Osteoporoseprävalenz und assoziierte Versorgungsmuster bei Frauen im Alter ab 45 Jahren in Deutschland

Abstract

The prevalence of osteoporosis and associated factors were assessed among women 45 years and older as part of the first nationwide German Telephone Health Survey (GSTel03). A total of 14.2% of women reported that a doctor had ever diagnosed them with osteoporosis. Among these about, 15% also reported a physician-diagnosed fragility fracture, the fracture question was restricted to the subgroup of women with osteoporosis. Point estimates of overall osteoporosis prevalence increased significantly across 10-year age bands from 4% in the lowest to 30% in the highest age group. There was no significant association of osteoporosis with socioeconomic status or residence in former East vs West Germany; however, osteoporosis was significantly overrepresented among women with a migration background in comparison to women born in Germany (age-adjusted odds ratio: 1.68; 95% CI: 1.07-2.63). In age-adjusted logistic regression models, osteoporosis was significantly related to physician-diagnosed arthritis or rheumatoid arthritis, significant stature loss (>5 cm) compared to height at age 25 years, postmenopausal hormone therapy, lower ratings of subjective health as well as increased utilization of health care services. No significant association was observed with body mass index computed from self-reported height and weight. In conclusion, despite methodological limitations, these population-based, representative data support the observation that osteoporosis is a prevalent and serious health problem among older women and reflect the considerable variability with regard to diagnosis and management of this condition. Studies evaluating quality of care as well as monitoring of disease endpoints and risk factors based on representative samples of the population are needed.

Prävalenz ausgewählter muskuloskelettaler Erkrankungen

“…Bevölkerungsrepräsentative Daten zur gegenwärtigen Verbreitung von MSKE in Deutschland sind größtenteils krankheitsspezifisch und stützen sich meist auf kleinräumige Datenerhebungen oder Diagnose-und andere Routinedaten [7,8,9,10,11,12,13,14,15,16,17]. Zu den MSKE zählen sowohl degenerative Gelenkerkrankungen (z.…”

Austrian osteoporosis report: epidemiology, lifestyle factors, public health strategies

“…Of these just short of 22% were treated with osteoporosis medication [7]. themenschwerpunkt In a German telephone survey the prevalence of osteoporosis amongst women over 45 years was determined to be 14.2%, of these 15.0% reported having suffered osteoporotic fractures [8].…”

Fracture Risk and Risk Factors for Osteoporosis

“…Age-related diseases, such as osteoporosis, will therefore gain in importance (2). Because of the enormous relevance of osteoporosis for the individual and the substantial costs to the healthcare system (2), epidemiological osteoporosis research is of essential importance (2)(3)(4)(5). To date, however, only few studies have reported data on the prevalence and risk factors for osteoporosis in Germany (3)(4)(5).…”

“…Because of the enormous relevance of osteoporosis for the individual and the substantial costs to the healthcare system (2), epidemiological osteoporosis research is of essential importance (2)(3)(4)(5). To date, however, only few studies have reported data on the prevalence and risk factors for osteoporosis in Germany (3)(4)(5). At the same time, such investigations (3)(4)(5) are often limited in terms of the selection of study subjects.…”

“…To date, however, only few studies have reported data on the prevalence and risk factors for osteoporosis in Germany (3)(4)(5). At the same time, such investigations (3)(4)(5) are often limited in terms of the selection of study subjects. For example, studies to date have included only information on women from the 45 th year of life (5), men and women from the 50 th year of life (4), or members of an insurance scheme from the 50 th year of life (3).…”