The calcaneus bone mineral density values (BMDs) of healthy Japanese women peaked at 20 to 25 years of age with 435 ± 66 mg/cmz (mean± S.D. ), decreased 0.51% on the average every year thereafter until 45 years of age, 1.72% between 45 and 55 years (menopause) and 0.55% thereafter. The vertebrae bone mineral density value peaked at 30 to 35 years of age with 1.06±0.13 g/cmz (mean ± s.D. ), decreased 0.67% on the average every year thereafter until 45 years of age, 1.23% between 45 and 55 years (menopause) and 0.70% thereafter. Mean -2.0 s.D. of the peak bone mass was considered appropriate as the fracture threshold for both the calcaneus and vertebra, judging from the BMDs of osteoporosis patients.bone mineral density; fracture threshold; osteoporosis; single energy x-ray absorptiometry; dual energy x-ray absorptiometry Osteoporosis is a serious disease that occurs frequently among women of advanced age. Since osteoporosis is a disorder characterized by skeletal fragility due to a quantitative loss of bone mineral or architectural changes that diminish the strength of bone, accurate measurement of the bone mineral density values (BMDs) is necessary for diagnosis and prevention. However, there is no established theory as to when the danger of osteoporosis arises at what degree of decrease in the BMDs. For the purpose of setting the BMDs level at which prophylactic treatment against osteoporosis must be started, the calcaneus BMDs was measured by single energy x-ray absorptiometry (SXA) and the vertebrae (L2-L4) BMDs by dual energy x-ray absorptiometry (DEXA) among Japanese women. The high accuracy of these two measuring methods was already established in the previous study (Hoshi et al. 1993).
MATERIALS AND METHODSUsing healthy women in ages ranging from 20 to 75 years old as the subjects, the calcaneus BMDs in 440 women and lumbar vertebrae (L2-L4) BMDs in 233 women were measured by SXA and DEXA, respectively.