Wright NC, Looker AC, Saag KG, Curtis JR, Delzell ES, Randall S, et al. The recent prevalence of osteoporosis and low bone mass in the United States based on bone mineral density at the femoral neck or lumbar spine. J Bone Miner Res. 2014;29:2520–6.

Article  PubMed  Google Scholar 

Sözen T, Özışık L, Başaran NÇ. An overview and management of osteoporosis. Eur J Rheumatol. 2017;4:46–56.

Article  PubMed  Google Scholar 

Salari N, Ghasemi H, Mohammadi L, Behzadi M hasan, Rabieenia E, Shohaimi S, et al. The global prevalence of osteoporosis in the world: a comprehensive systematic review and meta-analysis. J Orthop Surg. 2021;16:609.

LeBoff MS, Greenspan SL, Insogna KL, Lewiecki EM, Saag KG, Singer AJ, et al. The clinician’s guide to prevention and treatment of osteoporosis. Osteoporos Int J Establ Result Coop Eur Found Osteoporos Natl Osteoporos Found USA. 2022;33:2049–102.

Article  CAS  Google Scholar 

Williams SA, Daigle SG, Weiss R, Wang Y, Arora T, Curtis JR. Economic burden of osteoporosis-related fractures in the US Medicare population. Ann Pharmacother. 2021;55:821–9.

Article  PubMed  Google Scholar 

Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005–2025. J Bone Miner Res Off J Am Soc Bone Miner Res. 2007;22:465–75.

Article  Google Scholar 

Rashki Kemmak A, Rezapour A, Jahangiri R, Nikjoo S, Farabi H, Soleimanpour S. Economic burden of osteoporosis in the world: a systematic review. Med J Islam Repub Iran. 2020;34:154.

PubMed  PubMed Central  Google Scholar 

Haseltine KN, Chukir T, Smith PJ, Jacob JT, Bilezikian JP, Farooki A. Bone mineral density: clinical relevance and quantitative assessment. J Nucl Med. 2021;62:446–54.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Watts NB, Adler RA, Bilezikian JP, Drake MT, Eastell R, Orwoll ES, et al. Osteoporosis in men: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2012;97:1802–22.

Article  CAS  PubMed  Google Scholar 

Kanis JA. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. WHO Study Group. Osteoporos Int J Establ Result Coop Eur Found Osteoporos Natl Osteoporos Found USA. 1994;4:368–81.

Looker AC, Orwoll ES, Johnston CC, Lindsay RL, Wahner HW, Dunn WL, et al. Prevalence of low femoral bone density in older US adults from NHANES III. J Bone Miner Res Off J Am Soc Bone Miner Res. 1997;12:1761–8.

Article  CAS  Google Scholar 

Siris ES, Miller PD, Barrett-Connor E, Faulkner KG, Wehren LE, Abbott TA, et al. Identification and fracture outcomes of undiagnosed low bone mineral density in postmenopausal women: results from the National Osteoporosis Risk Assessment. JAMA. 2001;286:2815–22.

Article  CAS  PubMed  Google Scholar 

Cauley JA, Lui L-Y, Ensrud KE, Zmuda JM, Stone KL, Hochberg MC, et al. Bone mineral density and the risk of incident nonspinal fractures in black and white women. JAMA. 2005;293:2102–8.

Article  CAS  PubMed  Google Scholar 

Barrett-Connor E, Siris ES, Wehren LE, Miller PD, Abbott TA, Berger ML, et al. Osteoporosis and fracture risk in women of different ethnic groups. J Bone Miner Res. 2005;20:185–94.

Article  PubMed  Google Scholar 

Nam H-S, Kweon S-S, Choi J-S, Zmuda JM, Leung PC, Lui L-Y, et al. Racial/ethnic differences in bone mineral density among older women. J Bone Miner Metab. 2013;31:190–8.

Article  PubMed  Google Scholar 

• Xu Y, Wu Q. Decreasing trend of bone mineral density in US multiethnic population: analysis of continuous NHANES 2005–2014. Osteoporos Int J Establ Result Coop Eur Found Osteoporos Natl Osteoporos Found USA. 2018;29:2437–46. An important study examined the trend and disparity in femur neck BMD in four NHANES cycles from 2005-2014.

• Lewiecki EM, Wright NC, Singer AJ. Racial disparities, FRAX, and the care of patients with osteoporosis. Osteoporos Int. 2020;31:2069–71. An important study examined the racial disparities in the FRAX tool and the care of patients among various races.

Curtis JR, McClure LA, Delzell E, Howard VJ, Orwoll E, Saag KG, et al. Population-based fracture risk assessment and osteoporosis treatment disparities by race and gender. J Gen Intern Med. 2009;24:956–62.

Article  PubMed  PubMed Central  Google Scholar 

• Noel SE, Santos MP, Wright NC. Racial and ethnic disparities in bone health and outcomes in the United States. J Bone Miner Res. 2021;36:1881–905. An important survey paper summarized the previous findings on BMD, fracture, and osteoporosis prevalence disparities among different races.

