Journal of Clinical Densitometry
Volume 12, Issue 3 , Pages 314-321 , July 2009

Peak Bone Mineral Density of Physically Active Healthy Indian Men With Adequate Nutrition and No Known Current Constraints to Bone Mineralization

  • Raman K. Marwaha

      Affiliations

    • Corresponding Author InformationAddress correspondence to: Dr. Raman Marwaha, MD, DNB, Department of Endocrinology and Thyroid Research Centre, INMAS, Delhi—110054, India.
    • Department of Endocrinology and Thyroid Research Centre, Institute of Nuclear Medicine and Allied Sciences, Delhi, India
    • ,
  • Nikhil Tandon

      Affiliations

    • Corresponding Author InformationNikhil Tandon, Department of Endocrinology, All India Institute of Medical Sciences, New Delhi-110029, India.
    • Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India
    • ,
  • C. Shivaprasad

      Affiliations

    • Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India
    • ,
  • Ratnesh Kanwar

      Affiliations

    • Department of Endocrinology and Thyroid Research Centre, Institute of Nuclear Medicine and Allied Sciences, Delhi, India
    • ,
  • Kalaivani Mani

      Affiliations

    • Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India
    • ,
  • Rashmi Aggarwal

      Affiliations

    • Department of Endocrinology and Thyroid Research Centre, Institute of Nuclear Medicine and Allied Sciences, Delhi, India
    • ,
  • Kuntal Bhadra

      Affiliations

    • Department of Endocrinology and Thyroid Research Centre, Institute of Nuclear Medicine and Allied Sciences, Delhi, India
    • ,
  • Satveer Singh

      Affiliations

    • Department of Endocrinology and Thyroid Research Centre, Institute of Nuclear Medicine and Allied Sciences, Delhi, India
    • ,
  • Bhavna Sharma

      Affiliations

    • Department of Endocrinology and Thyroid Research Centre, Institute of Nuclear Medicine and Allied Sciences, Delhi, India
    • ,
  • Rajender P. Tripathi

      Affiliations

    • Department of Endocrinology and Thyroid Research Centre, Institute of Nuclear Medicine and Allied Sciences, Delhi, India

Received 8 December 2008 ,Revised 22 May 2009 ,Accepted 23 May 2009.

