To assess the symmetry of bone mineral density (BMD) of the hips, we u
sed dual photon absorptiometry (DPA) to asses BMD in 266 normal Chines
e women in the bilateral femoral neck, trochanter and Ward's triangle
regions. Linear regression analysis of the results showed excellent co
rrelation between the hips. The correlation coefficients for the femor
al neck, trochanter and Ward's triangle regions were 0.899, 0.892 and
0.935 respectively, and the standard errors of the estimate (S.E.E.) w
ere 0.029, 0.027 and 0.022 g cm(-2) respectively. Pooling the BMD data
of corresponding regions (n = 532), the correlation coefficient was 0
.813 for femoral neck versus trochanter, 0.889 for femoral neck versus
Ward's triangle, and 0.833 for trochanter versus Ward's triangle. Fur
ther analysis showed mean correlation coefficients of 0.854 for elderl
y subjects (age greater than or equal to 65 years, n = 51) and 0.887 f
or younger subjects (age < 65 years, n = 215). In conclusion, assessme
nt of left or right hip BMD may be used to represent the BMD of the co
ntralateral hip and can reduce both the cost and radiation exposure du
ring mass screening for osteoporosis.