Austrian osteoporosis report: epidemiology, lifestyle factors, public health strategies

Springer Science and Business Media LLC - Tập 159 - Trang 221-229 - 2009
Thomas Dorner1, Elisabeth Weichselbaum1, Kitty Lawrence1, K. Viktoria Stein1, Anita Rieder1
1Centre for Public Health, Institute of Social Medicine, Medical University of Vienna, Vienna, Austria

Tóm tắt

The first Austrian Osteoporosis Report was initiated to create a comprehensive reference document for the pathogenesis, diagnostics, therapy, and rehabilitation of osteoporosis. Furthermore, the aim was to present the extent and severity of osteoporosis and the associated complications in Austria. On the basis of current international prevalence, it can be estimated that approximately 740,000 of people in Austria over 50 years are affected by osteoporosis, of whom around 617,000 are women. A special analysis of the hospital discharge statistics showed that, in the year 2005, 1382 men and 8080 women were discharged from Austrian hospitals with the main diagnosis, osteoporosis. Added to these 9711 male cases and 54,840 females cases were documented with osteoporosis as a secondary diagnosis. In Austria around 16,500 people suffer a hip fracture each year. Thus, with a fracture rate of 19.7 fractures per year per 10,000 inhabitants over the age of 65 years, Austria lies within the peak for Europe. The hospital mortality rate amongst patients with fracture of the femur is 3.8% in men and 3.2% in women in Austria. Everybody's bone health can be positively influenced by a healthy lifestyle; however, the Osteoporoses Report revealed insufficiencies regarding lifestyle risk factors in the Austrian population. Average calcium intake amongst Austrian adult women and amongst male and female seniors is lower than recommended and only adult men achieve around the recommended amount. The mean vitamin D intake in Austria is very poor, especially amongst pre-schoolers and seniors. The rate of Austrians reporting regular physical exercise is in need of improvement, especially amongst elderly people. The data presented in the Austrian Osteoporosis Report are useful to enable the development of public health strategies and methods to help resolve some of these problems, and ultimately contribute to improved bone health in the nation.

