HONG KONG, Dec. 12, 2013 /CNW/ - A new report published today by the
International Osteoporosis Foundation (IOF) warns of a dramatic rise in
osteoporosis-related fractures in the Asia-Pacific region. With a
projected 230% and 144% increase in those aged over 70 years and 50
years respectively, the number of hip fractures are expected to at
least double by 2050. Therefore, although populations may live longer
their musculoskeletal health will be seriously compromised leading to
disability, loss of independence and even early death. Socio-economic
costs will also soar unless healthy active ageing is encouraged.
Hip fractures, which usually occur in the elderly aged over 70, are the
most serious and costly of osteoporotic fractures. Most countries in
Asia have already seen a 2-3 fold increase in hip fracture incidence
over the past 30 years. The trend is expected to accelerate with 50% of
all hip fractures in the world occurring in Asia by 2050. By then the
population aged over 50 will almost double. China and India, the most
populous countries in the world, will have almost 430 million people
aged 70 or over by 2050.
Aside from the high cost of acute care, approximately 33% of patients
are totally dependent on caregivers in the year following the fracture,
and about one in five will die within the year. Urbanization in the
Asia-Pacific region is also impacting on fracture rates, which are
higher in urban settings with sedentary and indoor lifestyles
contributing to widespread vitamin D deficiency and poor bone and
Will health-care systems be able to cope with the projected need for
acute and long-term care following hip fractures? To reduce death and
disability, hip fracture patients require timely surgery and
rehabilitation. In less economically developed regions of Asia,
surgical care may not be available or reimbursed. In countries such as
Vietnam, Sri Lanka, Philippines and Pakistan less than 50% of hip
fractures are surgically treated. A patient who must pay out of pocket
for surgery may face impoverishment or, without surgery, extreme
Prof. John A. Kanis, President, IOF, stated: "Worldwide, one in three
women and one in five men over the age of 50 will break a bone due to
osteoporosis, and timely diagnosis and treatment is of paramount
importance. IOF urges governments throughout Asia to step up prevention
efforts. Osteoporosis and musculoskeletal diseases should be a priority
issue on national health-care agendas."
Specifically, the IOF report urges authorities to:
Address widespread vitamin D deficiency and low calcium levels in the
Encourage lifestyle prevention measures such as outdoor physical
activity and smoking cessation.
Reimburse treatment so that people who have osteoporosis can reduce
their risk of fracture.
Provide sufficient and accessible diagnostic services.
Devote resources to developing specialty training in osteoporosis for
Establish Fracture Liaison Services in clinics to help identify and
offer treatment to fracture patients.
Promote research and fracture registries to find appropriate national
solutions to the problem.
Raise public awareness about the importance of exercise and nutrition,
especially among the younger population.
Access the IOF Asia-Pacific Regional Audit: http://bit.ly/1dgbkgy
Production of the Audit was supported by unrestricted educational grants
from GSK, Fonterra and Servier.
The International Osteoporosis Foundation (IOF) is the world's largest
non-governmental organization dedicated to the prevention, diagnosis
and treatment of osteoporosis and related musculoskeletal diseases. IOF
members include 216 societies, working together to make bone, joint and
muscle health a worldwide heath care priority. http://www.iofbonehealth.org
SOURCE: International Osteoporosis Foundation
For further information:
Charanjit K. Jagait