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A total of adults, aged 50 years and older and with valid BMD scans of the hip and of the lumbar spine L 2 —L 4were included in this study to be comparable to the protocol and prevalence estimates from the BPROS. Additional participants were recruited through community efforts, including community events 9.

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However, recent data have shown that Hispanics may have a similar 7 — 9 or even higher prevalence of osteoporosis than non-Hispanic whites. Further additional research is needed to determine whether early screening for osteoporosis in this population would be beneficial and cost-effective to inform future clinical recommendations. One participant per household was randomly selected to participate in the study.

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Poverty level was calculated using the annual poverty thresholds released by the U. Census Bureau. Copyright notice. The primary objective of this study was to estimate the prevalence of osteoporosis and LBM among Puerto Rican adults, aged 47 to 79 years, living on the US mainland. The root mean square precision was 1. This will provide valuable information to inform future culturally and linguistically appropriate interventions to reduce the public health burden of this prevalent chronic condition in this Hispanic subgroup. Data were analyzed using SAS version 9.

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Among women, mean femoral neck decreased across age 45—49 years: 1. Osteoporosis has traditionally been viewed as a condition affecting primarily non-Hispanic white women, because earlier studies indicated that BMD of Hispanics was intermediate between non-Hispanic whites and blacks. In the older age groups, BMD of the femoral neck remained relatively similar Table 2.

The current study indicates a need for additional research on the ethnic-specific factors contributing to osteoporosis in this high-risk and understudied population. Increasing knowledge and awareness about osteoporosis and risk factors for this chronic condition is imperative, as there is no cure. One possible explanation for this phenomenon is that older Puerto Rican adults were more physically active during their lifetime compared with younger adults, which may offer protection for bone health.

Anthropometric measures were obtained in duplicate and an average of the two measures was used.

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Although, additional research on the relationship between dietary patterns and bone health in this population are needed, the dietary patterns of younger, more acculturated Puerto Rican adults tend to include foods and beverages that may be detrimental to bone health. For men and women combined, the prevalence of LBM increased across age from 45 to 49 years to 60 to 69 years, but decreased for ages 70 to 79 years. There are currently few data describing the prevalence of osteoporosis among Puerto Ricans; the second largest subgroup of Hispanics in the United States.

The current study also included men, where the age-adjusted prevalence of osteoporosis and LBM was 8. The intraassay and interassay CVs were 5. This study presents from one of the largest cohort studies on bone health among Puerto Rican older adults living on the US mainland. Sample weights were used, and all analyses ed for the complex survey de.

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Age-adjusted prevalence of osteoporosis was similar for Puerto Rican and non-Hispanic white women Approximately Non-Hispanic black women had the lowest prevalence of osteoporosis 3. The publisher's final edited version of this article is available free at J Bone Miner Res. Supporting these findings, a systematic review of 34 studies examining the acculturation-diet relation among Hispanics reported that more acculturated individuals consume less fruit and vegetables, rice and beans, and more sugar and sugar-sweetened beverages.

We thank our skilled research team for their dedication to this project. Reasons for nonparticipation included: were not interested, 13 moved from the area, 47 had difficulty scheduling the interview, 11 were lost to follow up, 2 did not participate for health issues, and 20 had died since their 2-year interview. The reason for higher estimates of osteoporosis in this population of younger Puerto Rican men is unknown and requires further exploration. Heart disease was defined based on self-report of heart disease, heart attack, or stroke.

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Participants provided written informed consent. Non-Hispanic black men had the lowest estimate of LBM compared with the other groups. Older patients may have better bone status versus younger patients because they are healthy enough to participate in the study. This may be a missed opportunity for primary prevention of osteoporosis, in an effort to prevent future fracture in this population. National Center for Biotechnology InformationU. J Bone Miner Res. Author manuscript; available in PMC Mar 6. These estimates of osteoporosis for Puerto Rican men are higher than those ly reported for non-Hispanic white or non-Hispanic black men, based on national data.

Although bone measures were completed using the gold standard DXAthis study did not examine fracture, which is clinically relevant, because self-reported measures were collected in the BPROS and are not a well-validated measure of fracture assessment for comparison across studies.

The prevalences of osteoporosis and LBM were Women had higher prevalences of osteoporosis and LBM compared with men For women, the prevalence of osteoporosis increased across age 45—49 years: 3. A small study of postmenopausal women reported lower BMD at the spine, and poorer bone mechanical and microarchitecture, among 33 Caribbean-origin Hispanics, including Puerto Ricans, compared with 33 age-matched non-Hispanic white women, suggesting poorer bone quality in this population.

