Age-Related Bone Mineral Density, Bone Loss Rate, Prevalence of Osteoporosis, and Reference Database of Women at Multiple Centers in China

Cheng, Xiaoguang; Yang, Dingzhuo; Zhou, Qi; Zhuo, Tiejun; Huachou, Zhang; Jing, Xiang; Wang, Hong-Fu; Ou, Ping-Zhong; Liu, Jianli; Xu, Li; Gongyi, Huang; Huang, Qiren; Barden, Howard S.; Weynand, L.S.; Faulkner, K. G.; Meng, Xunwu

doi:10.1016/j.jocd.2007.05.004

Cited by 71 publications

(75 citation statements)

References 20 publications

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“…For example, a comparison of DXA data from studies in China and elsewhere demonstrated that the peak bone mass of the Chinese was 5-15% lower than that of Caucasians [42]. It has argued that lower BMD cut points should be used in China [10,11,16]. For example, patients with cumulative bone loss of more than 25% of the mean value of a young adult of the same sex in China are diagnosed as having osteoporosis, as per Chinese criteria [11].…”

Section: Discussionmentioning

confidence: 99%

“…For example, based on reported census data, the prevalence increased slightly from 6.6% in 1994 to 7.0% in 2000 [9,10]. Two nationwide surveys reported that the prevalence in middle-aged women increased from 19.9% in 1997-1999 to 31.0% in the early 2000s, although which might also be due to their different osteoporosis diagnosis criteria (peak BMD and SD 1.14±0.119 vs 0.996 ±0.151 were used) [7,11]. The mean t score of the 50-to 59-year group in Cheng's study was 44% lower than that of Li's study (−1.255 vs. −0.702), while percentage difference of the 50-to 59-year group in Cheng's study was only 19% lower than that of Li's study (−13.102 versus −10.643).…”

Section: Time Trends In the Prevalence Of Osteoporosismentioning

confidence: 99%

“…A [9,10]. The prevalence of osteoporosis in middle-age women data were based on two other nationwide studies [7,11]. One is a 1997-1999 survey that included 3,070 women aged 40-97 years from five major cities and provinces throughout China, namely, Jilin, Sichuan, Shanghai, Beijing, Guangzhou [7]; the other is a survey of six cities (Beijing, Shanghai, Guangzhou, Chengdu, Nanjing, and Jiaxing), which surveyed 8,142 women aged 20-89 years old [11].…”

Section: The Prevalence Of Osteoporosis In Taiwanmentioning

confidence: 99%

“…The prevalence of osteoporosis based on BMD in the spine was consistently the highest among different bone sites across all these six studies [7,11,14,16,19,24].…”

Section: Bone Sitesmentioning

confidence: 99%

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Osteoporosis in China

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Section: Time Trends In the Prevalence Of Osteoporosismentioning

confidence: 99%

Section: The Prevalence Of Osteoporosis In Taiwanmentioning

confidence: 99%

“…The prevalence of osteoporosis based on BMD in the spine was consistently the highest among different bone sites across all these six studies [7,11,14,16,19,24].…”

Section: Bone Sitesmentioning

confidence: 99%

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Osteoporosis in China

et al. 2009

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“…Elderly women are vulnerable to experience striking increases in bone resorption and rapid decreases in bone mass. The rate of cumulative bone loss during menopause is 32% in the lumbar spine and 30% to 35% in the femoral neck in Chinese women [1]. A recent report showed that the prevalence of osteoporosis in postmenopausal women in Shanghai was 29.3% in the spine, 18.3% in the total hip, and 14.9% in the femoral neck [2].…”

Section: Introductionmentioning

confidence: 99%

Bone mineral density in postmenopausal Chinese women treated with calcium fortification in soymilk and cow's milk

et al. 2012

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Prevalence of Osteoporosis and Fracture in China

et al. 2021

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IMPORTANCE The aging of the population is associated with an increasing burden of fractures worldwide. However, the epidemiological features of fractures in mainland China are not well known. OBJECTIVE To assess the prevalence of and factors associated with osteoporosis, clinical fractures, and vertebral fractures in an adult population 40 years or older in mainland China. DESIGN, SETTING. AND PARTICIPANTS This cross-sectional study, the China Osteoporosis Prevalence Study, was conducted from December 2017 to August 2018. A random sample of individuals aged 20 years or older who represented urban and rural areas of China were enrolled, with a 99% participation rate. MAIN OUTCOMES AND MEASURES Weighted prevalence of osteoporosis, clinical fracture, and vertebral fracture by age, sex, and urban vs rural residence as determined by x-ray absorptiometry, questionnaire, and radiography. RESULTS A total of 20 416 participants were included in this study; 20 164 (98.8%; 11 443 women [56.7%]; mean [SD] age, 53 [13] years) had a qualified x-ray absorptiometry image and completed the questionnaire, and 8423 of 8800 (95.7%) had a qualified spine radiograph. The prevalence of osteoporosis among those aged 40 years or older was 5.0% (95% CI, 4.2%-5.8%) among men and 20.6% (95% CI, 19.3%-22.0%) among women. The prevalence of vertebral fracture was 10.5% (95% CI, 9.0%-12.0%) among men and 9.7% (95% CI, 8.2%-11.1%) among women. The prevalence of clinical fracture in the past 5 years was 4.1% (95% CI, 3.3%-4.9%) among men and 4.2% (95% CI, 3.6%-4.7%) among women. Among men and women, 0.3% (95% CI, 0.0%-0.7%) and 1.4% (95% CI, 0.8%-2.0%), respectively, with osteoporosis diagnosed on the basis of bone mineral density or with fracture were receiving antiosteoporosis treatment to prevent fracture. CONCLUSIONS AND RELEVANCEIn this cross-sectional study of an adult population in mainland China, the prevalence of osteoporosis and vertebral fracture were high and the prevalence of vertebral fracture and clinical fracture was similarly high in men and women. These findings suggest that current guidelines for screening and treatment of fractures among patients in China should focus equally on men and women and should emphasize the prevention of vertebral fractures.

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Age-Related Bone Mineral Density, Bone Loss Rate, Prevalence of Osteoporosis, and Reference Database of Women at Multiple Centers in China

Cited by 71 publications

References 20 publications

Osteoporosis in China

Osteoporosis in China

Bone mineral density in postmenopausal Chinese women treated with calcium fortification in soymilk and cow's milk

Prevalence of Osteoporosis and Fracture in China

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