Skip to main content
Top
Published in: Osteoporosis International 4/2017

01-04-2017 | Original Article

The prevalence of osteoporosis and the rate of bone loss in Korean adults: the Chungju metabolic disease cohort (CMC) study

Authors: Y. Lim, K. Jo, H.-S. Ha, H.-W. Yim, K.-H. Yoon, W.-C. Lee, H.-Y. Son, K. H. Baek, M.-I. Kang

Published in: Osteoporosis International | Issue 4/2017

Login to get access

Abstract

Summary

Because the rate of bone loss is an important risk factor for fracture, we studied longitudinal changes in bone mineral density (BMD). Although the BMD of the hip decreased over time, spine BMD remained largely stable or increased. Therefore, spine BMD may not be appropriate for assessing BMD change.

Introduction

The rate of age-dependent bone loss has been shown to be an important risk factor for fracture. However, longitudinal rates of BMD loss in Korea have not yet been reported. The objective of this study was to evaluate longitudinal changes in BMD in Korea.

Methods

This cohort study was performed in a population of individuals 40 years of age or older living in the rural area of Chungju City, Korea. A second BMD examination was conducted approximately 4 years after a baseline examination. A total of 3755 of the 6007 subjects completed the follow-up visit, corresponding to a follow-up rate of 62.51%.

Results

The age-standardized osteoporosis prevalence was 12.81% in males and 44.35% in females. In males, the average annual BMD loss at the total hip increased from −0.25% per year in their 40s to −1.12% per year in their 80s. In females, the average annual BMD loss at the total hip increased from −0.69% per year in their 40s to −1.51% per year in their 80s. However, the average annual percentage change in spine BMD in females increased from −0.91% per year in their 40s to +1.39% per year in their 80s.

