Professor of Orthopaedic Trauma, University of Edinburgh, UK.
Scott Med J. 2014 Feb;59(1):30-4. doi: 10.1177/0036933013518148. Epub 2014 Jan 14.
Fracture epidemiology in adults is changing but there is very little information about the rate of change or whether the change affects males and females equally.
We have compared fracture incidence in two similar populations 50-60 years apart. A study of fractures in Dundee, Scotland and Oxford, England, in 1954-1958, was compared with a similar cohort of fractures in Edinburgh, Scotland, in 2010-2011. Fracture incidence in patients >35 years was recorded in both time periods.
The incidence of fractures increased by 50% between the two time periods, although the increase in males was only 5% compared with 85% in females. The spectrum of fractures has changed considerably, and there has been an increase in the incidence of both fragility and non-fragility fractures. Analysis showed an increased incidence of fall-related fractures in all age groups in both males and females.
There has been a substantial change in the incidence of fractures in the last 50-60 years. These have been caused by greater longevity and by considerable social and economic changes.
成年人骨折流行病学正在发生变化，但关于变化的速度以及这种变化是否对男性和女性产生同等影响的信息却非常有限。
我们比较了相隔 50-60 年的两个类似人群的骨折发生率。1954-1958 年在苏格兰邓迪和英格兰牛津进行的一项骨折研究与 2010-2011 年在苏格兰爱丁堡的类似骨折队列进行了比较。在这两个时期，均记录了>35 岁患者的骨折发生率。
与前一时期相比，两个时期的骨折发生率增加了 50%，但男性的增幅仅为 5%，而女性的增幅为 85%。骨折类型已经发生了很大的变化，脆性骨折和非脆性骨折的发生率都有所增加。分析显示，男性和女性所有年龄段的跌倒相关骨折发生率都有所增加。
在过去的 50-60 年中，骨折的发生率发生了很大的变化。这些变化是由于寿命延长以及社会和经济的重大变化所导致的。
