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BMD and fracture risk by age

BMD and fracture risk by age
(A) Bone loss begins in the third decade of life in both sexes. The data are from the Epidemiological Follow-up Study cohort of the NHANES I, a nationally representative sample of noninstitutionalized civilians who were followed for a maximum of 22 years. A cohort of 2879 White males (1437 in the bone density subsample) aged 45 to 74 years at baseline (1971 to 1975) were observed through 1992[1].
(B) Age is a more critical determinant of fracture risk than bone mass in humans. Data are from a follow-up of 521 White females over an average of 6.5 years with repeated bone mass measurements at the radius. A total of 138 nonspinal fractures in 3388 person-years were detected, and the incident fractures were cross-classified by age and bone mass. The incidence of fracture was then fitted to a log-linear model in age and bone mass[2].
BMD: bone mineral density; NHANES: National Health and Nutrition Examination Survey.
References:
  1. Looker AC, Wahner HW, Dunn WL, et al. Updated data on proximal femur bone mineral levels of US adults. Osteoporosis Int 1998; 8:468.
  2. Hui SL, Slemenda CW, Johnston CC Jr. Age and bone mass as predictors of fracture in a prospective study. J Clin Invest 1988; 81:1804.
Reproduced with permission from: Manolagas SC. From estrogen-centric to aging and oxidative stress: A revised perspective of the pathogenesis of osteoporosis. Endocr Rev 2010; 31:266. Copyright © 2010 The Endocrine Society.
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