• Looker AC, Sarafrazi Isfahani N, Fan B, Shepherd JA. Trends in osteoporosis and low bone mass in older US adults, 2005–2006 through 2013–2014. Osteoporos Int. 2017;28:1979–88. An important study examined the trend and disparity on the proximal femur and lumbar spine BMD and osteoporosis prevalence in adults 50 years of age and older in four NHANES cycles from 2005-2014.

•• Johannesdottir F, Putman MS, Burnett-Bowie S-AM, Finkelstein JS, Yu EW, Bouxsein ML. Age-related changes in bone density, microarchitecture, and strength in postmenopausal Black and White women: the SWAN longitudinal HR-pQCT study. J Bone Miner Res. 2022;37:41–51. An important longitudinal study examined the trends and BMD disparities in White and Black Postmenopausal women in the US.

•• Durdin R, Parsons C, Dennison EM, Williams S, Tillin T, Chaturvedi N, et al. Inflammatory status, body composition and ethnic differences in bone mineral density: the Southall and Brent Revisited study. Bone. 2022;155:116286. An important tri-ethnic research examined BMD disparities in men and women from various ethnic backgrounds in the UK.

Ahmad I, Jafar T, Mahdi F, Arshad Md, Das SK, Waliullah S, et al. Association of vitamin D receptor (FokI and BsmI) gene polymorphism with bone mineral density and their effect on 25-hydroxyvitamin D level in North Indian postmenopausal women with osteoporosis. Indian J Clin Biochem. 2018;33:429–37.

Nelson DA, Vord PJV, Wooley PH. Polymorphism in the vitamin D receptor gene and bone mass in African-American and white mothers and children: a preliminary report. Ann Rheum Dis. 2000;59:626–30.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Harris SS, Eccleshall TR, Gross C, Dawson-Hughes B, Feldman D. The vitamin D receptor start codon polymorphism (FokI) and bone mineral density in premenopausal American black and white women. J Bone Miner Res Off J Am Soc Bone Miner Res. 1997;12:1043–8.

Article  CAS  Google Scholar 

Na T, Zhang W, Jiang Y, Liang Y, Ma H-P, Warnock DG, et al. The A563T variation of the renal epithelial calcium channel TRPV5 among African Americans enhances calcium influx. Am J Physiol-Ren Physiol. 2009;296:F1042–51.

Article  CAS  Google Scholar 

Peng J-B. TRPV5 and TRPV6 in transcellular Ca2+ transport: regulation, gene duplication, and polymorphisms in African populations. In: Islam MdS, editor. Transient Recept Potential Channels [Internet]. Dordrecht: Springer Netherlands. 2011;239–75. Available from: https://doi.org/10.1007/978-94-007-0265-3_14.

Nguyen-Grozavu FT, Pierce JP, Sakuma K-LK, Leas EC, McMenamin S, Kealey S, et al. Widening disparities in cigarette smoking by race/ethnicity across education level in the United States. Prev Med. 2020;139:106220.

Laird E, O’Halloran AM, Carey D, Healy M, O’Connor D, Moore P, et al. The prevalence of vitamin D deficiency and the determinants of 25(OH)D concentration in older Irish adults: data from the Irish longitudinal study on ageing (TILDA). J Gerontol A Biol Sci Med Sci. 2018;73:519–25.

Article  PubMed  Google Scholar 

Sadler C, Huff M. African-American women: health beliefs, lifestyle, and osteoporosis. Orthop Nurs. 2007;26:96.

Article  PubMed  Google Scholar 

Kessenich CR. Osteoporosis and African-American women. Womens Health Issues Off Publ Jacobs Inst Womens Health. 2000;10:300–4.

Article  CAS  Google Scholar 

National Center for Health Statistics (US). Health, United State, with chartbook on trends in the health of Americans. Hyattsville (MD): National Center for Health Statistics (US). 2005. Available from: https://www.cdc.gov/nchs/data/hus/hus05.pdf. Accessed26 Nov 2023

Briot K, Roux C. Glucocorticoid-induced osteoporosis. RMD Open. 2015;1:e000014.

Walker MD, Babbar R, Opotowsky AR, Rohira A, Nabizadeh F, Badia MD, et al. A referent bone mineral density database for Chinese American women. Osteoporos Int J Establ Result Coop Eur Found Osteoporos Natl Osteoporos Found USA. 2006;17:878–87.

Article  Google Scholar 

Danielson ME, Beck TJ, Lian Y, Karlamangla AS, Greendale GA, Ruppert K, et al. Ethnic variability in bone geometry as assessed by hip structure analysis: findings from the hip strength across the menopausal transition study. J Bone Miner Res Off J Am Soc Bone Miner Res. 2013;28:771–9.

Article  Google Scholar 

Walker MD, McMahon DJ, Udesky J, Liu G, Bilezikian JP. Application of high-resolution skeletal imaging to measurements of volumetric BMD and skeletal microarchitecture in Chinese-American and White women: explanation of a paradox. J Bone Miner Res. 2009;24:1953–9.