Tài liệu tham khảo

CDC (Consensus development conference). Diagnosis, prophylaxis, and treatment of osteoporosis. Am J Med, 94: 646–650, 1993 NIH (National Institute of Health). Consensus development panel on osteoporosis prevention, diagnosis, and therapy. Osteoporosis prevention, diagnosis, and therapy. JAMA, 285: 785–795, 2001 Verein Altern mit Zukunft (Hrsg). Österreichischer Osteoporosebericht. Wien, 2007 Johnell O, Kanis JA. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int, 17: 1726–1733, 2006 Kamel HK, O'Connell MB. Introduction: postmenopausal osteoporosis as a major public health issue. JMCP, 12(Suppl): S2–S3, 2006 Melton LJ 3rd, Chrischilles EA, Cooper C, Lane AW, Riggs BL. Perspective. How many women have osteoporosis? J Bone Miner Res, 7: 1005–1010, 1992 Haussler B, Gothe H, Gol D, Glaeske G, Pientka L, Felsenberg D. Epidemiology, treatment and costs of osteoporosis in Germany – the BoneEVA Study. Osteoporos Int, 18: 77–84, 2007 Scheidt-Nave C, Starker A. Osteoporoseprävalenz und assoziierte Versorgungsmuster bei Frauen im Alter ab 45 Jahren in Deutschland. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 48:1338–1347, 2005 NOF (National Osteoporosis Foundation). America's bone health: The state of osteoporosis and low bone mass in our nation. Washington (DC): National Osteoporosis Foundation; 2002 Kannus P, Niemi S, Parkkari J, Palvanen M, Heinonen A, Sievanen H, Jarvinen T, Khan K, Jarvinen M. Why is the age-standardized incidence of low-trauma fractures rising in many elderly populations? J Bone Miner Res, 17: 1363–1367, 2002 Hauptverband der Sozialversicherungsträger (2006) in: Weichselbaum E, Dorner T, Rieder A (2007) Österreichischer Osteoporosebericht. Verein Altern mit Zukunft (Hrsg): Wien, August 2007 Statistik Austria. Jahrbuch der Gesundheitsstatistik 2005. Wien, 2007 Cummings SR, Melton LJ. Epidemiology and outcomes of osteoporotic fractures. Lancet, 359: 1761–1767, 2002 Cauley JA, Thompson DE, Ensrud KC, Scott JC, Black D. Risk of mortality following clinical fractures. Osteoporos Int, 11: 556–561, 2000 Bass E, French DD, Bradham DD, Rubenstein LZ. Risk-adjusted mortality rates of elderly veterans with hip fractures. Ann Epidemiol, 17: 514–519, 2007 Lawrence VA, Hilsenbeck SG, Noveck H, Poses RM, Carson JL. Medical complications and outcomes after hip fracture repair. Arch Intern Med, 162: 2053–2057, 2002 Koeck CM, Schwappach DL, Niemann FM, Strassmann TJ, Ebner H, Klaushofer K. Incidence and costs of osteoporosis-associated hip fractures in Austria. Wien Klin Wochenschr, 113: 371–377, 2001 Hallberg I, Rosenqvist AM, Kartous L, Löfman O, Wahlström O, Toss G. Health-related quality of life after osteoprostic fractures. Osteopros Int, 15: 834–841, 2004 Tosteson AN, Gabriel SE, Grove MR, Moncur MM, Kneeland TS, Melton LJ. Impact of hip and vertebral fractures on quality-adjusted life years. Osteoporos Int, 12: 1042–1049, 2001 Salkeld G, Cameron ID, Cumming RG, Easter S, Seymour J, Kurrle SE, Quine S. Quality of life related to fear of falling and hip fracture in older women: a time trade off study. BMJ, 320: 341–346, 2000 Johnell O, Kanis JA. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int, 17: 1726–1733, 2006 U.S. Department of Health and Human Services. Bone health and osteoporosis: a report of the surgeon general. Rockville, MD, U.S. Dept. of health and human services, office of the surgeon general, 2004 Elmadfa I, Freisling H, König J. Österreichischer Ernährungsbericht 2003. 1. Auflage, Wien, 2003 Elmadfa I, Weichselbaum E (Hrsg). European nutrition and health report 2004. Forum of nutrition 58, Karger, Basel, 2005 D-A-CH. Deutsche Gesellschaft für Ernährung (DGE), Österreichische Gesellschaft für Ernährung (ÖGE), Schweizerische Gesellschaft für Ernährungsforschung (SGE) und Schweizerische Vereinigung für Ernährung (SVE). Referenzwerte für die Nährstoffzufuhr. Umschau. Frankfurt/Main, 2000 Kudlacek S, Schneider B, Peterlik M, Leb G, Klaushofer K, Weber K, Woloszczuk W, Willvonseder R. Austrian study group on normative values of bone metabolism. Assessment of vitamin D and calcium status in healthy adult Austrians. Eur J Clin Invest 33: 323–331, 2003 FAO (Food and Agriculture Organization of the United Nations). Food Balance Sheets, FAOSTAT data 2004. Internet: http://faostat.fao.org/site/502/default.aspx, 2004 Verein Altern mit