Age- and gender-specific rate of fractures in Australia : a population-based study

Sanders, K. M., Seeman, E., Ugoni, A. M., Pasco, J. A., Martin, T. J., Skoric, B., Nicholson, G. C. and Kotowicz, M. A. 1999, Age- and gender-specific rate of fractures in Australia : a population-based study, Osteoporosis International, vol. 10, no. 3, pp. 240-247, doi: 10.1007/s001980050222.

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Title Age- and gender-specific rate of fractures in Australia : a population-based study
Author(s) Sanders, K. M.
Seeman, E.
Ugoni, A. M.
Pasco, J. A.ORCID iD for Pasco, J. A.
Martin, T. J.
Skoric, B.
Nicholson, G. C.
Kotowicz, M. A.ORCID iD for Kotowicz, M. A.
Journal name Osteoporosis International
Volume number 10
Issue number 3
Start page 240
End page 247
Total pages 8
Publisher Springer U. K.
Place of publication Surrey, England
Publication date 1999
ISSN 0937-941X
Keyword(s) age-related
fracture rate
Summary There is little population-based data concerning fracture rates in Australia. We ascertained all fractures occurring during 2 years in adults aged 35 years and over residing within a defined region (population 218 000), representative of the Australian population. The major strength of this study is the comprehensive ascertainment of fractures, which was ensured by regular searches of the only two radiologic providers in the Geelong Osteoporosis Study region. Nevertheless, vertebral fractures are likely to be underestimated since our ascertainment relied on a clinical indication for a medical imaging procedure. Among those aged 35 – 55 years, the fracture rate (persons per 10 000/year) in men was about double the rate in women (65 vs 35). The fracture rate was almost 7 times higher in women over 60 years versus women less than 55 years of age. In contrast, the fracture rate in men over 60 years was only 50% higher than in men less than 55 years of age (72 vs 104). Fracture rates in women and men were highest at the hip (28 and 10 respectively), spine (21 and 7), distal forearm (Colles’) (18 and 4) and humerus (11 and 3), and were 3–4 times higher in women than men. These fractures accounted for 63% of all fractures in women and 32% in men. By contrast, the rate of lower leg and ankle fractures was less than 10 per 10 000 in both women and men and did not increase to the same extent with age. Hip fracture rates appear high, particularly among the older age strata, compared with retrospective ascertainment in other populations. In Australia, as in many other countries, there is an increasing longevity of the population. The number of women aged 90 years and over increased by 32% and the number of men of this age increased by 48% in the 5 years between the Australian national census of 1991 and 1996. Given stable fracture rates, the substantial health burden imposed by age-related fractures, particularly hip fractures, will continue to escalate in both women and men.
Language eng
DOI 10.1007/s001980050222
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©1999, International Osteoporosis Foundation and National Osteoporosis Foundation
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