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Osteoporosis International
Published in: Osteoporosis International 11/2019

Open Access 01-11-2019 | Osteoporosis | ORIGINAL ARTICLE

Secular trends in major osteoporotic fractures among 50+ adults in Denmark between 1995 and 2010

Authors: Shahab Abtahi, Johanna H.M. Driessen, Peter Vestergaard, Joop van den Bergh, Annelies Boonen, Frank de Vries, Andrea M. Burden

Published in: Osteoporosis International | Issue 11/2019

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Abstract

Summary

We investigated the incidence trend in all major osteoporotic fractures for the whole country of Denmark between 1995 and 2010. Hip and other osteoporotic fractures declined for the general population and especially among women. But, we observed some increasing trend among men which needs more attention.

Purpose

The trend in osteoporotic fractures is varied across the globe, and there is no updated information in the case of Denmark for all major osteoporotic fractures (MOF). Thus, we investigated the incidence rates (IRs) of MOF among 50+ adults in Denmark over the period 1995–2010.

Methods

A series of cross-sectional analyses was done using the Danish National Health Service Register. Participants were 50+ adults in the full country Denmark with a MOF between 1995 and 2010. Gender- specific IRs of MOF per 10,000 person years (PYs) were estimated, in addition to IRs of individual fracture sites (hip, vertebrae, humerus, and radius/ulna), and women-to-men IR ratios for MOF.

Results

A general decline was observed in IRs of MOF for the whole population (from 169.8 per 10,000 PYs in 1995, to 148.0 in 2010), which was more pronounced among women. Thirty-one and nineteen percent of decline was observed in hip fracture rates among women and men, respectively. The trend in clinical vertebral fracture was slightly decreasing for women and increasing for men. The women-to-men rate ratio of MOF decreased noticeably from 2.93 to 2.72 during study period.

Conclusions

We observed declining trends in MOF and hip fracture for both sexes. However, a lower rate of decrease of hip fracture and an increasing trend in vertebral fracture was noticed among men. Considering our observations and the major economic burden that accompanies this devastating disease, more attention should be paid to MOF, especially in men.
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Metadata
Title
Secular trends in major osteoporotic fractures among 50+ adults in Denmark between 1995 and 2010
Authors
Shahab Abtahi
Johanna H.M. Driessen
Peter Vestergaard
Joop van den Bergh
Annelies Boonen
Frank de Vries
Andrea M. Burden
Publication date
01-11-2019
Publisher
Springer London
Published in
Osteoporosis International / Issue 11/2019
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-019-05109-0

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