儿童群体骨质的种族和种族差异:系统性审查
Tiago Rodrigues de Lima1, Mateus Augusto Bim1, Jean Carlos Parmigiani De Marco1
1Health and Sports Sciences Center, Department of Physical Education, State University of Santa Catarina, Florianópolis, Brazil.
概括
与黑人儿童相比,白人儿童和青少年的骨矿物质密度 (BMD) 和含量 (BMC) 较低. 其他种族和民族群体的骨质也比黑人儿童低.
科学领域:
- 儿童骨健康 儿童骨健康
- 健康方面的种族和民族差异.
- 骨的发育 骨的发育
背景情况:
- 骨矿物质密度 (BMD) 和骨矿物质含量 (BMC) 是骨健康的关键指标.
- 了解童年和青春期骨质的种族和民族差异对于准确的健康评估至关重要.
- 之前的研究表明,在不同的人群中,骨质的潜在差异存在.
研究的目的:
- 系统地审查和总结有关儿童和青少年区域骨矿物质密度 (aBMD) 和骨矿物质含量 (BMC) 的种族和民族差异的现有证据.
- 为了识别特定的种族和种族群体,具有不同的骨质概况.
- 突出目前关于这些差异的研究中的差距.
主要方法:
- 使用五个主要的电子数据库进行了系统的文献审查.
- 进行了对参考清单的补充搜索,以确定其他相关研究.
- 研究包括双能X射线吸收度 (DXA) 对健康儿童和青少年的骨质质量评估,年龄在19岁以下.
主要成果:
- 与黑人儿童相比,白人儿童和青少年在60.2%的分析结果中表现出较低的aBMD/BMC.
- 除黑人之外的种族和民族群体在80%的可能结果中,与黑人群体相比,aBMD/BMC值较低.
- 关于白人和亚洲,太平洋岛屿,西班牙裔或墨西哥裔美国儿童之间的BMD/BMC差异的证据有限.
结论:
- 白人儿童和青少年的骨质量 (aBMD/BMC) 通常低于黑人儿童和青少年.
- 与黑人儿童和青少年相比,不包括黑人个人的种族和民族群体往往具有较低的骨质量.
- 白人儿童和青少年与他们的亚洲,太平洋岛民,西班牙裔和墨西哥裔美国同龄人之间在骨质中始终没有发现显著差异.
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