High prevalence of osteoporosis and incidence of osteoporotic fracture in Chinese adults: A cross-sectional population-based study

Osteoporosis and consequent fractures have a considerable adverse impact on the health-related quality of life. Furthermore, osteoporotic fractures increase the mortality. In China, the prevalence of osteoporosis may have changed and the incidence of osteoporotic fractures is not clear. Furthermore, the treatment rate is blank. One community-based cross-sectional study was conducted in Beijing of China in 2010.The diagnosis data was obtained from the medical record. The individuals information was obtained from face to face interview. 3,860 participants completed the study. The crude prevalence of osteoporosis was 11.63% (95% CI: 10.62–12.65%) and the adjusted prevalence was 8.93% (95% CI: 7.59-10.28%). Differences among regions were significant (9.99%, 10.16%, and 14.77%) (χ²=18.097, P<0.001 ). The female had higher prevalence (13.20%) than the male(9.89%)(χ²=10.237, P=0.001). Prevalence increased with increasing age both in the male and female. The total incidence of osteoporotic fracture was 13.07%. Among three regions, the osteoporotic fracture incidence was 23.14%, 7.75% and 10.22% (P<0.001). Patients no less than 60 years had higher incidence (17.70%) than less than 60 years group (8.85%) (P=0.006).The incidence of op fracture between women and men was almost the same (P=0.846) .The total treatment rate of osteoporosis was 46.97%. Among three regions, the percent in rural areas was the highest, and suburb county was the lowest (P=0.030).The prevalence of osteoporosis in Beijing was high and more patients existed. The prevalence among men was relatively high. The treatment rate was low and the fracture rate was high. There are more osteoporosis patients need health care service and sufficient attention be paid to males. It is necessary to carry out the prevention and intervention policy to prevent osteoporosis and osteoporotic fractures.