J Korean Med Assoc.  2016 Nov;59(11):836-841. 10.5124/jkma.2016.59.11.836.

Epidemiology of osteoporosis in Korea

Affiliations
  • 1Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea. hayongch@naver.com

Abstract

The aging of the Korean population is expected to increase the prevalence of osteoporosis and related fractures. This study aimed to perform an intensive review of osteoporosis and related fractures in Korea during the last decade. Although direct comparison of the prevalence of osteoporosis reported in different studies is difficult, the prevalence of osteoporosis reported in the last decade has ranged from 6.1% in men and 24.3% in women to 13.1% in men and 35.5% in women in studies of Korean populations. According to reimbursement records from the National Health Insurance Servicesdatabase in 2012, the incidence and mortality of osteoporotic fracture including in the spine, hip, distal radius, and proximal humerus are 655.4/100,000 and 7.0%, 171.3/100,000 and 16%, 474.1/100,000 and 1.7%, and 90.9/100,000 and 7.0%, respectively. The numbers and incidence of hip and spine fracture were trending upward during the study period. However, mortality from osteoporotic fractures was steady or trended downward. Gender-specific assessment showed that although the incidence of osteoporotic fracture in men is less than in women, the mortality of men after osteoporotic fracture ranged from 1.4- to 2.2- fold that of women. Our review of epidemiologic studies regarding osteoporosis and related fractures demonstrated that Korea is a country with increasing trends of osteoporosis and related fractures. Therefore, a public health strategy for treating osteoporosis and preventing osteoporotic fracture is mandatory.

Keyword

Osteoporosis; Osteoporotic fractures; Incidence; Mortality; Korea

MeSH Terms

Aging
Epidemiologic Studies
Epidemiology*
Female
Hip
Humans
Humerus
Incidence
Korea*
Male
Mortality
Multiple Endocrine Neoplasia Type 1
National Health Programs
Osteoporosis*
Osteoporotic Fractures
Prevalence
Public Health
Radius
Spine

Cited by  2 articles

Age-related Reference Intervals for Total Collagen-I-N-terminal Propeptide in Healthy Korean Population
Jun-Il Yoo, Ae-Ja Park, Yong Kwan Lim, Oh Joo Kweon, Jee-Hye Choi, Jae Hyuk Do, Sunjoo Kim, Youngri Kim, Yong-Chan Ha
J Bone Metab. 2018;25(4):235-241.    doi: 10.11005/jbm.2018.25.4.235.

Vitamin D intake and bone mineral density in Korean adults: analysis of the 2009–2011 Korea National Health and Nutrition Examination Survey
Hyejin You, Hye Ran Shin, SuJin Song, Sun Yung Ly
Nutr Res Pract. 2022;16(6):775-788.    doi: 10.4162/nrp.2022.16.6.775.


