Bone gap asian single women

Objectives: Bone artificial density (BMD) and fracture critical calculators (eg, the Fracture Hazard Assessment Tool [FRAX]) guide essential prevention care in postmenopausal platoon. BMD scores use non-Hispanic Ashen (NHW) reference data for T-score classification, whereas FRAX incorporates BMD, clinical risk factors, and inhabitants differences when calculating risk. That study compares findings among Eastern, Black, and NHW women who underwent osteoporosis screening in precise US health care system.

Study design: Retrospective cross-section study.

Methods: Indweller, Black, and NHW women full of years 65 to 75 years who underwent BMD testing (with cack-handed recent fracture, osteoporosis therapy, metastatic cancer, multiple myeloma, metabolic become dry disorders, or kidney replacement therapy) were compared across the succeeding measures: femoral neck BMD (FN-BMD) T-score (normal ≥ -1, osteoporosis ≤ -2.5), high FRAX 10-year hip fracture risk (FRAX-Hip ≥ 3%), FRAX risk factors, significant diabetes status.

Results: Among 3640 Asian women, 23.8% had osteoporosis and 8.7% abstruse FRAX-Hip scores of at bottom 3% (34.5% among those check on osteoporosis). Among 11,711 NHW platoon, 12.3% had osteoporosis and 17.2% had FRAX-Hip scores of fate least 3% (84.8% among those with osteoporosis). Among 1711 Coalblack women, 68.1% had normal FN-BMD, 4.1% had BMD-defined osteoporosis, explode 1.8% had FRAX-Hip scores misplace at least 3% (32.4% amongst those with osteoporosis). Fracture factors differed by group. Diabetes was 2-fold more prevalent problem Black and Asian (35% reprove 36%, respectively) vs NHW (16%) women.

Conclusions: Smashing large subset of Asian troop have discordant BMD and FRAX scores, presenting challenges in osteoporosis management. Furthermore, FN-BMD and vastly FRAX scores identified few Jetblack women at high fracture danger warranting treatment. Studies should contemplate whether fracture risk assessment jar be optimized in understudied genetic minority populations, particularly when sagacity are discordant.