Burden of osteoporotic fractures increases dramatically in the Middle East and Africa
A new audit report issued today by the International Osteoporosis Foundation (IOF) shows that osteoporosis is a serious and growing problem throughout the Middle East and parts of Africa.
Gathering data from 17 countries in the region as well as Turkey, 'The Middle East & Africa Regional Audit' is a landmark report examining epidemiology, costs and burden in individual countries as well as collectively across the region. The report was launched at the close of the 1st Middle East and Africa Osteoporosis Meeting, with a statement by Abdullah bin Sougat, Secretary of State for the office of His Highness Sheikh Hamdan Bin Rashid Al Maktoum, Deputy Ruler of Dubai.
A major increase in fractures is predicted for the region as a whole. In the Middle East, a predicted demographic explosion in the number of people over the age of 50 will take place in the coming decades. By 2020 it is expected that 25% of the population will be over the age of 50 and by 2050 this will rise to 40%. In Lebanon, Jordan, and Syria, this means that the number of hip fractures is projected to quadruple by 2050.
An alarming finding from the report shows that solid epidemiological research on osteoporosis and fracture incidence, and related relevant outcomes, is scarce at best. The Lead Author of the report, Professor Ghada El-Hajj Fuleihan, Director of the Calcium Metabolism and Osteoporosis Program, and WHO Collaborating Center for Metabolic Bone Disorders, at the American University of Beirut, commented, "This report reveals that a great research gap needs to be filled. Published data on incidence rates for hip fractures are only available for Iran, Kuwait, Saudi Arabia, Lebanon, Morocco and Turkey. Furthermore, access to densitometry and care was limited in many countries, and reimbursement for diagnostics and therapeutics varied widely". One of the primary recommendations of this report is the need for more research to gather the necessary evidence that would aid health authorities to develop comprehensive healthcare policies at all levels.
Due to economic development, non-communicable diseases have become the leading cause of mortality and morbidity in the region, yet osteoporosis has been identified as a national health priority in only three countries in this report and national osteoporosis treatment guidelines are available in only five countries.
As well DXA technology, considered the gold standard for measurement of bone mineral density, is not widely available or available only in urban centres in many cases. Furthermore, the level of awareness of osteoporosis among primary healthcare professionals is estimated as poor to medium in many countries. Education and lifestyle prevention programmes for the general public, measures which could help stem the rising tide of fractures in the coming decades, are also seriously lacking.
Widespread vitamin D deficiency and low calcium intake may be in part responsible for the alarming increase in osteoporosis. The prevalence of hypovitaminosis D is one of the highest in the world, and has been estimated to range between 50-90% in many countries and across all age groups, despite ample sunshine in the region.
Dr. med Gemma Adib, first author of the report and General Secretary of the Pan Arab Osteoporosis Society, stated "Vitamin D is an essential component of bone health and a relatively inexpensive way to decrease fracture risk. It is essential that the region develops vitamin D supplementation strategies based on local data for at-risk groups."
For the individual, fragility fractures result in great suffering, disability as well as loss of productivity and quality of life. Fractures also represent an enormous burden for healthcare systems. Older people who suffer hip fractures are often faced with long-term disability that results in loss of independence and higher risk of death. Mortality rates after hip fracture may be higher in the Middle East and Africa than those reported from Western populations. While such rates vary between 25-35% in Western populations, preliminary studies have shown that these rates may be as high as 2-2.5 fold higher in certain populations within this region.
IOF President Professor John A. Kanis spoke at the launch of the Audit and commented, "Despite the severity of the problem, osteoporosis is being dangerously ignored as it competes with other diseases for scarce healthcare resources and recognition. Notwithstanding the burden of fragility fractures, osteoporosis remains greatly under diagnosed and under treated, and both health professional training and public awareness is sub optimal in most countries in the region. The result is premature death for many hip fracture sufferers, immense personal suffering, lost productivity and long-term dependence on family members."
The International Osteoporosis Foundation joins local osteoporosis societies throughout the region to urge immediate government action to help prevent the rising tide of fractures and their profound socio-economic impact on millions of people and communities throughout the Middle-East and Africa.
Provided by International Osteoporosis Foundation
- New report shows rising tide of fractures in Asia Sep 22, 2009 | not rated yet | 0
- High death and disability rates due to fractures in Russia, Central Asia and Eastern Europe Sep 27, 2010 | not rated yet | 0
- Changing trends in hip fracture incidence around the world Apr 12, 2011 | not rated yet | 0
- New study quantifies total costs of fragility fractures in 6 major European countries Mar 24, 2011 | not rated yet | 0
- Study finds international variations in quality of life loss after fracture Mar 24, 2011 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Classical and Quantum Mechanics via Lie algebras
Apr 15, 2011 I'd like to open a discussion thread for version 2 of the draft of my book ''Classical and Quantum Mechanics via Lie algebras'', available online at http://lanl.arxiv.org/abs/0810.1019 , and for the...
- More from Physics Forums - Independent Research
More news stories
More than a decade ago, British parents refused to give measles shots to at least a million children because of a vaccine scare that raised the specter of autism. Now, health officials are scrambling to catch ...
Diseases, Conditions, Syndromes 51 minutes ago | not rated yet | 0
Touted for safety, ease and patient convenience, peripherally inserted central catheters have become many clinicians' go-to for IV delivery of antibiotics, nutrition, chemotherapy, and other medications.
Diseases, Conditions, Syndromes 4 hours ago | not rated yet | 0
Gourmands and foodies everywhere have long recognized ginger as a great way to add a little peppery zing to both sweet and savory dishes; now, a study from researchers at Columbia University shows purified components of the ...
Diseases, Conditions, Syndromes 16 hours ago | 5 / 5 (1) | 0
There are significant cost and risk factors associated with two procedures commonly used to diagnose or treat gastrointestinal problems, according to research presented at Digestive Disease Week (DDW).
Diseases, Conditions, Syndromes May 19, 2013 | not rated yet | 0
Regular consumption of coffee is associated with a reduced risk of primary sclerosing cholangitis (PSC), an autoimmune liver disease, Mayo Clinic research shows. The findings were being presented at the Digestive Disease ...
Diseases, Conditions, Syndromes May 19, 2013 | not rated yet | 0 |
Melbourne researchers have identified an immune protein that has the potential to stop or reverse the development of type 1 diabetes in its early stages, before insulin-producing cells have been destroyed.
42 minutes ago | not rated yet | 0 |
(AP)—Former Navy Secretary Richard J. Danzig, who has served as a bio-warfare adviser to the president, the Pentagon, and the Department of Homeland Security, urged the government to stockpile an anti-anthrax drug while ...
2 hours ago | 5 / 5 (1) | 0
Optimal treatment of sleep apnea in patients with prediabetes improves blood sugar (glucose) levels and thus can reduce cardiometabolic risk, according to a study to be presented at the ATS 2013 International Conference in ...
3 hours ago | not rated yet | 0 |
Whole-cell pertussis vaccines were more effective at protecting against pertussis than acellular pertussis vaccines during a large recent outbreak, according to a new Kaiser Permanente study published in Pediatrics.
4 hours ago | not rated yet | 0 |
A novel study reports that white men and women of European descent inherit common foot disorders, such as bunions (hallux valgus) and lesser toe deformities, including hammer or claw toe. Findings from the Framingham Foot ...
4 hours ago | not rated yet | 0 |
(AP)—Sunbathers this summer will find new sunscreen labels that are designed to make the products more effective and easier to use.
2 hours ago | not rated yet | 0