“…Bone lengths are mainly affected by genetics, and length of the femur and tibia are recognized as better indicators of sex in black Americans and American Indians than the circumference, which was a better discriminator for white Americans [31,39]. Additionally, this finding can be due to late female maturation or less male growth among the Sudanese because sexual dimorphism in vertical variables is related to the cessation of female growth rather than a growth spurt [40,41]. Males are known to be more sensitive to long-term protein deficiency than females, resulting in less male growth, and an excessive or deficient protein consumption diminishes sexual dimorphism expression within a population [42,43].…”