Table 5. Cutoff BMD values and T-scores for osteopenia and osteoporosis based on literature data: women’s total hip.
Studies | BMDyoung | SDyoung | Ageold | BMDold | SDold | T-score ≤−1.0 | T-score ≤−2.5 | Prevalence =29%¶ | Prevalence =6.7% § | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
BMDlow | Prevalence (%) | BMDos | Prevalence (%) | BMDlow | T-score | BMDos | T-score | |||||||||
US White [2012] (52)# | 0.971 | 0.114 | ≥50 | 0.830 | 0.140 | 0.857 | 57.55 | 0.686 | 15.15 | |||||||
0.971 | 0.114 | ≥60 | 0.806 | 0.135 | 0.857 | 64.69 | 0.686 | 18.74 | ||||||||
US Black [2012] (52) | 1.036 | 0.147 | ≥50 | 0.901 | 0.164 | 0.889 | 47.07 | 0.669 | 7.86 | |||||||
Canada white [2008] (79) | ≥50** | 11.3 | ||||||||||||||
Argentina [2016] (80) | ≥50 | 6.2 | ||||||||||||||
US Amerindian [2016] (81) | 50–79 | 8.4 | ||||||||||||||
ML Chinese [2007] (64) | 0.956 | 0.120 | 50–89 | 0.851 | 0.140 | 0.835 | 45.55 | 0.655 | 8.01 | 0.774 | −1.510 | 0.641 | −2.609 | |||
US Chinese [2006] (61) | 0.902 | 0.110 | 50–89 | 0.781 | 0.117 | 0.792 | 53.85 | 0.627 | 9.42 | 0.716 | −1.689 | 0.606 | −2.695 | |||
Hong Kong [2005] (51)^ | 0.89 | 0.11 | ≥60 | 0.751 | 0.115 | 0.780 | 60.00 | 0.615 | 11.85 | 0.699 | −1.743 | 0.599 | −2.642 | |||
Japan [2001] (63)## | 0.886 | 0.107 | 50–79 | 0.748 | 0.125 | 0.779 | 59.87 | 0.618 | 14.94 | 0.679 | −1.932 | 0.561 | −3.034 | |||
Korea [2014] (66) | 0.889 | 0.102 | ≥50 | 0.765 | 0.205^^ | 0.787 | 54.20 | 0.634 | 26.12 | 0.652 | −2.322 | 0.458 | −4.229 |
#, cited reference and the year of publication (see reference list). Age in years. BMD unit in g/cm2. **, mean age: 65.0±9.4 (SD) years. ¶, assuming the reference Caucasian have an osteopenia prevalence of 58%, the osteopenia prevalence for Chinese women ≥50 years old is assumed to be 29%. §, based on the US and Canadian Caucasian data and also those of femoral neck results, the osteoporosis prevalence for Chinese women ≥50 years old is assumed to be 6.7%, which could be an aggressive estimation (i.e., the real prevalence could be even lower), as some studies showed hip fragility fracture prevalence of older Chinese women is close to 40% of that of Caucasians (3). Data of Latin American and US Amerindian are listed as reference. Argentina has a high percentage of population with European ancestry. ^, for Hong Kong data, it is assumed that, for subjects ≥60 years, osteopenia prevalence and osteoporosis prevalence is 32.35% and 9.37% respectively. ##, Bow et al. (78) reported that Japanese and Hong Kong Chinese have very similar age-specific hip fragility fracture prevalences. ^^, this SD value is large. BMD, bone mineral density; ML, mainland; BMDyoung, adopted value as the reference BMD; SDyoung, standard deviation of the reference young subject data; BMDold, measured BMD of the subjects ≥50 years old; SDold, standard deviation of the subjects ≥50 years old; BMDlow, the cutpoint to define osteopenia; BMDos, the cutpoint to define osteoporosis.