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. 2006 May;98(5):746–752.

Bone mineral density of recent African immigrants in the United States.

Gordon Gong 1, Gleb Haynatzki 1, Vera Haynatzka 1, Sade Kosoko-Lasaki 1, Ryan Howell 1, Yun-Xin Fu 1, John C Gallagher 1, M Roy Wilson 1
PMCID: PMC2569286  PMID: 16749650

Abstract

BACKGROUND: Racial/ethnic difference in bone mineral density (BMD) exists. The underlying mechanism is unclear and needs investigation. PURPOSE: To determine BMD and its relation to environmental exposure in recent African immigrants. METHODS: BMD in recent sub-Saharan Sudanese immigrants (55 men and 88 premenopausal women) in the United States was measured. Analysis of covariance (ANCOVA) model was performed, with total body, spine and hip BMD as dependent variables; and sex, age, body weight, the length of stay in the United States, and milk intake as independent variables. RESULTS: BMD Z score in the spine but not total body or hip in the Sudanese immigrants was significantly lower compared with the normative values of African Americans and Caucasians. Total body and hip BMD was positively correlated (p < 0.015) with their length of stay in the United States. Hip BMD was significantly correlated with milk intake (p < 0.02) and marginally (p = 0.052) with their length of stay in the United States, independent of body weight. CONCLUSIONS: Spinal BMD was significantly lower in recent Sudanese immigrants than in African Americans or Caucasians. Their hip and total body BMD was associated with their length of stay in the United States, suggesting a potential environmental factors in the ethnic diversity of BMD.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aspray T. J., Prentice A., Cole T. J., Sawo Y., Reeve J., Francis R. M. Low bone mineral content is common but osteoporotic fractures are rare in elderly rural Gambian women. J Bone Miner Res. 1996 Jul;11(7):1019–1025. doi: 10.1002/jbmr.5650110720. [DOI] [PubMed] [Google Scholar]
  2. Camp N. J., Farnham J. M. Correcting for multiple analyses in genomewide linkage studies. Ann Hum Genet. 2001 Nov;65(Pt 6):577–582. doi: 10.1017/S0003480001008922. [DOI] [PubMed] [Google Scholar]
  3. Cornish D. A., Maluleke V., Mhlanga T. An investigation into a possible relationship between vitamin D, parathyroid hormone, calcium and magnesium in a normally pigmented and an albino rural black population in the Northern Province of South Africa. Biofactors. 2000;11(1-2):35–38. doi: 10.1002/biof.5520110110. [DOI] [PubMed] [Google Scholar]
  4. Daniels E. D., Pettifor J. M., Schnitzler C. M., Moodley G. P., Zachen D. Differences in mineral homeostasis, volumetric bone mass and femoral neck axis length in black and white South African women. Osteoporos Int. 1997;7(2):105–112. doi: 10.1007/BF01623684. [DOI] [PubMed] [Google Scholar]
  5. Finkelstein Joel S., Sowers MaryFran, Greendale Gail A., Lee Mei-Ling T., Neer Robert M., Cauley Jane A., Ettinger Bruce. Ethnic variation in bone turnover in pre- and early perimenopausal women: effects of anthropometric and lifestyle factors. J Clin Endocrinol Metab. 2002 Jul;87(7):3051–3056. doi: 10.1210/jcem.87.7.8480. [DOI] [PubMed] [Google Scholar]
  6. Huff M., Sadler C. African American women and osteoporosis. ABNF J. 1997 May-Jun;8(3):48–50. [PubMed] [Google Scholar]
  7. Ito M., Lang T. F., Jergas M., Ohki M., Takada M., Nakamura T., Hayashi K., Genant H. K. Spinal trabecular bone loss and fracture in American and Japanese women. Calcif Tissue Int. 1997 Aug;61(2):123–128. doi: 10.1007/s002239900308. [DOI] [PubMed] [Google Scholar]
  8. Kin K., Lee J. H., Kushida K., Sartoris D. J., Ohmura A., Clopton P. L., Inoue T. Bone density and body composition on the Pacific rim: a comparison between Japan-born and U.S.-born Japanese-American women. J Bone Miner Res. 1993 Jul;8(7):861–869. doi: 10.1002/jbmr.5650080712. [DOI] [PubMed] [Google Scholar]
  9. Lauderdale D. S., Jacobsen S. J., Furner S. E., Levy P. S., Brody J. A., Goldberg J. Hip fracture incidence among elderly Asian-American populations. Am J Epidemiol. 1997 Sep 15;146(6):502–509. doi: 10.1093/oxfordjournals.aje.a009304. [DOI] [PubMed] [Google Scholar]
  10. Melton III L. J., Marquez M. A., Achenbach S. J., Tefferi A., O'Connor M. K., O'Fallon W. M., Riggs B. L. Variations in bone density among persons of African heritage. Osteoporos Int. 2002 Jul;13(7):551–559. doi: 10.1007/s001980200072. [DOI] [PubMed] [Google Scholar]
  11. Melton L. J., 3rd How many women have osteoporosis now? J Bone Miner Res. 1995 Feb;10(2):175–177. doi: 10.1002/jbmr.5650100202. [DOI] [PubMed] [Google Scholar]
  12. Nesby-O'Dell Shanna, Scanlon Kelley S., Cogswell Mary E., Gillespie Cathleen, Hollis Bruce W., Looker Anne C., Allen Chris, Doughertly Cindy, Gunter Elaine W., Bowman Barbara A. Hypovitaminosis D prevalence and determinants among African American and white women of reproductive age: third National Health and Nutrition Examination Survey, 1988-1994. Am J Clin Nutr. 2002 Jul;76(1):187–192. doi: 10.1093/ajcn/76.1.187. [DOI] [PubMed] [Google Scholar]
  13. Railey M. T. Parameters of obesity in African-American women. J Natl Med Assoc. 2000 Oct;92(10):481–484. [PMC free article] [PubMed] [Google Scholar]
  14. Ross P. D., Norimatsu H., Davis J. W., Yano K., Wasnich R. D., Fujiwara S., Hosoda Y., Melton L. J., 3rd A comparison of hip fracture incidence among native Japanese, Japanese Americans, and American Caucasians. Am J Epidemiol. 1991 Apr 15;133(8):801–809. doi: 10.1093/oxfordjournals.aje.a115959. [DOI] [PubMed] [Google Scholar]
  15. Wu X. P., Liao E. Y., Huang G., Dai R. C., Zhang H. A comparison study of the reference curves of bone mineral density at different skeletal sites in native Chinese, Japanese, and American Caucasian women. Calcif Tissue Int. 2003 Aug;73(2):122–132. doi: 10.1007/s00223-002-1069-7. [DOI] [PubMed] [Google Scholar]

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