Reference

1. NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy, March 7-29, 2000: highlights of the conference. South Med J. 2001; 94:569–573.
2. Korean Statistical Information Service [Internet]. Daejeon: Statistics Korea;2016. cited 2016 Oct 1. Available from: http://www.kosis.kr.
3. Choi HJ, Shin CS, Ha YC, Jang S, Jang S, Park C, Yoon HK, Lee SS. Burden of osteoporosis in adults in Korea: a national health insurance database study. J Bone Miner Metab. 2012; 30:54–58.
Article
4. Ha YC, Park YG, Nam KW, Kim SR. Trend in hip fracture incidence and mortality in Korea: a prospective cohort study from 2002 to 2011. J Korean Med Sci. 2015; 30:483–488.
Article
5. Park C, Jang S, Lee A, Kim HY, Lee YB, Kim TY, Ha YC. Incidence and mortality after proximal humerus fractures over 50 years of age in South Korea: national claim data from 2008 to 2012. J Bone Metab. 2015; 22:17–21.
Article
6. Ha YC, Kim TY, Lee A, Lee YK, Kim HY, Kim JH, Park CM, Jang S. Current trends and future projections of hip fracture in South Korea using nationwide claims data. Osteoporos Int. 2016; 27:2603–2609.
Article
7. Kim TY, Jang S, Park CM, Lee A, Lee YK, Kim HY, Cho EH, Ha YC. Trends of incidence, mortality, and future projection of spinal fractures in Korea using nationwide claims data. J Korean Med Sci. 2016; 31:801–805.
Article
8. Kwon GD, Jang S, Lee A, Park CM, Lee YK, Kim TY, Kim HY, Park EJ, Ha YC. Incidence and mortality after distal radius fractures in adults aged 50 years and older in Korea. J Korean Med Sci. 2016; 31:630–634.
Article
9. Choi YJ, Oh HJ, Kim DJ, Lee Y, Chung YS. The prevalence of osteoporosis in Korean adults aged 50 years or older and the higher diagnosis rates in women who were beneficiaries of a national screening program: the Korea National Health and Nutrition Examination Survey 2008-2009. J Bone Miner Res. 2012; 27:1879–1886.
Article
10. Shin A, Choi JY, Chung HW, Park SK, Shin CS, Choi YH, Cho SI, Kim DS, Kim DI, Lee KM, Lee KH, Yoo KY, Kang D. Prevalence and risk factors of distal radius and calcaneus bone mineral density in Korean population. Osteoporos Int. 2004; 15:639–644.
Article
11. Ha YC, Lee JS, An SH, Ham JR, Na JB, Kim JR, Kim BS, Kim SY. An epidemiological study of osteoporosis in IbansungMeon, Jinju, by using quantitative ultrasound. Korean J Bone Metab. 2005; 12:217–223.
12. Shin CS, Choi HJ, Kim MJ, Kim JT, Yu SH, Koo BK, Cho HY, Cho SW, Kim SW, Park YJ, Jang HC, Kim SY, Cho NH. Prevalence and risk factors of osteoporosis in Korea: a community-based cohort study with lumbar spine and hip bone mineral density. Bone. 2010; 47:378–387.
Article
13. Yi H, Ha YC, Lee YK, Lim YT. National healthcare budget impact analysis of the treatment for osteoporosis and fractures in Korea. J Bone Metab. 2013; 20:17–23.
Article
14. Cooper C, Campion G, Melton LJ 3rd. Hip fractures in the elderly: a world-wide projection. Osteoporos Int. 1992; 2:285–289.
Article
15. Abrahamsen B, van Staa T, Ariely R, Olson M, Cooper C. Excess mortality following hip fracture: a systematic epidemiological review. Osteoporos Int. 2009; 20:1633–1650.
Article
16. Yoo JH, Moon SH, Ha YC, Lee DY, Gong HS, Park SY, Yang KH. Osteoporotic fracture: 2015 position statement of the Korean Society for Bone and Mineral Research. J Bone Metab. 2015; 22:175–181.
Article
17. Park KS, Woo SH, Park WJ, Rowe SM, Yoon TR. Change in incidence of hip fracture in Gwangju city and Jeonnam province, Korea, over 20 years. Arch Osteoporos. 2015; 10:38.
18. Wright NC, Saag KG, Curtis JR, Smith WK, Kilgore ML, Morrisey MA, Yun H, Zhang J, Delzell ES. Recent trends in hip fracture rates by race/ethnicity among older US adults. J Bone Miner Res. 2012; 27:2325–2332.
