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. 2018 Oct;41(5):314-320.
doi: 10.1016/j.bj.2018.08.001. Epub 2018 Nov 3.

Secular trends in incidence of osteoporosis in Taiwan: A nationwide population-based study

Fang-Ping Chen  1 , Ting-Shuo Huang  2 , Tsai-Sheng Fu  3 , Chi-Chin Sun  4 , An-Shine Chao  5 , Tien-Ling Tsai  6
Affiliations

Secular trends in incidence of osteoporosis in Taiwan: A nationwide population-based study

Fang-Ping Chen et al. Biomed J. 2018 Oct.

Abstract

Background: The present study aimed to assess the changes in trend of osteoporosis among the Taiwanese population from 2001 to 2011.

Methods: The National Health Insurance Research Database (NHIRD) of Taiwan, containing records from approximately 23 million insures from 2001 to 2011, was analyzed. Insurees aged≧50 years with osteoporosis were identified either from previously documented osteoporotic diagnosis or osteoporosis-related fractures according to Clinical Modification (ICD-9-CM) diagnostic code.

Results: The prevalence of osteoporosis increased from 17.4% in 2001 to 25.0% in 2011. The prevalence trend increased from 2001 to 2005 and plateaued thereafter. During 2001-2005, the incidence rate of hip fracture held steady from 277 to 281 per 100,000 person-years, and decreased thereafter from 262 to 247 per 100,000 person-years. The overall incidence of osteoporosis declined among patients younger than 84 years from 2001 to 2011, especially after 2005. As compared with 2005 and before, the incidence rate of osteoporosis was significantly decreased since 2006.

Conclusions: The secular changes of osteoporosis in Taiwan are quite similar to the trend in western countries. It reveals how osteoporosis awareness and policy interventions can affect the prevalence trend of osteoporosis.

Keywords: Hip fracture; Incidence; Osteoporosis; Prevalence.

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Figures

Fig. 1
Fig. 1
The prevalence rate of osteoporosis (A) and number (B) and incidence rate (C) of hip fractures based on the Taiwan National Health Insurance Research Database, 2001–2011.
Fig. 2
Fig. 2
Annual incidence rate of osteoporosis stratified by age in (A) overall population, (B) females, and (C) males. Adapted from the Taiwan National Health Insurance Research Database, 2001–2011.
Fig. 3
Fig. 3
The trend and comparison of number of osteoporosis and utility of DXA for BMD examination between both genders. Adapted from the Taiwan National Health Insurance Research Database, 2001–2011.
See this image and copyright information in PMC

References

    1. World Population Ageing . 2013. New York, united nations department of economic and social development.
    1. Wright N.C., Looker A.C., Saag K.G., Curtis J.R., Delzell E.S., Randall S. The recent prevalence of osteoporosis and low bone mass in the United States based on bone mineral density at the femoral neck or lumbar spine. J Bone Miner Res. 2014;29:2520–2526. - PMC - PubMed
    1. Lin Y.C., Pan W.H. Bone mineral density in adults in Taiwan: results of the nutrition and health survey in Taiwan 2005–2008 (NAHSIT 2005–2008) Asia Pac J Clin Nutr. 2011;20:283–291. - PubMed
    1. Soong Y.K., Tsai K.S., Huang H.Y., Yang R.S., Chen J.F., Wu P.C. Risk of refracture associated with compliance and persistence with bisphosphonate therapy in Taiwan. Osteoporos Int. 2013;24:511–521. - PubMed
    1. Chang S.F., Hong C.M., Yang R.S. Global computer-assisted appraisal of osteoporosis risk in Asian women: an innovative study. J Clin Nurs. 2011;20:1357–1364. - PubMed