Epidemiology and structural basis of racial differences in fragility fractures in Chinese and Caucasians
X-F Wang, E Seeman
Osteoporosis International | SPRINGER LONDON LTD | Published : 2012
Chinese have similar vertebral fracture prevalence but lower incidence of hip and distal forearm fractures than in Caucasians. The underlying structural and biomechanical basis of racial differences in bone fragility is still largely undefined but Chinese assemble their smaller appendicular skeleton with thicker cortices and trabeculae compared with Caucasians. Vertebral fracture prevalence is similar by race, but the incidence of hip and distal forearm fractures is lower in Chinese than in Caucasians. This racial dimorphism cannot be explained by differences in areal bone mineral density (aBMD) as aBMD is lower in Chinese mainly due to their smaller size. The underlying structural and biome..View full abstract
Awarded by Australian National Health and Medical Research Council
This work was supported by the Australian National Health and Medical Research Council Biomedical Postgraduate Scholarship (ID 400419, X.W.).