Forearm bone mineral density by age in 7,620 men and women: the Tromsø study, a population-based study

Am J Epidemiol. 2001 Mar 1;153(5):465-73. doi: 10.1093/aje/153.5.465.

Abstract

Population-based studies of adult forearm bone mineral density (BMD) by age are scarce, and standardized reference values are lacking. In this cross-sectional study, men aged 55-74 years, women aged 50-74 years, and representative 5-10% samples of remaining age groups between 25 and 84 years living in Tromsø, Norway, were invited for forearm BMD measurement in 1994-1995. The authors measured 3,062 men and 4,558 women (response rate, 78%) by single x-ray absoptiometry at distal and ultradistal forearm sites. Up to age 50, the mean BMD difference was -0.1% per 1-year age group in both sexes. After age 50, the mean BMD difference per 1-year age group was -0.6% in men and -1.3% (distal) and -1.5% (ultradistal) in women. The BMD by age curve was linear for men throughout senescence, but women had a slope change to -0.7% (distal) and -0.8% (ultradistal) per 1-year age group from the 65- to 69-year age group. BMD levels and BMD by age association in the general population (n = 7,620) and in the population without bone-threatening diseases or medication (n = 5,179) were similar. Only longitudinal studies can clarify whether cohort effects or longitudinal BMD development patterns explain these cross-sectional results.

MeSH terms

  • Absorptiometry, Photon
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Bone Density*
  • Cross-Sectional Studies
  • Female
  • Forearm
  • Humans
  • Male
  • Middle Aged
  • Norway / epidemiology
  • Osteoporosis / epidemiology*
  • Osteoporosis, Postmenopausal / epidemiology
  • Reference Values
  • Sex Factors