Osteoporosis risk – think twice about bone density in Ethiopians African Americans

Abstract

Objective: The risk of an osteoporotic fracture is well described and readily available in developed nations where 1 in 3 women and 1 in 5 men will experience an osteoporotic fracture. The risk of an osteoporotic fracture in developing nations is less known. Considerations of skeletal and non-skeletal factors may not fully describe risk of osteoporotic fractures. The purpose of this manuscript is to highlight the risk found in Ethiopians and Ethiopian immigrants. Discussion: In the United States, bone mass density is greatest in black women and least in Asians. Osteoporosis incidence from greatest to least in Unites States is as follows: Native Americans, Asians, Hispanics, Caucasians, and blacks. Data is not available in many developing nations. For example, for Ethiopians data is not available on fracture risk. Thus, Ethiopians and Ethiopian immigrants when seeking medical attention may be considered black. Yet, Ethiopians may have a high prevalence of osteoporosis. Conclusion: Risk factors for osteoporosis must be considered when examining and treating patients. Screening for less known risk factors such as low calcium intake, prolonged lactation, smoking, and excessive alcohol consumption must be considered for primary, secondary, and tertiary prevention.