“…Regarding the slight difference in the ages at which the peak BMD of vertebral cancellous bone appeared in males and females, which was also reported in a previous study (25), we hypothesize that it may be associated with the separative statistics of males and females, and the numbers of selected cases. Before 40 years of age, the GSI-determined Ca 2+ -water density of the vertebral cancellous bone in females was significantly higher compared with that in males within the same age period; however, after 50 years of age, this density was significantly reduced in females compared with that in males, and the difference was statistically significant (P<0.01), which is consistent with numerous previous studies (26,27). This trend may be caused by the decline of estrogen in females >50-years-old, resulting in reduced vertebral Ca 2+ content (27).…”