Abstract:SummaryChina has the largest population in the world; approximately 7% of the total population suffers from primary osteoporosis. Osteoporosis is mainly characterized by low bone mineral density (BMD). In the present study, familial correlation and segregation analyses for spine and hip BMDs have been undertaken for the first time in a Chinese sample composed of 401 nuclear families with a total of 1,260 individuals. The results indicate a major gene of additive inheritance for hip BMD, whereas there is no evi… Show more
“…This finding is highly consistent with the findings from Chinese family studies [16][17][18] and those from the studies of various Western populations, such as Americans [4,12,14], British [8,15], Icelandics [10], Finns [7,9], Australians [5,6], and Mexican Americans [13]. This consistently high heritability of BMD found all over the various ethnic populations provides strong evidence for the presence of specific genes responsible for BMD and the development of osteoporosis.…”
Section: Discussionsupporting
confidence: 89%
“…In our study, heritability of leg BMD was the highest and heritability of arm BMD was the lowest in the whole group of males and females combined. Some studies have reported that lumbar spine BMD had the highest heritability [5,9,17,27], while others have reported that total hip [10,11,14,16,18], femoral neck [8,15], or head [4,7] BMD had the highest heritability. Moreover, the exact mechanism for the different genetic effect on BMD by specific sites is still uncertain.…”
Section: Discussionmentioning
confidence: 96%
“…Although few Asian studies exist including Chinese families [16][17][18], those studies might have limitation of a family only study in which genetic effects are not separated from common environmental effects.…”
Section: Introductionmentioning
confidence: 98%
“…Although BMD is known to be associated with several biological and behavioral factors, such as body weight, height, physical activity, smoking, and calcium intake [3], genetic factors have been suggested to have a significant influence on BMD [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Studies involving twins [4][5][6][7][8][9] or families [10][11][12][13][14][15] to evaluate the heritability of BMD have shown that approximately 60-90% of BMD variance is determined by genetic factors in Western populations.…”
The high heritability of BMD in this Korean population similar to those found in Western populations and the significant common genetic basis between BMDs at different sites strongly supports a significant role of genetic determinants on the risk of osteoporosis.
“…This finding is highly consistent with the findings from Chinese family studies [16][17][18] and those from the studies of various Western populations, such as Americans [4,12,14], British [8,15], Icelandics [10], Finns [7,9], Australians [5,6], and Mexican Americans [13]. This consistently high heritability of BMD found all over the various ethnic populations provides strong evidence for the presence of specific genes responsible for BMD and the development of osteoporosis.…”
Section: Discussionsupporting
confidence: 89%
“…In our study, heritability of leg BMD was the highest and heritability of arm BMD was the lowest in the whole group of males and females combined. Some studies have reported that lumbar spine BMD had the highest heritability [5,9,17,27], while others have reported that total hip [10,11,14,16,18], femoral neck [8,15], or head [4,7] BMD had the highest heritability. Moreover, the exact mechanism for the different genetic effect on BMD by specific sites is still uncertain.…”
Section: Discussionmentioning
confidence: 96%
“…Although few Asian studies exist including Chinese families [16][17][18], those studies might have limitation of a family only study in which genetic effects are not separated from common environmental effects.…”
Section: Introductionmentioning
confidence: 98%
“…Although BMD is known to be associated with several biological and behavioral factors, such as body weight, height, physical activity, smoking, and calcium intake [3], genetic factors have been suggested to have a significant influence on BMD [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Studies involving twins [4][5][6][7][8][9] or families [10][11][12][13][14][15] to evaluate the heritability of BMD have shown that approximately 60-90% of BMD variance is determined by genetic factors in Western populations.…”
The high heritability of BMD in this Korean population similar to those found in Western populations and the significant common genetic basis between BMDs at different sites strongly supports a significant role of genetic determinants on the risk of osteoporosis.
“…Liu et al (2004a) reported h 2 estimates of 0.62 for spine bone size and 0.59 for total hip bone size. Other studies reported h 2 estimates of 0.60-0.63 for spine area and 0.45-0.69 for total hip area (Jian et al 2004), and 0.81 for spine BMD and 0.90 for total hip BMD (Liu et al 2004b). The h 2 estimates for trochanter and femoral neck BMD and bone size have not been reported previously.…”
SummaryBone mineral density (BMD), a risk factor for osteoporosis, is believed to be under genetic control. The effect of environmental factors and gender on the heritability of BMD and bone size is ill-defined. In this study, heritability estimates (h 2 ) were determined in 3,320 southern Chinese subjects from 1,019 families using the variance components model. The h 2 for age, weight and height-adjusted BMD was 0.63-0.71 for females, and 0.74-0.79 for males; and for bone size, 0.44-0.64 for females and 0.32-0.86 for males. Adjustment for lifestyle factors including calcium and phytoestrogen intake, exercise, smoking and alcohol consumption altered the h 2 differently in males and females. The proportion of variance in BMD and bone size explained by all covariates varied between skeletal sites, but was consistently greater in females than males. A significant gender difference was observed in the genetic variance of BMD and bone size at the hip but not the spine. In conclusion, a gender difference was observed in the degree of heritability of BMD and bone size at specific skeletal sites. Environmental influences contributed variably at different sites in the two sexes.
Osteoporosis is a major public health problem defined as a loss of bone strength, of which bone size is an important determinant. In the present study, familial correlation and segregation analyses for the spine and hip bone sizes were performed for the first time in a Chinese sample composed of 393 nuclear families with a total of 1,193 individuals. The results indicate a major gene of codominant inheritance for spine bone size; however, there is no evidence of a major gene influencing hip bone size. Significant familial residual effects are found for both traits, suggesting their polygenic inheritance. Heritability estimates (+/-SE) for spine and hip bone size were 0.62 (0.13) and 0.59 (0.12), respectively. Sex and age differences in genotype-specific average bone size were observed. Compared with our previous study on bone mineral density (BMD) in the same population, this study suggests that genetic determination of bone size may be different from that of BMD, and thus studying bone size as one surrogate phenotype for osteoporotic fractures may be necessary.
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