnic variations in bone metabolism and density.
Main Methods:
- Areal BMD and volumetric BMAD were measured for the lumbar spine and proximal femur in 47 African-Americans, 66 Somali immigrants, and 684 white individuals.
- Bone density measurements were performed using Hologic densitometers, with instruments cross-calibrated.
- Statistical analyses compared BMD and BMAD values across ethnic groups, adjusting for bone size and weight.
Main Results:
- African-American women had 18% higher lumbar spine BMD and 27% higher femoral neck BMD than white women.
- Somali women showed 11% greater femoral neck BMD compared to white women.
- After adjusting for bone size, both African-American and Somali women exhibited significantly higher lumbar spine and femoral neck BMAD than white women, with differences persisting even after weight adjustment.
Conclusions:
- Significant heterogeneity exists in bone density and apparent density among different ethnic groups of African heritage.
- These findings highlight the need for further research into race-specific differences in bone metabolism.
- Bone density variations underscore the importance of considering ethnicity in the study of bone health and osteoporosis risk.
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