References 

  1. Rizzoli R, Bonjour JP, Ferrari SL. Osteoporosis, genetics and hormones. J Molec Endocrinol. 2001;26:79–94
  2. Ralston SH, de Crombrugghe B. Genetic regulation of bone mass and susceptibility to osteoporosis. Genes Dev. 2006;20:2492–2506
  3. Alekel DL, Peterson CT, Werner RK, et al. Frame size, ethnicity, lifestyle, and biologic contributors to areal and volumetric lumbar spine bone mineral density in Indian/Pakistani and American Caucasian premenopausal women. J Clin Densitom. 2002;5:175–186
  4. Roy D, Swarbrick C, King Y, 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;16:1254–1262
  5. Lips P. Vitamin D deficiency and secondary hyperparathyroidism in the elderly: consequences for bone loss and fractures and therapeutic implications. Endocr Rev. 2001;22:477–501
  6. Cheng XG, Yang DZ, Zhou Q, et al. 2005 DXA bone mineral density reference data for the Chinese Population. ISCD Annual Meeting, New Orleans. Poster presentation #16; February 2005.
  7. Deaton A. Height, health, and inequality: the distribution of adult heights in India. Am Econ Rev. 2008;98(2):468–474
  8. Expert Group of ICMR . Nutrient requirements and recommended dietary allowances for Indians. New Delhi: Indian Council of Medical Research; 1990;
  9. Kudlacek S, Schneider B, Peterlik M, et al. Normative data of bone mineral density in an unselected adult Austrian population. Eur J Clin Invest. 2003;33:332–339
  10. Gürlek A, Bayraktar M, Ariyürek M. Inappropriate reference range for peak bone mineral density in dual-energy X ray absorptiometry. Implications for the interpretation of T scores. Osteoporosis Int. 2000;11:809–813
  11. Petley GW, Cotton AM, Murrills AJ, et al. Reference ranges of bone mineral density for women in southern England: the impact of local data on the diagnosis of osteoporosis. Br J Radiol. 1996;69:655–660
  12. Wu XP, Liao EY, Zhang H, et al. Determination of age-specific bone mineral density and comparison of diagnosis and prevalence of primary osteoporosis in Chinese women based on both Chinese and World Health Organization criteria. J Bone Miner Metab. 2004;22(4):382–391
  13. Zhang ZL, Qin YJ, Huang QR, et al. Bone mineral density of the spine and femur in healthy Chinese men. Asian J Androl. 2006;8:419–427
  14. Ahmed AI, Blake GM, Rymer JM, Fogelman I. Screening for osteopenia and osteoporosis: do the accepted normal ranges lead to over diagnosis?. Osteoporos Int. 1997;7(5):432–438
  15. Ardawi MS, Maimany AA, Bahksh TM, et al. Bone mineral density of the spine and femur in healthy Saudis. Osteoporos Int. 2005;16:43–55
  16. Lunt M, Felsenberg D, Adams J, et al. Population based on geographic variations in DXA bone density in Europe: the EVOS Study. Osteoporos Int. 1997;7:175–189
  17. Venkaiah K, Damayanti K, Nayak MU, Vijayaraghavan K. Diet and nutritional status of rural adolescents in India. Eur J Clin Nutr. 2002;56:1119–1125
  18. Szulc P, Marchand F, Duboeuf F, Delmas PD. Cross-sectional assessment of age-related bone loss in men: the MINOS Study. Bone. 2000;26:123–129
  19. El-Hajj Fuleihan G, Baddoura R, Awada H, et al. Low peak bone mineral density in healthy Lebanese subjects. Bone. 2002;31(4):520–528
  20. Tan LJ, Lei SF, Chen XD, et al. Establishment of peak bone mineral density in Southern Chinese males and its comparisons with other males from different regions of China. J Bone Miner Metab. 2007;25(2):114–121
  21. Looker AC, Wahner HW, Dunn WL, et al. Updated data on proximal femur bone mineral levels of US adults. Osteoporos Int. 1998;8:468–489
  22. Nakamura K, Tanaka Y, Saitou K, et al. Age and sex differences in the bone mineral density of the distal forearm based on health check-up data of 6343 Japanese. Osteoporos Int. 2000;11:772–777
  23. Forsmo S, Langhammer A, Forsen L, Schei B. Forearm bone mineral density in an unselected population of 2,779 men and women—the HUNT Study, Norway. Osteoporos Int. 2005;16:562–567
  24. Boyanov MA, Popivanov PR, Temelkova NL. Prevalence of low forearm bone mineral density in Bulgarian men: a pilot study. Aging Male. 2007;10(1):9–16
  25. Butz S, Wüster C, Scheidt-Nave C, et al. Forearm BMD as measured by peripheral quantitative computed tomography (pQCT) in a German reference population. Osteoporos Int. 1994;4(4):179–184
  26. Reid IR. Relationships among body mass, its components, and bone. Bone. 2002;31(5):547–555
  27. Yeh LR, Chen CK, Lai PH. Normal bone mineral density in anteroposterior, lateral spine and hip of Chinese men in Taiwan: effect of age change, body weight and height. J Chin Med Assoc. 2004;67:287–295
  28. Outila TA, Kärkkäinen MU, Lamberg-Allardt CJ. Vitamin D status affects serum parathyroid hormone concentrations during winter in female adolescents: associations with forearm bone mineral density. Am J Clin Nutr. 2001;74:206–210
  29. Välimäki VV, Alfthan H, Lehmuskallio E, et al. Vitamin D status as a determinant of peak bone mass in young Finnish men. J Clin Endocrinol Metab. 2004;89(1):76–80
  30. Roy DK, Berry JL, Pye SR, et al. Vitamin D status and bone mass in UK South Asian women. Bone. 2007;40:200–204
  31. Vupputuri MR, Goswami R, Gupta N, et al. Prevalence and functional significance of 25-hydroxyvitamin D deficiency and vitamin D receptor gene polymorphisms in Asian Indians. Am J Clin Nutr. 2006;83(6):1411–1419
  32. Arya V, Bhambri R, Godbole MM, Mithal A. Vitamin D status and its relationship with bone mineral density in healthy Asian Indians. Osteoporos Int. 2004;15(1):56–61
  33. Hamson C, Goh L, Sheldon P, Samanta A. Comparative study of bone mineral density, calcium, and vitamin D status in the Gujarati and white populations of Leicester. Post Grad Med J. 2003;79:279–283
  34. Alekel DL, Mortillaro E, Hussain EA, et al. Lifestyle and biologic contributors to proximal femur bone mineral density and hip axis length in two distinct ethnic groups of premenopausal women. Osteoporos Int. 1999;9:327–338
  35. Tandon N, Marwaha RK, Kalra S, et al. Bone mineral parameters in healthy young Indian adults with optimal vitamin D availability. Natl Med J India. 2003;16(6):298–302
  36. Marwaha RK, Tandon N, Reddy DH, et al. Peripheral bone mineral density and its predictors in healthy school girls from two different socioeconomic groups in Delhi. Osteoporos Int. 2007;18(3):375–383
  37. Hosseinpanah F, Rambod M, Hossein-nejad A, et al. Association between vitamin D and bone mineral density in Iranian postmenopausal women. J Bone Miner Metab. 2008;26(1):86–92
  38. Cranney A, Horsley T, O'Donnell S, et al. Effectiveness and safety of vitamin D in relation to bone health. Evid Rep Technol Assess. 2007;158:1–235
  39. Bachrach LK, Hastie T, Wang MC, et al. Bone mineral acquisition in healthy Asian, Hispanic, black, and Caucasian youth: a longitudinal study. J Clin Endocrinol Metab. 1999;84(12):4702–4712
  40. Mehta G, Taylor P, Petley G, Dennison E, Cooper C, Walker-Bone K. Bone mineral status in immigrant Indo-Asian women. QJM. 2004;97(2):95–99
  41. Marquez MA, Melton LJ, Muhs JM, et al. Bone density in an immigrant population from Southeast Asia. Osteoporos Int. 2001;12(7):595–604
  42. Armes F, Rajaratnam G. The difference in normal ranges of bone mineral density in white European women and women with ethnic origins in the Indian subcontinent. In:  Ring EFJ,  Elvins DM,  Bhalla AK editor. Current research in osteoporosis and bone mineral measurement. London: British Institute of Radiology; 1998;p. 38

 Both Raman K. Marwaha and Nikhil Tandon are to be considered as joint first authors and corresponding authors.

PII: S1094-6950(09)00150-4

doi: 10.1016/j.jocd.2009.05.004

Journal of Clinical Densitometry
Volume 12, Issue 3 , Pages 314-321 , July 2009

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