To evaluate the prevalence of osteoporosis at various sites among Australia
n women, cross-sectional bone mineral density (BMD) data for adult females
was obtained from an age-stratified population-based sample (n = 1494; 20-9
4 yr) drawn at random from the Barwon Statistical Division, a population ch
aracteristic of Australia. Age- and weight- (and for three sites, height) m
atched reference ranges for BMD at the lumbar spine, proximal femur, forear
m, and total body were developed using regression techniques. The cutoff BM
D level for osteoporosis at the PA spine was 0.917 g/cm(2) and 0.713 g/cm(2
) at the femoral neck according to the World Health Organization (WHO) guid
elines. The upper cutoff level for osteopenia was 1.128 g/cm(2) at the PA s
pine and 0.913 g/cm(2) for the femoral neck. The proportion of Australian w
omen categorized as having osteoporosis at the PA spine, femoral neck, or m
idforearm ranged from 0.9% among those aged 40-44 yr to 87.0% for those old
er than 79 yr. This study provides reference data representative of the Aus
tralian female population. A large proportion of elderly,Australian women h
as osteoporosis according to the WHO guidelines.