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May 4, 2005

Bone Density and the Risk of FracturesShould Treatment Thresholds Vary by Race?

Author Affiliations

Author Affiliation: Family Medicine Research Division, Case Western Reserve University, Cleveland, Ohio.

JAMA. 2005;293(17):2151-2154. doi:10.1001/jama.293.17.2151

Age, female sex, slender body habitus, and white race are well-known risk factors for osteoporotic fractures.1 Middle-aged and older black men and women have higher bone mass and substantially lower fracture rates than whites.2 Partly because of their reduced risk, blacks have only recently been included in prospective studies of osteoporosis with measurements of bone mineral density (BMD) and fracture incidence.2,3

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