Karlsson M K, Gärdsell P, Johnell O, Nilsson B E, Akesson K, Obrant K J
Lund University, Department of Orthopedics, Malmö General Hospital, Sweden.
Acta Orthop Scand. 1993 Apr;64(2):168-72. doi: 10.3109/17453679308994562.
The bone mineral mass was measured in 324 residents of the city of Malmö, Sweden, by dual energy roentgen absorptiometry (DEXA) using the Lunar DPX equipment--total body, hip, and lumbar vertebrae. The bone mineral content of the wrist was also measured with single photon absorptiometry (SPA) in 88 of the individuals. Weight, height, and vertebral height, as well as body fat, lean body mass, menarcheal age, menopausal age, and hand grip strength were determined. Measurements were compared with reference bone mineral content values from the United States, Japan, and France--also hip fracture incidence was compared. All bone mineral values decreased with age. A good correlation was found between the DEXA technique of total body bone mineral and the forearm SPA values. The bone mineral content was correlated with lean body mass and weight. The Malmö bone mineral content was on the same level as in the United States, but higher than in Japan and France. The comparatively high risk of fragility fractures in the Scandinavian countries compared with most other settings cannot be explained by low bone mass.
采用Lunar DPX设备，通过双能X线吸收法（DEXA）对瑞典马尔默市324名居民的骨矿物质含量进行了测量，测量部位包括全身、髋部和腰椎。其中88人还采用单光子吸收法（SPA）测量了腕部的骨矿物质含量。测定了体重、身高、椎体高度、体脂、去脂体重、初潮年龄、绝经年龄和握力。将测量结果与来自美国、日本和法国的参考骨矿物质含量值进行了比较，同时还比较了髋部骨折发生率。所有骨矿物质值均随年龄增长而下降。全身骨矿物质的DEXA技术与前臂SPA值之间存在良好的相关性。骨矿物质含量与去脂体重和体重相关。马尔默的骨矿物质含量与美国处于同一水平，但高于日本和法国。与大多数其他地区相比，斯堪的纳维亚国家脆性骨折风险相对较高，这不能用低骨量来解释。
