Insidence of hip fractures in different countries

Insidence of hip fractures in different countries

Here is an interactive chart on fracture incidence in different countries.

* courses.washington.edu/bonephys/mapfxs.html

The highest hip fracture incidence is in Norway (where the mean intake of
vitamin A is high). There are genetic reasons for the low incidence in
Africa.

--
Juhana

Re: Insidence of hip fractures in different countries

On Jun 21, 1:25 pm, "Juhana Harju" <n...@mail.fi> wrote...snip...
There are genetic reasons for the low incidence in Africa.
--
Juhana
------------------------------------------------------------------------------------------------------------------
Shorter lifetimes must play a significant role and wher, hopefully,
factored out of the study...ron

Re: Insidence of hip fractures in different countries

ron wrote:

> Shorter lifetimes must play a significant role and wher, hopefully,
> factored out of the study.

Sure.

--
Juhana

Re: Insidence of hip fractures in different countries

Juhana Harju wrote:
> ron wrote:
>
>> Shorter lifetimes must play a significant role and wher, hopefully,
>> factored out of the study.
>
> Sure.

It is quite interesting that fracture risk can be low in spite of low BMD
and BMC as in Gambia.


J Bone Miner Res. 1996 Jul;11(7):1019-25.
Low bone mineral content is common but osteoporotic fractures are rare in
elderly rural Gambian women.
Aspray TJ, Prentice A, Cole TJ, Sawo Y, Reeve J, Francis RM.
MRC Dunn Nutrition Unit, Keneba, The Gambia.

Osteoporosis is reported to be rare in Black Africa. The low fracture
incidence among North American black women is explained by a high peak bone
mass and preservation of bone mineral into old age. To assess whether this
is the case among Black African women, we measured bone mineral content
(BMC) and bone mineral density (BMD), using single- and dual-photon
absorptiometry, in 195 rural Gambian women aged over 44 years and 391 white
women of comparable age from three centers in the U.K. Measurements were
made at the midshaft of the radius, distal radius, lumbar spine, and femoral
neck. The influence of height, weight, and nationality on BMC and BMD was
analyzed. BMC and BMD decreased with age at all sites. Age, decreasing
weight, but not height were independently associated with lower BMC at all
sites. BMC in Gambian women was lower than in British women by 31% at the
lumbar spine and 16% at the midshaft of the radius. After adjustment for
age, height, and weight, BMC among Gambian women remained 24% lower at the
lumbar spine and 10% lower at the radius. In women aged over 64 years, BMC
at the lumbar spine was 42% lower and BMD was 31% lower in The Gambia (for
all comparisons, p < 0.005). We conclude that bone mineral mass is not
preserved in elderly Gambian women. However, minimal trauma fractures are
rare in this population. These results challenge the concept of BMC as a
primary determinant of fracture risk. PMID: 8797124

* tinyurl . com /26lxa3


--
Juhana

Re: Insidence of hip fractures in different countries

If my memory serves, African diets are often quite low in
calcium to the point that rickets can be the result of calcium
dietary deficiency instead of low vitamin D levels.





On Jun 21, 11:02 pm, "Juhana Harju" <n...@mail.fi> wrote:
> Juhana Harju wrote:
> > ron wrote:
>
> >> Shorter lifetimes must play a significant role and wher, hopefully,
> >> factored out of the study.
>
> > Sure.
>
> It is quite interesting that fracture risk can be low in spite of low BMD
> and BMC as in Gambia.
>
> J Bone Miner Res. 1996 Jul;11(7):1019-25.
> Low bone mineral content is common but osteoporotic fractures are rare in
> elderly rural Gambian women.
> Aspray TJ, Prentice A, Cole TJ, Sawo Y, Reeve J, Francis RM.
> MRC Dunn Nutrition Unit, Keneba, The Gambia.
>
> Osteoporosis is reported to be rare in Black Africa. The low fracture
> incidence among North American black women is explained by a high peak bone
> mass and preservation of bone mineral into old age. To assess whether this
> is the case among Black African women, we measured bone mineral content
> (BMC) and bone mineral density (BMD), using single- and dual-photon
> absorptiometry, in 195 rural Gambian women aged over 44 years and 391 white
> women of comparable age from three centers in the U.K. Measurements were
> made at the midshaft of the radius, distal radius, lumbar spine, and femoral
> neck. The influence of height, weight, and nationality on BMC and BMD was
> analyzed. BMC and BMD decreased with age at all sites. Age, decreasing
> weight, but not height were independently associated with lower BMC at all
> sites. BMC in Gambian women was lower than in British women by 31% at the
> lumbar spine and 16% at the midshaft of the radius. After adjustment for
> age, height, and weight, BMC among Gambian women remained 24% lower at the
> lumbar spine and 10% lower at the radius. In women aged over 64 years, BMC
> at the lumbar spine was 42% lower and BMD was 31% lower in The Gambia (for
> all comparisons, p < 0.005). We conclude that bone mineral mass is not
> preserved in elderly Gambian women. However, minimal trauma fractures are
> rare in this population. These results challenge the concept of BMC as a
> primary determinant of fracture risk. PMID: 8797124
>
> * tinyurl . com /26lxa3
>
> --
> Juhana

Re: Insidence of hip fractures in different countries

betaine hcl@yahoo . com wrote:

> If my memory serves, African diets are often quite low in
> calcium to the point that rickets can be the result of calcium
> dietary deficiency instead of low vitamin D levels.

I am not proposing that African diets are close to the ideal from the point
of osteoporosis prevention but the Chilean kitchen might be. As can be seen
from the chart Chile has a very low incidence of hip fractures.

--
Juhana

Re: Insidence of hip fractures in different countries

An excellent point.


On Jun 22, 3:21 am, "Juhana Harju" <n...@mail.fi> wrote:
> betaine_...@yahoo . com wrote:
> > If my memory serves, African diets are often quite low in
> > calcium to the point that rickets can be the result of calcium
> > dietary deficiency instead of low vitamin D levels.
>
> I am not proposing that African diets are close to the ideal from the point
> of osteoporosis prevention but the Chilean kitchen might be. As can be seen
> from the chart Chile has a very low incidence of hip fractures.
>
> --
> Juhana

Re: Insidence of hip fractures in different countries

betaine hcl@yahoo . com wrote:
> An excellent point.
>
>
> On Jun 22, 3:21 am, "Juhana Harju" <n...@mail.fi> wrote:
>> betaine ...@yahoo . com wrote:
>>> If my memory serves, African diets are often quite low in
>>> calcium to the point that rickets can be the result of calcium
>>> dietary deficiency instead of low vitamin D levels.
>>
>> I am not proposing that African diets are close to the ideal from
>> the point of osteoporosis prevention but the Chilean kitchen might
>> be. As can be seen from the chart Chile has a very low incidence of
>> hip fractures.
>
> An excellent point.

There are a number of components in the Chilean kitchen which can be
helpful: fish (omega-3), the use of beans (as a more alkalic source of
protein), red wine (antiresorptive phytochemicals), quinoa (high in
minerals), avocados (e.g. lutein), tomatoes (lycopene), and large variety of
vegetables and fruits (base).

I just ordered this to get better acquainted with the Chilean diet:

* tinyurl . com /2bda9t

--
Juhana