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Official websites use. Share sensitive information only on official, secure websites. The epidemiologic information regarding international differences in bone mineral density BMD in women is currently insufficient. BMD was corrected according to the cross-site calibration results for all scanners. Differences in body weight partially explained the difference in BMD between Asian versus non-Asian women.

Bone mineral density BMD is a strong and consistent predictor of fracture risk among postmenopausal women [ 1 , 2 ]. African American women have been reported to possess a higher BMD than Caucasians in both the spine and femur [ 3 — 8 ], and this difference may contribute to the lower fracture rate among African American women [ 8 ]. Nevertheless, Asian women possess lower hip fracture rates compared to Caucasian women [ 7 , 9 , 14 ], perhaps due to their shorter hip axis length [ 15 ] and other geometric differences.

Ethnic groups differ by geographical region and cultural background across Asia. According to the Asian Osteoporosis Study AOS [ 7 ], the age-adjusted hip fracture rates in women differ across the four Asian countries.

However, few studies have been performed in Asia to understand the wide variability in fracture rates. Excluding Chinese and Japanese women, epidemiologic information regarding the BMD of other Asian women and its determinants is scarce. Substantial variation in BMD may also occur within women of African ancestry [ 16 ]. Other studies have shown that [ 19 ] the degree of European ancestry in African Americans was inversely correlated with BMD.