Zukunft (Hrsg). Erster Österreichischer Adipositasbericht 2006. Grundlage für zukünftige Handlungsfelder: Kinder, Jugendliche, Erwachsene. Wien, 2006 Pratscher J. Longitudinalstudie über Zusammenhänge von Alltagsverhalten und Rückenbeschwerden von Schüler/innen. Eine empirische Studie über Alltagsverhalten und Rückenbeschwerden von SchülerInnen und Erwachsenen. Dissertation, Institut für Sportwissenschaften, Universität Wien, 1999 Pratscher H. Sportverhalten in Österreich. Journal für Ernährungsmedizin 2 (Ausgabe für Österreich), 18–23, 2000 European Commission. Health and food. Eurobarometer. Special eurobarometer 246/Wave 64.3 – TNS opinion and social, November 2006 BMFG (Bundesministerium für Gesundheit und Frauen) (Hrsg). Österreichischer Frauengesundheitsbericht 2005/2006. Verfasst vom Ludwig Boltzmann Institut für Frauengesundheitsforschung. BMGF Wien, 2006 Stadt Wien (Hrsg) Bereichsleitung für Gesundheitsplanung und Finanzmanagement. Gesundheit in Wien. Wiener Gesundheits- und Sozialsurvey. Wien, 2001 NOF (National Osteoporosis Foundation). Osteoporosis: review of the evidence for prevention, diagnosis and treatment and cost-effectiveness analysis. Executive summary. Osteoporos Int 8(Suppl 4): S3–S6, 1998 Initiative Arznei und Vernunft. Vernünftiger Umgang mit Medikamenten, Osteoporose, 2. Auflage, Oktober 2005 ÖGAM (Österreichische Gesellschaft für Allgemeinmedizin). Früherkennung und Management der postmenopausalen Osteoporose in der allgemeinmedizinischen Praxis. Konsensus Statement unter der Ägide der ÖGAM. Konsensus Meeting: Wien, 36. April 2005 ÖGEKM (Österreichische Gesellschaft zur Erforschung des Knochens und Mineralstoffwechsels). Konsensus Osteoporose Therapie & Prävention. Österreichische Ärztezeitung Supplementum, August 2007 U.S. Department of Health and Human Services. Bone Health and Osteoporosis: A Report of the Surgeon General. Rockville, MD, U.S. Dept. Of Health and Human Services, Office of the Surgeon General, 2004 Brown JP, Josse RG, for the Scientific Advisory Council of the Osteoporosis Society of Canada. 2002 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada. CMAJ, 167(Suppl 10): S1–S34, 2002 European Union Osteoporosis Consultation Panel. Osteoporosis in the European community: action plan. A report of the key next steps towards a Europe free from fragility fractures. Supported financially by the European Commission, November 2003 European Bone and Joint Health Strategies Project. European action towards better musculoskeletal health. A public health strategy to reduce the Burden of musculoskeletal conditions. The bone and joint decade, Department of Orthopedics, University Hospital, Lund, Sweden Natri AM, Salo P, Vikstedt T, Palssa A, Huttunen M, Kärkkäinen MU, Salovaara H, Piironen V, Jakobsen J, Lamberg-Allardt CJ. Bread Fortified with Cholecalciferol Increases the Serum 25-Hydroxyvitamin D Concentration in Women as Effectively as a Cholecalciferol. J Nutr, 136(Suppl): 123–127, 2006 Tangpricha V, Koutkia P, Rieke SM, Chen TC, Perez AA, Holick MF. Fortification of orange juice with vitamin D: a novel approach for enhancing vitamin D nutritional health. Am J Clin Nutr, 77: 1478–1483, 2003 Calvo MS, Whiting SJ, Barton CN. Vitamin D fortification in the United States and Canada: current status and data needs. Am J Clin Nutr, 80(Suppl): 1710S–1716S, 2004 Ievers-Landis CE, Burant C, Drotar D, Morgan L, Trapl ES, Colabianchi N, Kwoh CK. A randomized controlled trial for the primary prevention of osteoporosis amongst preadolescent girl scouts: 1-year outcomes of a behavioral program. J Pediatr Psychol, 30: 155–165, 2005 Winzenberg TM, Oldenburg B, Frendin S, De Wit L, Jones G. A mother-based intervention trial for osteoporosis prevention in children. Prev Med, 42: 21–26, 2006 Blalock SJ, Currey SS, DeVellis RF, De Vellis BM, Giorgino KB, Anderson JJ, Dooley MA, Gold DT. Effects of educational materials concerning osteoporosis on women's knowledge, beliefs, and behavior. Am J Health Promot, 14: 161–169, 2000 Sedlak CA, Doheny MO, Estok PJ, Zeller RA. Tailored interventions to enhance osteoporosis prevention in women. Orthop Nurs, 24: 270–276, 2005 Grahn Kronhed AC, Blomberg C, Karlsson N, Löfman O, Timpka T, Möller M. Impact of a community-based osteoporosis and fall prevention program on fracture incidence. Osteoporos Int, 16: 700–706, 2005