Dorner Thomas, Weichselbaum Elisabeth, Lawrence Kitty, Viktoria Stein K, Rieder Anita
Centre for Public Health, Institute of Social Medicine, Medical University of Vienna, Vienna, Austria.
Wien Med Wochenschr. 2009 May;159(9-10):221-9. doi: 10.1007/s10354-009-0649-9.
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.
首份奥地利骨质疏松症报告旨在为骨质疏松症的发病机制、诊断、治疗及康复创建一份全面的参考文件。此外，其目的还在于呈现奥地利骨质疏松症的程度、严重性及相关并发症。根据当前国际患病率估算，奥地利50岁以上人群中约有74万人受骨质疏松症影响，其中约61.7万为女性。对医院出院统计数据的一项专项分析显示，2005年，以骨质疏松症为主诊断从奥地利医院出院的男性有1382人，女性有8080人。另外，还有9711例男性病例和54840例女性病例被记录为以骨质疏松症作为次要诊断。在奥地利，每年约有16500人发生髋部骨折。因此，在65岁以上人群中，奥地利的骨折发生率为每10000名居民每年19.7例骨折，处于欧洲的高发水平。在奥地利，股骨骨折患者的医院死亡率男性为3.8%，女性为3.2%。健康的生活方式能够对每个人的骨骼健康产生积极影响；然而，骨质疏松症报告显示奥地利人群在生活方式风险因素方面存在不足。奥地利成年女性以及老年男性和女性的平均钙摄入量均低于推荐量，只有成年男性的摄入量接近推荐量。奥地利的维生素D平均摄入量很低，尤其是在学龄前儿童和老年人中。报告经常进行体育锻炼的奥地利人的比例有待提高，尤其是在老年人当中。奥地利骨质疏松症报告中呈现的数据有助于制定公共卫生策略和方法，以帮助解决其中一些问题，并最终促进该国骨骼健康状况的改善。