Article  PubMed  PubMed Central  Google Scholar 

Morton DJ, Barrett-Connor E, Kritz-Silverstein D, Wingard DL, Schneider DL. Bone mineral density in postmenopausal Caucasian, Filipina, and Hispanic women. Int J Epidemiol. 2003;32(1):150–156. https://doi.org/10.1093/ije/dyg024.

•• Lo JC, Chandra M, Lee C, Darbinian JA, Ramaswamy M, Ettinger B. Bone mineral density in older U.S. Filipino, Chinese, Japanese, and White women. J Am Geriatr Soc. 2020;68:2656–61. An important large-scale study examined the femur neck BMD disparities among Asian women.

•• Cauley JA, Karlamangla AS, Ruppert K, Lian Y, Huang M, Harlow S, et al. Race/ethnic difference in trabecular bone score in midlife women: the Study of Women’s Health Across the Nation (SWAN). Arch Osteoporos. 2021;16:91. An important longitudinal study examined racial and ethnic disparities in trabecular bone scores in midlife women from various ethnic backgrounds in the US.

Kepley AL, Nishiyama KK, Zhou B, Wang J, Zhang C, McMahon DJ, et al. Differences in bone quality and strength between Asian and Caucasian young men. Osteoporos Int. 2017;28:549–58.

Article  CAS  PubMed  Google Scholar 

•• Morin SN, Berger C, Liu W, Prior JC, Cheung AM, Hanley DA, et al. Differences in fracture prevalence and in bone mineral density between Chinese and White Canadians: the Canadian Multicentre Osteoporosis Study (CaMos). Arch Osteoporos. 2020;15:147. An important study examined disparities in BMD and fracture prevalence between East Asian (Chinese) and White Canadians.

•• Morin SN, Berger C, Papaioannou A, Cheung AM, Rahme E, Leslie WD, et al. Race/ethnic differences in the prevalence of osteoporosis, falls and fractures: a cross-sectional analysis of the Canadian Longitudinal Study on Aging. Osteoporos Int. 2022;33:2637–48. An important longitudinal large-scale study consisting of both men and women examined disparities in BMD patterns and fracture prevalence in Canadians of various racial and ethnic backgrounds.

Arai H, Miyamoto K, Taketani Y, Yamamoto H, Iemori Y, Morita K, et al. A vitamin D receptor gene polymorphism in the translation initiation codon: effect on protein activity and relation to bone mineral density in Japanese women. J Bone Miner Res Off J Am Soc Bone Miner Res. 1997;12:915–21.

Article  CAS  Google Scholar 

Zengin A, Pye SR, Cook MJ, Adams JE, Wu FCW, O’Neill TW, et al. Ethnic differences in bone geometry between White, Black and South Asian men in the UK. Bone. 2016;91:180–5.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Zengin A, Prentice A, Ward KA. Ethnic differences in bone health. Front Endocrinol. 2015;6:24.

Article  Google Scholar 

Finkelstein JS, Lee M-LT, Sowers M, Ettinger B, Neer RM, Kelsey JL, et al. Ethnic variation in bone density in premenopausal and early perimenopausal women: effects of anthropometric and lifestyle factors. J Clin Endocrinol Metab. 2002;87:3057–67.

Roy D, Swarbrick C, King Y, Pye S, Adams J, Berry J, et al. Differences in peak bone mass in women of European and South Asian origin can be explained by differences in body size. Osteoporos Int. 2005;16:1254–62.

Article  PubMed  Google Scholar 

Davis JW, Novotny R, Ross PD, Wasnich RD. The peak bone mass of Hawaiian, Filipino, Japanese, and white women living in Hawaii. Calcif Tissue Int. 1994;55:249–52.

Article  CAS  PubMed  Google Scholar 

Anal AK. Pandemics and innovative food systems. CRC Press; 2023. https://doi.org/10.1201/9781003191223.

Hodges JK, Cao S, Cladis DP, Weaver CM. Lactose intolerance and bone health: the challenge of ensuring adequate calcium intake. Nutrients. 2019;11:718.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Tan S, Ji L, Tsai J, Eng J, Ko H-J, Yau A, et al. Greater osteoporosis educational outreach is desirable among Chinese immigrants in Chinatown, Chicago. Osteoporos Int J Establ Result Coop Eur Found Osteoporos Natl Osteoporos Found USA. 2009;20:1517–22.

Article  CAS  Google Scholar 

Huang H, Han G-Y, Jing L-P, Chen Z-Y, Chen Y-M, Xiao S-M. Tea consumption is associated with increased bone strength in middle-aged and elderly Chinese women. J Nutr Health Aging. 2018;22:216–21.

Article  CAS  PubMed  Google Scholar 

Li X, Qiao Y, Yu C, Guo Y, Bian Z, Yang L, et al. Tea consumption and bone health in Chinese adults: a population-based study. Osteoporos Int. 2019;30:333–41.