In summary, this work contributes to a growing body of literature that indicates Hispanics, particularly Puerto Ricans, are at risk for osteoporosis and LBM. This is contrary to current public health standards which do not address the need for intervention for bone among Hispanic subgroups that have different lifestyle, acculturation, and sociodemographic influences.

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The overall prevalence of osteoporosis and LBM were The age-adjusted prevalence of osteoporosis for Puerto Rican men was 8. Samples were immediately centrifuged to separate plasma. All measures were obtained following standard procedures, and the right hip was routinely scanned unless the participant reported having a hip fracture or t replacement.

The sample is selected using a complex, multilevel, probability-cluster sampling de and data are collected in biennial cycles using comprehensive questionnaires and medical examinations, as described in detail elsewhere. Hispanics have been shown to have limited knowledge about osteoporosis and bone health, and to view osteoporosis as less important than other chronic conditions, such as heart disease and diabetes. This will provide important information to guide the development of culturally and linguistically tailored interventions to improve bone health in this understudied and high-risk population.

It is a commonly held belief that Hispanics have a lower risk of osteoporosis compared with non-Hispanic whites.

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Serum parathyroid hormone PTH and osteocalcin were measured on an Immulate analyzer by a two-site chemiluminescent enzyme-labeled immunometric assay 28 — 30 and an immunimetric assay, 3132 respectively. One hundred ancestry informative markers AIMS were selected if the allele frequency differed by at least 0.

For women, the age-adjusted prevalence was For men, the age-adjusted prevalence of osteoporosis and LBM was 8. Given the heterogeneity among the Hispanic population for many factors, including sociodemographics, health behaviors, culture, and genetics, 42 — 44 it is imperative that bone health also be investigated among Hispanic subgroups individually.

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Historically, osteoporosis has not been considered a public health priority for the Hispanic population. Participants completed an interview to assess demographic and lifestyle characteristics and bone mineral density measures. Census blocks within identified tracks with 10 or more Hispanic adults aged 45 to 75 years were randomly selected for door-to-door enumeration.

In contrast, mean lumbar spine BMD was lowest among men 50 to 59 years 1. However, based on ourrecommendations to counsel on risk of osteoporosis and fracture and on health behaviors diet and physical activity to promote bone health should begin at an earlier age.

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At baseline and 2-year follow-up of the Boston Puerto Rican Health Study, questionnaires were administered to collect data on age, education, household income, and health and health behaviors eg, physical activity, smoking, and alcohol consumption. This study had several strengths and limitations. An earlier study using data from the BPROS showed that younger individuals followed a more Western-type dietary pattern high in meat, processed meat, and French fries compared with older Puerto Rican adults.

Participants also tended to have low plasma vitamin D concentration men: In the full sample of Puerto Rican men and women, mean BMD of the femoral neck and lumbar spine decreased with increasing age Table 2. Among men, mean femoral neck BMD was highest among the 45 to 49 year age group 1. There were no statistically ificant differences between age-adjusted estimates for Puerto Rican women There is a need to understand specific factors contributing to osteoporosis in Puerto Rican adults, particularly younger men.

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Quality control was conducted routinely on all DXA machines. Further, the highest prevalence of osteoporosis among Puerto Rican men was noted for those aged 50 to 59 years This was a surprising finding, because studies have shown lower estimates of osteoporosis among men in this age range within the United States.

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Learn More. Among women, lumbar spine BMD decreased across all age 45—49 years: 1. Eligible participants included those who self-identified as Puerto Rican, could answer questions in English or Spanish, aged 45 to 75 years and living in the Greater Boston area. Try out PMC Labs and tell us what you think.

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Dietary changes with acculturation may also be associated with the differences in bone health between younger Puerto Rican men and older Puerto Rican men in the current study. The mean age of men was The majority of participants had less than high school education and low income. However, there is evidence that bone status varies across Hispanic subgroups. Each block was visited three to six times, on all days including weekend daysand at all times of the day including evenings. However, recent data indicate that Mexican Americans are at increased risk for this chronic condition.

Although it is well established that there is heterogeneity in social, lifestyle, and health-related factors among Hispanic subgroups, there are currently few studies on bone health among Hispanic subgroups other than Mexican Americans. The underlying belief has been that osteoporosis is not a major health concern for Hispanic adults. To date, this is one of the largest studies of bone health among Puerto Rican adults living on the US mainland, although there were small sample sizes in some of age and for men, particularly for older men.

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