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Lower osteoporotic-like vertebral fractural deformity (OLVF) prevalence and severity among older Thais and Indonesians than among older Chinese

  • 0Department of Imaging and Interventional Radiology, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China.
Quantitative Imaging in Medicine and Surgery +

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January 22, 2025

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January 22, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Chinese individuals exhibit a higher prevalence and severity of osteoporotic-like vertebral fractures (OLVF) compared to Southeast Asians. This trend suggests climate may influence spinal health, with warmer climates potentially offering better bone health outcomes.

Area Of Science

  • Osteoporosis research
  • Radiographic assessment of vertebral fractures
  • Epidemiology of bone health

Background

  • Chinese populations historically show lower vertebral fragility fracture risk than Caucasians.
  • Osteoporotic-like vertebral fracture (OLVF) is a key indicator of bone health.
  • This study investigates OLVF prevalence and severity across Chinese, Thai, and Indonesian populations.

Purpose Of The Study

  • To evaluate the prevalence and severity of radiographic osteoporotic-like vertebral fracture (OLVF) in Chinese, Thai, and Indonesian men and women.
  • To compare OLVF characteristics between Chinese and Southeast Asian populations.
  • To explore potential correlations between geographic climate and spinal bone health.

Main Methods

  • Epidemiological study analyzing spine radiographs (T4-L5) from 195 Thai women, 202 Thai men, 236 Indonesian women, and 174 Indonesian men.
  • Age-matched Chinese subjects' radiographs were included for comparison.
  • OLVF classification system (grades 0-3) and Osteoporotic-like Vertebral Fracture sum score (OLVFss) were used to assess fracture severity and estimate osteoporosis prevalence.

Main Results

  • Chinese individuals exhibited higher overall prevalence of OLVF compared to Southeast Asians, with fractures being more likely multiple.
  • Chinese women showed a trend towards more severe OLVF grades than Southeast Asian women; Chinese men had a higher prevalence of milder OLVFs.
  • Osteoporosis prevalence estimates varied: Thai men (9.4%-6.9%), Indonesian men (6.9%-2.9%), Thai women (19.5%-14.9%), and Indonesian women (18.9%-14.5%).

Conclusions

  • A weak trend of 'Chinese > Thais > Indonesians' in OLVF prevalence and severity was observed in both older men and women.
  • The findings support the hypothesis that populations from warmer climates may possess better spinal health.
  • Radiographic assessment of OLVF provides valuable insights into population-specific bone health differences.

Keywords:

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