• Patrícia Constante Jaime, Maria do Rosário Dias de Oliveira Latorre, Alex Antonio Florindo, Tomoe Tanaka, and Cristiano Augusto de Freitas Zerbini.
• Heliópolis Hospital, Faculdade de Saúde Pública, Universidade de São Paulo, Avenida Dr. Arnaldo 715, CEP 01246-904, São Paulo(SP), Brazil. constant@usp.br
• Sao Paulo Med J. 2006 Sep 7; 124 (5): 267270267-70.

Context And ObjectiveOsteoporosis and fragility fractures are an important public health problem. Although bone loss occurs with age universally, the incidence of bone loss fractures varies greatly between racial groups. The aim of this study was to examine the relationship between calcium, protein and energy intake and the bone mineral density of the femoral neck in Brazilian black and white men.Design And SettingThis was a cross-sectional study, carried out in a teaching hospital in São Paulo.MethodsThe participants were 277 volunteer men, aged 50 years or older. The bone mineral density of the femoral neck (FNBMD) was measured by dual energy x-ray absorptiometry. The relationship between FNBMD and calcium, protein and energy intake, as assessed by a three-day food record, was analyzed using multiple linear regression models and was adjusted for age, height, physical activity and education level. The analysis was stratified by race (white and black).ResultsFNBMD presented similar means in the two racial groups (p = 0.538). Protein and energy intake did not show a significant correlation with FNBMD, either in the white or in the black population. Calcium intake showed a strong and independent correlation with FNBMD in the black men (partial r = 0.42).ConclusionCalcium intake was a determinant of FNBMD for black men, aged 50 years or older, but not for the white ones.

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