ArticleQuantitative imaging in medicine and surgery2025
Lower osteoporotic-like vertebral fractural deformity (OLVF) prevalence and severity among older Thais and Indonesians than among older Chinese.
Article in Quantitative imaging in medicine and surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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- Majority of hip fragility fractures among older people can be predicted by a DXA examination: an updated analysis of literature results and empirical Chinese data with a focus on the validation of the newly proposed osteofrailia criterion for men.Quantitative imaging in medicine and surgery · 2025Article
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Abstract
Background: Chinese are known to have a lower vertebral fragility fracture risk than Caucasians. This study evaluates radiographic osteoporotic-like vertebral fractural deformity (OLVF) prevalence and severity among Chinese, Thai, Indonesian women and men. Methods: In an epidemiological study with community subjects, spine radiographs (T4-L5) were sampled for 195 Thai women (mean: 73.6 years), 202 Thai men (mean: 73.7 years), 236 Indonesian women (mean: 70.4 years), and 174 Indonesian men (mean: 70.2 years). Spine radiographs of age-matched subjects were also sampled for Chinese. OLVF classification included no OLVF (grade 0), and OLVFs with <20% (grade 0.5, minimal grade), ≥20-25% (grade 1, mild grade), ≥25%-1/3 (grade 1.5, moderate grade), ≥1/3-40% (grade 2, marked grade), ≥40%-2/3 (grade 2.5, severe grade), and ≥2/3 height loss (grade 3, collapsed grade). OLVF sum score (OLVFss) was calculated with each vertebra assigned a score of 0, -0.5, -1, -1.5, -2, -2.5, and -3 for no OLVF or OLVF grades 0.5-3. Osteoporosis prevalences were estimated based on OLVFss. For a woman, OLVFss ≤-1.0 and OLVFss ≤-1.5 were the thresholds to classify the case being osteoporotic according to the lowest T-score or femoral neck T-score respectively. For men, these thresholds were OLVFss ≤-2.5 and OLVFss ≤-3.0. Results: Compared with Southeast Asians, Chinese had overall higher prevalences of all-inclusive OLVF, apparent OLVF, and OLVF among Chinese were more likely to be multiple. A trend was noted that Chinese women were more likely to have severe and collapsed grades OLVFs than Southeast Asian women, while such a trend was not noted for Chinese men Conclusions: The prevalence and severity of radiographic OLVF show a weak trend of 'Chinese > Thais > Indonesians', both for older women and for older men. The results of the current study support the notion that 'populations from a warmer climate have better spine health'.
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