Health Science Program, College of Medicine, University of Saskatchewan, Saskatoon, Canada.
Collaborative Program in Biostatistics, University of Saskatchewan, Saskatoon, Canada.
Arch Osteoporos. 2024 Nov 8;19(1):111. doi: 10.1007/s11657-024-01466-4.
In South Korea, osteoporosis incidence among the elderly was unclear. Our study revealed an incidence of 18.4 per 1000 person-years, with higher rates in females and those with lower education. The findings indicate a need for targeted prevention strategies to guide health policy for improved osteoporosis care for the elderly.
Although osteoporosis significantly affects morbidity and mortality among the older population in South Korea, the incidence of osteoporosis and its associated factors within this demographic group remains unclear.
We analyzed data from the Korean National Health Panel Survey, a nationally representative, population-based panel survey covering 2008 to 2018, to compute the incidence of osteoporosis among South Koreans aged 50 and older. Using the stepwise Cox Proportional Hazard model, we then identified and determined the associated factors of osteoporosis.
Out of the 7304 study participants in our analysis, we identified 792 osteoporosis events, resulting in an overall cumulative incidence rate of 18.4 per 1000 person-years. The incidence of osteoporosis increased steadily with age and was higher among those with lower levels of education. We also found that female study participants were at a statistically significant 7.2-fold higher risk (aHR = 7.2, 95% CI = 5.8-8.8) of developing osteoporosis compared to males. At the same time, those with hyperlipidemia had a statistically significant 1.3-fold increased risk (aHR = 1.3, 95% CI = 1.1-1.4) of developing osteoporosis.
Our study highlights a significant proportion of the older South Korean population developed osteoporosis, especially among those who are older, females, and who have hyperlipidemia. This indicates the pressing need for the government's and healthcare systems' consideration of osteoporosis diagnosis and prevention strategies to ensure the health and well-being of the older South Korean population.
在韩国，老年人骨质疏松症的发病率尚不清楚。我们的研究显示，发病率为每 1000 人年 18.4 例，女性和受教育程度较低者发病率较高。这些发现表明，需要制定有针对性的预防策略，为改善老年人骨质疏松症护理提供指导，以制定卫生政策。
尽管骨质疏松症在韩国老年人群中显著影响发病率和死亡率，但该人群中骨质疏松症的发病率及其相关因素仍不清楚。
我们分析了 2008 年至 2018 年全国代表性的基于人群的韩国国家健康面板调查的数据，以计算韩国 50 岁及以上人群骨质疏松症的发病率。使用逐步 Cox 比例风险模型，我们确定并确定了骨质疏松症的相关因素。
在我们的分析中，7304 名研究参与者中有 792 名发生骨质疏松症事件，总累积发病率为每 1000 人年 18.4 例。骨质疏松症的发病率随年龄稳步上升，受教育程度较低者发病率较高。我们还发现，与男性相比，女性研究参与者患骨质疏松症的风险显著增加 7.2 倍（aHR=7.2，95%CI=5.8-8.8）。同时，高脂血症患者患骨质疏松症的风险增加了统计学意义上的 1.3 倍（aHR=1.3，95%CI=1.1-1.4）。
我们的研究强调了相当一部分韩国老年人患有骨质疏松症，尤其是年龄较大、女性和患有高脂血症的老年人。这表明政府和医疗保健系统迫切需要考虑骨质疏松症的诊断和预防策略，以确保韩国老年人的健康和福祉。
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