Shuler Franklin D, Conjeski Jacob
Joan C Edwards School of Medicine, Marshall University, Huntington, USA.
W V Med J. 2011 Sep-Oct;107(5):12-7.
This article highlights the expanding burden of osteoporosis in West Virginia. WV ranks second nationally in the percentage of its population that is > or = 65 years of age. Our older population increases the risk of osteoporosis and fracture; the most recent data indicates that 77% of our women age 50 and older have osteoporosis or low bone mass. The lifetime risk of osteoporotic related fracture is alarming and occurs in 50% of females and 25% of males age 50 and older. The risk of osteoporosis related hip fracture in women is equal to the combined risk of breast, uterine or ovarian cancer with the annual risk of osteoporotic fracture greater than the combined risk of breast cancer, stroke and heart attack. Detecting individuals at risk for fracture has been aided by an internationally validated fracture prediction tool from the World Health Organization -- FRAX. The FRAX tool can be incorporated into protocols to help minimize barriers to effective osteoporosis screening and treatment in WV.
本文强调了西弗吉尼亚州骨质疏松症负担不断加重的情况。在65岁及以上人口占比方面，西弗吉尼亚州在全国排名第二。该州老年人口增加了患骨质疏松症和骨折的风险；最新数据显示，该州50岁及以上女性中有77%患有骨质疏松症或骨量低。50岁及以上女性发生骨质疏松症相关骨折的终生风险令人担忧，发生率为50%，男性为25%。女性发生骨质疏松症相关髋部骨折的风险等同于患乳腺癌、子宫癌或卵巢癌的综合风险，而骨质疏松性骨折的年风险高于患乳腺癌、中风和心脏病发作的综合风险。世界卫生组织的一种经过国际验证的骨折预测工具——FRAX，有助于发现有骨折风险的个体。FRAX工具可纳入相关方案，以帮助减少西弗吉尼亚州有效进行骨质疏松症筛查和治疗的障碍。