Article
19. Maravic M, Taupin P, Landais P, Roux C. Change in hip fracture incidence over the last 6 years in France. Osteoporos Int. 2011; 22:797–801.
Article
20. Azagra R, Lopez-Exposito F, Martin-Sanchez JC, Aguye A, Moreno N, Cooper C, Diez-Perez A, Dennison EM. Changing trends in the epidemiology of hip fracture in Spain. Osteoporos Int. 2014; 25:1267–1274.
Article
21. Lyritis GP, Rizou S, Galanos A, Makras P. Incidence of hip fractures in Greece during a 30-year period: 1977-2007. Osteoporos Int. 2013; 24:1579–1585.
Article
22. Korhonen N, Niemi S, Parkkari J, Sievanen H, Palvanen M, Kannus P. Continuous decline in incidence of hip fracture: nationwide statistics from Finland between 1970 and 2010. Osteoporos Int. 2013; 24:1599–1603.
Article
23. Cassell E, Clapperton A. A decreasing trend in fall-related hip fracture incidence in Victoria, Australia. Osteoporos Int. 2013; 24:99–109.
Article
24. Chen IJ, Chiang CY, Li YH, Chang CH, Hu CC, Chen DW, Chang Y, Yang WE, Shih HN, Ueng SW, Hsieh PH. Nationwide cohort study of hip fractures: time trends in the incidence rates and projections up to 2035. Osteoporos Int. 2015; 26:681–688.
Article
25. Orimo H, Yaegashi Y, Onoda T, Fukushima Y, Hosoi T, Sakata K. Hip fracture incidence in Japan: estimates of new patients in 2007 and 20-year trends. Arch Osteoporos. 2009; 4:71–77.
Article
26. Lau EM, Lee JK, Suriwongpaisal P, Saw SM, Das De S, Khir A, Sambrook P. The incidence of hip fracture in four Asian countries: the Asian Osteoporosis Study (AOS). Osteoporos Int. 2001; 12:239–243.
Article
27. Hagino H, Furukawa K, Fujiwara S, Okano T, Katagiri H, Yamamoto K, Teshima R. Recent trends in the incidence and lifetime risk of hip fracture in Tottori, Japan. Osteoporos Int. 2009; 20:543–548.
Article
28. Falch JA, Kaastad TS, Bohler G, Espeland J, Sundsvold OJ. Secular increase and geographical differences in hip fracture incidence in Norway. Bone. 1993; 14:643–645.
Article
29. Sanders KM, Seeman E, Ugoni AM, Pasco JA, Martin TJ, Skoric B, Nicholson GC, Kotowicz MA. Age- and gender-specific rate of fractures in Australia: a population-based study. Osteoporos Int. 1999; 10:240–247.
Article
30. Ho SC, Bacon WE, Harris T, Looker A, Maggi S. Hip fracture rates in Hong Kong and the United States, 1988 through 1989. Am J Public Health. 1993; 83:694–697.
Article
31. Shin CS, Kim MJ, Shim SM, Kim JT, Yu SH, Koo BK, Cho HY, Choi HJ, Cho SW, Kim SW, Kim SY, Yang SO, Cho NH. The prevalence and risk factors of vertebral fractures in Korea. J Bone Miner Metab. 2012; 30:183–192.
Article
32. Koski AM, Patala A, Patala E, Sund R. Incidence of osteoporotic fractures in elderly women and men in Finland during 2005-2006: a population-based study. Scand J Surg. 2014; 103:215–221.
Article
33. Sakuma M, Endo N, Oinuma T, Endo E, Yazawa T, Watanabe K, Watanabe S. Incidence and outcome of osteoporotic fractures in 2004 in Sado City, Niigata Prefecture, Japan. J Bone Miner Metab. 2008; 26:373–378.
Article
34. Bow CH, Cheung E, Cheung CL, Xiao SM, Loong C, Soong C, Tan KC, Luckey MM, Cauley JA, Fujiwara S, Kung AW. Ethnic difference of clinical vertebral fracture risk. Osteoporos Int. 2012; 23:879–885.
Article
35. Lee SR, Ha YC, Kang H, Park YG, Nam KW, Kim SR. Morbidity and mortality in Jeju residents over 50-years of age with hip fracture with mean 6-year follow-up: a prospective cohort study. J Korean Med Sci. 2013; 28:1089–1094.
Article
Full Text Links
  • JKMA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr