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To the Editor: In their Scientific Review article on the clinical use of bone densitometry, Dr Cummings and colleagues¹ state that bone mineral density (BMD) should be measured in white women older than 65 years and, perhaps, in younger postmenopausal women with appropriate risk factors. Osteoporosis and low bone mass are estimated to exist in about 44 million US women and men aged 50 years or older. Of these, 10.1 million have established osteoporosis, a number predicted to increase to 12 million by 2010.²

Because the prevalence of osteoporosis increases with age, it follows that such an increase will also occur in nonwhite populations as they age. Although data for Hispanic, Asian, and African American populations are substantially less complete, and although African Americans tend to have higher BMD than whites, it is clear that osteoporosis and osteoporosis-related fractures constitute a significant problem in these groups.^3-4 Indeed, these individuals experience . . . [Full Text of this Article]

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