Medindia
Advertisement

Aging Population Could Lead to Spike in Hip Fractures in Hong Kong

by Kathy Jones on December 12, 2013 at 11:10 PM
Font : A-A+

 Aging Population Could Lead to Spike in Hip Fractures in Hong Kong

A rapidly ageing population could lead to Hong Kong becoming one of the areas in the Asia-Pacific that will be most affected by broken bones due to osteoporosis, a new report issued today by the International Osteoporosis Foundation (IOF) reveals.

Hip fractures in particular will have a major and costly socio-economic impact. Currently, 52 million USD is spent annually in Hong Kong for surgery and hospital care. Around one in four people die within a year of breaking their hip and survivors often experience severe disability which leads to the loss of physical independence; approximately 33% of hip fracture sufferers are totally dependent on caregivers or in a nursing home in the year following the fracture.

Advertisement

From 2009 to 2015 alone the number of hip fracture surgeries will have risen by 70%. This trend will be magnified by the rise in the population aged over 70 years; by 2025 there will be a 57% increase with a further 165% increase by 2050.

In addition to hip fractures, Hong Kong will see a rise in other osteoporosis-related fractures, including vertebral (spinal) fractures. These spinal fractures often result in a 'humped back' over time, and, like wrist fractures, often affect adults in their 50s and 60's. As well as having an impact on the productivity and well-being of older adults who could still contribute to the work force, vertebral fractures are often warning signs of more fractures to come. Half of all hip fracture sufferers will have already suffered a previous fragility fracture.
Advertisement

Dr Andrew Ho, President, Osteoporosis Society of Hong Kong, stated, "Osteoporosis has been a major public health problem in Hong Kong but this disease has not received due attention from the policy makers as compared to other chronic diseases like diabetes, hypertension, cardiac or cerebrovascular diseases and dementia. Currently there are about 4,500 hip fractures per year, yet despite the considerable case load, osteoporosis or geriatric hip fracture has not been listed among the top 10 priority diseases in the annual plan of the Hospital Authority of Hong Kong".

Osteoporosis remains largely under-diagnosed and under-treated and many barriers exist. Unlike in Singapore, Hong Kong has few Fracture Liaison Services in its hospitals and clinics to help identify high-risk patients. A primary concern is that the waiting time of DXA (diagnostic scans) in public hospitals can be up to 2-3 years and treatment is only provided after a patient suffers a first fracture.

"In Hong Kong, osteoporosis is not recognized as a medical specialty in itself, nor is it a recognized core component of medical training. This may be one reason why doctors underestimate the serious impact of osteoporosis and do not routinely prescribe anti-osteoporosis drugs, and calcium and vitamin D to those at high risk of fractures", continued Dr Ho.

The report also highlights that in addition to government action, the Hong Kong people can take responsibility for their own bone health through making better lifestyle choices. Prevention efforts should include more outdoor exercise as the population currently dedicates an average of only one hour per week to such activity. This is detrimental to bone and muscle health and leads to increased risk of vitamin D insufficiency, which is also high in Hong Kong with one study finding insufficiency in as many as 62% of Chinese adults aged 50 and over. Calcium intake - another nutrient that benefits bone health - remains low with an average intake of only approximately 400 mg/day, far below recommended levels.

Professor John A. Kanis, President, IOF stated, "IOF joins the Osteoporosis Society of Hong Kong to urge health authorities to include osteoporosis and fragility fracture prevention in their strategic planning and to give priority status to this devastating and costly disease".

Recommendations include:

1. Include osteoporosis among the top 10 health priorities.
2. Set up structured and joint Fracture Liaison Services/clinics in major hospitals to systematically identify and offer treatment to patients with osteoporotic fractures to prevent secondary fractures.
3. Extend the treatment reimbursement criteria so that patients who have osteoporosis or are identified to be at high risk can start to receive treatment for free - before they suffer a fracture.
4. Provide adequate DXA service for those at risk.
5. Devote additional resources to developing specialty education in osteoporosis for physicians.



Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Gonorrhea
World Alzheimer's Day 2021 - 'Know Dementia, Know Alzheimer's
'Hybrid Immunity' may Help Elude COVID-19 Pandemic
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Fracture of Knee Cap Waist to Hip Ratio Ageing and Sleep Hip Replacement Fracture Neck of Femur Telomere Shortening And Ageing Scaphoid Fracture of The Wrist Stress Fracture Wrist Sprain Tibia (Shinbone) Shaft Fractures 

Recommended Reading
Lifestyle And Osteoporosis
Encyclopedia section of medindia briefly explains about Lifestyle and Osteoporosis...
Osteoporosis
Osteoporosis is a bone disease that leads to an increased risk of fractures. The bone mass is ......
Screening for Osteoporosis
The risk of suffering from osteoporotic fractures is 30-50% in women and 15 to 30% in men. ......
Ageing and Sleep
Sleep is a barometer of good health in the elderly. Sleep problems in the elderly are controlled by ...
Fracture of Knee Cap
Patella fracture is a kneecap injury that needs surgical correction. Undisplaced fracture can be hea...
Hip replacement
Are you experiencing pain due to damaged hips? Travel abroad to get replacement surgery at affordab...
Scaphoid Fracture of The Wrist
The scaphoid is a small wrist bone. Scaphoid bone fractures usually occur when a person falls heavil...
Stress Fracture
Stress fractures are small fractures which often occur in the weight bearing bones of the lower leg ...
Telomere Shortening And Ageing
Telomeres are cap- like structures at chromosome ends that play an important role in ageing and in t...
Tibia (Shinbone) Shaft Fractures
A tibial shaft fracture is an injury that occurs to the tibia, which is one of the long bones of the...
Wrist Sprain
A wrist sprain is an injury to a ligament in the wrist. It may be mild, moderate or severe, dependin...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use