Gwk. Tang et al., The profile of bone mineral density in Chinese women: Its changes and significance in a longitudinal study, OSTEOPOR IN, 12(8), 2001, pp. 647-653
Bone mineral density (BMD) has been shown to be different in different ethn
ic groups. When lifestyle and diet evolve, there is a possibility of a chan
ge in the normal reference BMD values within an ethnic group over a period
of time. As the osteoporotic risk uses the T-score as the bench mark, it is
pertinent to evaluate whether such changes do occur. Two measurements, 5 y
ears apart, of the BMD of the spine and the hip were made in a cohort of Ch
inese women in Hong Kong. A kernel function smoothing method, a nonparametr
ic statistical method, was employed to present the BMD data. The greatest r
ate of bone loss was found to occur between 50 and 59 years of age, but thi
s rate of loss was reduced from age 60 onwards. The BMD values obtained in
these two measurements were different from the previous studies in the same
population and were found to be higher at the lumbar spine and neck of fem
ur in women over 65 years of age. Even within the cohort, there seemed to b
e a reduction in the BMD values of the hip in a span of 5 years, although t
he differences were statistically insignificant. These studies suggest that
BMD values could change in a population for a variety of possible reasons.
Hence, the reference BMD values might need to be evaluated at regular inte
rvals for the T-score to be meaningful.