Conclusions

A substantial number of subjects had osteoporosis, even though we standardized the prevalence of osteoporosis. In total hip, the mean BMD was decreased during the follow-up period; in addition, the annual percentage loss increased with age. However, spine BMD remained approximately stable or increased over time and therefore may not be appropriate for assessing BMD change.
Appendix
Available only for authorised users
Literature
1.
go back to reference Marcus R, Dempster DW, Bouxsein ML (2013) The nature of osteoporosis. In: osteoporosis, vol 4, 4th edn. Academic Press, Amsterdam, pp 21–30CrossRef Marcus R, Dempster DW, Bouxsein ML (2013) The nature of osteoporosis. In: osteoporosis, vol 4, 4th edn. Academic Press, Amsterdam, pp 21–30CrossRef
2.
go back to reference Orwoll ES, Vanderschueren D, Boonen S (2013) Osteoporosis in men. In: Marcus R, Feldman D, Dempster DW, Luckey M, Cauley JA (eds) Osteoporosis, 4th edn. Academic Press, Amsterdam, pp 757–802CrossRef Orwoll ES, Vanderschueren D, Boonen S (2013) Osteoporosis in men. In: Marcus R, Feldman D, Dempster DW, Luckey M, Cauley JA (eds) Osteoporosis, 4th edn. Academic Press, Amsterdam, pp 757–802CrossRef
3.
go back to reference Berger C, Langsetmo L, Joseph L, Hanley DA, Davison KS, Josse RG, Prior JC, Kreiger N, Tenenhouse A, Goltzman D, CaMos Research Group (2009) Association between change in BMD and fragility fracture in women and men. J Bone Miner Res 24:361–370. doi:10.1359/jbmr.081004 CrossRefPubMedPubMedCentral Berger C, Langsetmo L, Joseph L, Hanley DA, Davison KS, Josse RG, Prior JC, Kreiger N, Tenenhouse A, Goltzman D, CaMos Research Group (2009) Association between change in BMD and fragility fracture in women and men. J Bone Miner Res 24:361–370. doi:10.​1359/​jbmr.​081004 CrossRefPubMedPubMedCentral
4.
go back to reference Riggs BL, Melton LJ, Robb RA, Camp JJ, Atkinson EJ, McDaniel L, Amin S, Rouleau PA, Khosla S (2008) A population-based assessment of rates of bone loss at multiple skeletal sites: evidence for substantial trabecular bone loss in young adult women and men. J Bone Miner Res 23:205–214. doi:10.1359/jbmr.071020 CrossRefPubMed Riggs BL, Melton LJ, Robb RA, Camp JJ, Atkinson EJ, McDaniel L, Amin S, Rouleau PA, Khosla S (2008) A population-based assessment of rates of bone loss at multiple skeletal sites: evidence for substantial trabecular bone loss in young adult women and men. J Bone Miner Res 23:205–214. doi:10.​1359/​jbmr.​071020 CrossRefPubMed
6.
go back to reference Lee J, Lee S, Jang S, Ryu OH (2013) Age-related changes in the prevalence of osteoporosis according to gender and skeletal site: the Korea National health and Nutrition Examination Survey 2008-2010. Endocrinol Metab 28:180–191. doi:10.3803/EnM.2013.28.3.180 CrossRef Lee J, Lee S, Jang S, Ryu OH (2013) Age-related changes in the prevalence of osteoporosis according to gender and skeletal site: the Korea National health and Nutrition Examination Survey 2008-2010. Endocrinol Metab 28:180–191. doi:10.​3803/​EnM.​2013.​28.​3.​180 CrossRef
8.
go back to reference Cui LH, Choi JS, Shin MH, Kweon SS, Park KS, Lee YH, Nam HS, Jeong SK, Im JS (2008) Prevalence of osteoporosis and reference data for lumbar spine and hip bone mineral density in a Korean population. J Bone Miner Metab 26:609–617. doi:10.1007/s00774-007-0847-8 CrossRefPubMed Cui LH, Choi JS, Shin MH, Kweon SS, Park KS, Lee YH, Nam HS, Jeong SK, Im JS (2008) Prevalence of osteoporosis and reference data for lumbar spine and hip bone mineral density in a Korean population. J Bone Miner Metab 26:609–617. doi:10.​1007/​s00774-007-0847-8 CrossRefPubMed
11.
12.
go back to reference Yoshimura N, Muraki S, Oka H, Mabuchi A, Kinoshita H, Yosihda M, Kawaguchi H, Nakamura K, Akune T (2009) Epidemiology of lumbar osteoporosis and osteoarthritis and their causal relationship--is osteoarthritis a predictor for osteoporosis or vice versa?: the Miyama study. Osteoporos Int 20:999–1008. doi:10.1007/s00198-008-0771-3 CrossRefPubMed Yoshimura N, Muraki S, Oka H, Mabuchi A, Kinoshita H, Yosihda M, Kawaguchi H, Nakamura K, Akune T (2009) Epidemiology of lumbar osteoporosis and osteoarthritis and their causal relationship--is osteoarthritis a predictor for osteoporosis or vice versa?: the Miyama study. Osteoporos Int 20:999–1008. doi:10.​1007/​s00198-008-0771-3 CrossRefPubMed
14.
go back to reference Kim SW, Bae KH, Seo JB, Jeon JH, Lee WK, Lee IK, Kim JG, Park KG (2016) Association between household size, residential area, and osteoporosis: analysis of 2008 to 2011 Korea National Health and Nutrition Examination Survey. Korean J Intern Med 31:712–721. doi:10.3904/kjim.2015.274 CrossRefPubMedPubMedCentral Kim SW, Bae KH, Seo JB, Jeon JH, Lee WK, Lee IK, Kim JG, Park KG (2016) Association between household size, residential area, and osteoporosis: analysis of 2008 to 2011 Korea National Health and Nutrition Examination Survey. Korean J Intern Med 31:712–721. doi:10.​3904/​kjim.​2015.​274 CrossRefPubMedPubMedCentral
15.
go back to reference Shin CS, Choi HJ, Kim MJ, Kim JT, Yu SH, Koo BK, Cho HY, Cho SW, Kim SW, Park YJ, Jang HC, Kim SY, Cho NH (2010) Prevalence and risk factors of osteoporosis in Korea: a community-based cohort study with lumbar spine and hip bone mineral density. Bone 47:378–387. doi:10.1016/j.bone.2010.03.017 CrossRefPubMed Shin CS, Choi HJ, Kim MJ, Kim JT, Yu SH, Koo BK, Cho HY, Cho SW, Kim SW, Park YJ, Jang HC, Kim SY, Cho NH (2010) Prevalence and risk factors of osteoporosis in Korea: a community-based cohort study with lumbar spine and hip bone mineral density. Bone 47:378–387. doi:10.​1016/​j.​bone.​2010.​03.​017 CrossRefPubMed
18.
go back to reference Berger C, Langsetmo L, Joseph L, Hanley DA, Davison KS, Josse R, Kreiger N, Tenenhouse A, Goltzman D, Canadian Multicentre Osteoporosis Study Research Group (2008) Change in bone mineral density as a function of age in women and men and association with the use of antiresorptive agents. CMAJ 178:1660–1668. doi:10.1503/cmaj.071416 CrossRefPubMedPubMedCentral Berger C, Langsetmo L, Joseph L, Hanley DA, Davison KS, Josse R, Kreiger N, Tenenhouse A, Goltzman D, Canadian Multicentre Osteoporosis Study Research Group (2008) Change in bone mineral density as a function of age in women and men and association with the use of antiresorptive agents. CMAJ 178:1660–1668. doi:10.​1503/​cmaj.​071416 CrossRefPubMedPubMedCentral
21.
go back to reference Yoshimura N, Kinoshita H, Danjoh S, Takijiri T, Morioka S, Kasamatsu T, Sakata K, Hashimoto T (2002) Bone loss at the lumbar spine and the proximal femur in a rural Japanese community, 1990-2000: the Miyama study. Osteoporos Int 13:803–808. doi:10.1007/s001980200111 CrossRefPubMed Yoshimura N, Kinoshita H, Danjoh S, Takijiri T, Morioka S, Kasamatsu T, Sakata K, Hashimoto T (2002) Bone loss at the lumbar spine and the proximal femur in a rural Japanese community, 1990-2000: the Miyama study. Osteoporos Int 13:803–808. doi:10.​1007/​s001980200111 CrossRefPubMed
22.
Metadata
Title
The prevalence of osteoporosis and the rate of bone loss in Korean adults: the Chungju metabolic disease cohort (CMC) study
Authors
Y. Lim
K. Jo
H.-S. Ha
H.-W. Yim
K.-H. Yoon
W.-C. Lee
H.-Y. Son
K. H. Baek
M.-I. Kang
Publication date
01-04-2017
Publisher
Springer London
Published in
Osteoporosis International / Issue 4/2017
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-016-3893-z

Other articles of this Issue 4/2017

Osteoporosis International 4/2017 Go to the issue