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骨质疏松症的骨密度的种族/民族差异。

Racial/Ethnic Differences in Bone Mineral Density for Osteoporosis.

机构信息

Department of Biomedical Informatics, College of Medicine, The Ohio State University, 250 Lincoln Tower, 1800 Cannon Drive, Columbus, OH, 43210, USA.

出版信息

Curr Osteoporos Rep. 2023 Dec;21(6):670-684. doi: 10.1007/s11914-023-00838-y. Epub 2023 Nov 29.

Abstract

PURPOSE OF REVIEW

We primarily aim to review differences in bone mineral density (BMD) for osteoporosis among different racial/ethnic groups and to highlight the magnitude of racial/ethnic differences in obesity and diabetes. We also explore the factors contributing to the BMD differences among various subgroups. In addition, we investigate the existing disparities in research, educational initiatives, screening practices, and treatment options for osteoporosis and discuss these findings' clinical and public health implications.

RECENT FINDINGS

Racial/ethnic differences in BMD for osteoporosis exist in the USA and other countries. There are disparities regarding osteoporosis screening and treatment. Understanding the factors contributing to these differences can help develop targeted interventions and policies to reduce their impact. Clinicians should consider the racial/ethnic differences in BMD when making treatment decisions and providing preventive care. Future research could contribute to developing effective strategies for preventing osteoporosis among different racial/ethnic groups. This review offered a comprehensive examination of differences in BMD across various racial and ethnic groups, elucidating the influence of genetic, lifestyle, and cultural factors on these differences. This review also highlighted the disparities in osteoporosis screening, treatment options, research on medical effectiveness, and educational outreach tailored to each subgroup. Recognizing the importance of addressing these inequalities, we present this review to advocate for targeted interventions to reduce disparities in osteoporosis and improve bone health for all populations.

摘要

目的:我们主要旨在回顾不同种族/民族群体之间骨质疏松症骨密度(BMD)的差异,并强调肥胖症和糖尿病的种族/民族差异的程度。我们还探讨了导致各亚组之间 BMD 差异的因素。此外,我们研究了在骨质疏松症的研究、教育计划、筛查实践和治疗方案方面存在的差异,并讨论了这些发现对临床和公共卫生的影响。

最新发现:在美国和其他国家,种族/民族之间的骨质疏松症 BMD 存在差异。在骨质疏松症筛查和治疗方面存在差异。了解导致这些差异的因素有助于制定有针对性的干预措施和政策,以减少其影响。临床医生在做出治疗决策和提供预防保健时应考虑 BMD 的种族/民族差异。未来的研究可以为不同种族/民族群体预防骨质疏松症提供有效的策略。本综述全面检查了不同种族和民族群体之间 BMD 的差异,阐明了遗传、生活方式和文化因素对这些差异的影响。本综述还强调了针对每个亚组的骨质疏松症筛查、治疗选择、医学效果研究和教育推广方面的差异。认识到解决这些不平等问题的重要性,我们提出本综述,倡导采取有针对性的干预措施,以减少骨质疏松症的差异,改善所有人群的骨骼健康。

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