Objective. Chondrocalcinosis, which can promote joint inflammation and cartilage degeneration, is highly prevalent in elderly white subjects. Data on its prevalence are scarce in other ethnic populations. This study was undertaken to compare the prevalence of chondrocalcinosis in Chinese subjects with that in white subjects.Methods. We recruited a random sample of Beijing residents ages >60 years. Participants underwent standard weight-bearing anteroposterior knee radiography and posteroanterior hand radiography using the protocols developed in the Framingham Osteoarthritis Study. Radiographic chondrocalcinosis was defined as present in a knee or wrist when there was evidence of definite linear cartilage calcification. We compared the prevalence of chondrocalcinosis in Chinese subjects with that in white subjects using age-standardized prevalence ratios. We used identical methods to collect samples of tap water from 2 cities and measured their levels of calcium, magnesium, and phosphate in the same laboratory.Results. Chinese subjects had a much lower prevalence of knee chondrocalcinosis (1.8% in men, 2.7% in women) than did white subjects (6.2% in men, 7.7% in women), with the age-standardized prevalence ratio Calcium pyrophosphate dihydrate (CPPD) crystal deposition in articular fibrocartilage and hyaline cartilage, termed "chondrocalcinosis," is a common radiographic and pathologic finding associated with both aging and osteoarthritis (OA) (1). Most subjects with chondrocalcinosis are asymptomatic, but CPPD crystal deposition can promote articular cartilage degeneration (pseudo-OA), and traffic of the crystals from articular cartilage into the joint space can stimulate acute syno-