Skip to main content
SpringerLink
Log in

Age-adjusted incidence rates of hip fractures between 2006 and 2009 in Rabat, Morocco

  • Original Article
  • Published:
Osteoporosis International Aims and scope Submit manuscript

Abstract

Summary

This study, characterizing the incidence of hip fracture in the province of Rabat, showed that age- and sex-specific rates remained stable between 2006 and 2009. The demographic projections estimated for Morocco indicate that between 2010 and 2030, the expected annual number of hip fractures would increase about twofold.

Introduction

No data on hip fracture incidence trends exist from Africa. The aim of the study was to determine time trends in hip fracture rates for the province of Rabat and to forecast the number of hip fractures expected in Morocco up to 2030.

Methods

All hip fracture cases registered during the years 2006–2009 were collected at all the public hospitals and private clinics with a trauma unit and/or a permanent orthopedic surgeon across the province.

Results

Over the 4-year period, 723 (54.3 %) hip fractures were recorded in women and 607 (45.6 %) in men. The age- and gender-specific incidence of hip fracture rose steeply with advancing age. Hip fractures occurred later in women 75.0 (10.7) years than in men 73.3 (11.0) years (p = 0.014), and its incidence was higher in women than in men [85.9 (95 % CI 79.7–92.2) per 100,000 person-years vs. 72.7 (95 % CI 66.9–78.5)]. The incidence remained globally stable over the period study, and the linear regression analysis showed no significant statistical difference. For the year 2010, there were 4,327 hip fractures estimated in Morocco (53.3 % in women). Assuming no change in the age- and sex-specific incidence of hip fracture from 2010 to 2030, the number of hip fractures in men is expected to increase progressively from 2,019 to 3,961 and from 2,308 to 4,259 in women.

Conclusion

The age-specific incidence of hip fracture between the years 2006 and 2009 remained stable in Morocco, and the number of expected hip fractures would double between 2010 and 2030.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Jarvinen TL, Sievanen H, Khan KM, Heinonen A, Kannus P (2008) Shifting the focus in fracture prevention from osteoporosis to falls. BMJ 336:124–126

    Article  PubMed  Google Scholar 

  2. Sterling RS (2011) Gender and race/ethnicity differences in hip fracture incidence, morbidity, mortality, and function. Clin Orthop Relat Res 469:1913–1918

    Article  PubMed  Google Scholar 

  3. Cals JW, Scheppers NA, Hopstaken RM et al (2007) Evidence based management of acute bronchitis; sustained competence of enhanced communication skills acquisition in general practice. Patient Educ Couns 68:270–278

    Article  PubMed  Google Scholar 

  4. Diamantopoulos AP, Rohde G, Johnsrud I et al (2011) Incidence rates of fragility hip fracture in middle-aged and elderly men and women in southern Norway. Age Ageing 41(1):86–92

    Article  PubMed  Google Scholar 

  5. Smith MZ, Goettsch BM, Van Ramshorst RD, O’Brien JA, Jaque SV, Sumida KD (2008) Resistance training and bone mineral density during growth. Int J Sports Med 29:316–321

    Article  PubMed  CAS  Google Scholar 

  6. Dhanwal DK, Cooper C, Dennison EM (2010) Geographic variation in osteoporotic hip fracture incidence: the growing importance of Asian influences in coming decades. J Osteoporos 2010:757102

    PubMed  CAS  Google Scholar 

  7. Melton LJ 3rd, Kearns AE, Atkinson EJ et al (2009) Secular trends in hip fracture incidence and recurrence. Osteoporos Int 20:687–694

    Article  PubMed  Google Scholar 

  8. http://www.hcp.ma/Projections-de-la-population-totale-par-groupe-d-age-et-sexe-en-milliers-et-au-milieu-de-l-annee-1960-2050_a676.html. Accessed 5 Jun 2012

  9. http://www.hcp.ma/Esperance-de-vie-a-la-naissance-en-annees-1952-2010_a701.html. Accessed 5 Jun 2012

  10. Ahlborg HG, Rosengren BE, Jarvinen TL et al (2010) Prevalence of osteoporosis and incidence of hip fracture in women—secular trends over 30 years. BMC Musculoskelet Disord 11:48

    Article  PubMed  Google Scholar 

  11. El Maghraoui A, Koumba BA, Jroundi I, Achemlal L, Bezza A, Tazi MA (2005) Epidemiology of hip fractures in 2002 in Rabat, Morocco. Osteoporos Int 16:597–602

    Article  PubMed  Google Scholar 

  12. Zebaze RM, Seeman E (2003) Epidemiology of hip and wrist fractures in Cameroon, Africa. Osteoporos Int 14:301–305

    Article  PubMed  Google Scholar 

  13. Castro da Rocha FA, Ribeiro AR (2003) Low incidence of hip fractures in an equatorial area. Osteoporos Int 14:496–499

    Article  PubMed  Google Scholar 

  14. Liu AM, Xu L, Zhao XH (1996) Rates of hip fractures in Beijing China. Zhonghua Liu Xing Bing Xue Za Zhi 17:6–9

    PubMed  CAS  Google Scholar 

  15. Rowe SM, Yoon TR, Ryang DH (1993) An epidemiological study of hip fracture in Honam, Korea. Int Orthop 17:139–143

    PubMed  CAS  Google Scholar 

  16. Orces CH (2009) Epidemiology of hip fractures in Ecuador. Rev Panam Salud Publica 25:438–442

    Article  PubMed  Google Scholar 

  17. Sibai AM, Nasser W, Ammar W, Khalife MJ, Harb H, Fuleihan Gel H (2010) Hip fracture incidence in Lebanon: a national registry-based study with reference to standardized rates worldwide. Osteoporos Int 22:2499–2506

    Article  PubMed  Google Scholar 

  18. Memon A, Pospula WM, Tantawy AY, Abdul-Ghafar S, Suresh A, Al-Rowaih A (1998) Incidence of hip fracture in Kuwait. Int J Epidemiol 27:860–865

    Article  PubMed  CAS  Google Scholar 

  19. Valizadeh M, Mazloomzadeh S, Azizi R (2008) Epidemiology of hip fractures in Zanjan, Iran. Arch Osteoporos 3:1–5

    Article  Google Scholar 

  20. Lau EM (1993) Admission rates for hip fracture in Australia in the last decade. The New South Wales scene in a world perspective. Med J Aust 158:604–606

    PubMed  CAS  Google Scholar 

  21. Lonnroos E, Kautiainen H, Karppi P et al (2006) Increased incidence of hip fractures. A population based-study in Finland. Bone 39:623–627

    Article  PubMed  Google Scholar 

  22. de Pina MF, Alves SM, Barbosa M, Barros H (2008) Hip fractures cluster in space: an epidemiological analysis in Portugal. Osteoporos Int 19:1797–1804

    Article  PubMed  Google Scholar 

  23. Hernandez JL, Olmos JM, Alonso MA et al (2006) Trend in hip fracture epidemiology over a 14-year period in a Spanish population. Osteoporos Int 17:464–470

    Article  PubMed  Google Scholar 

  24. Ho SC, Bacon WE, Harris T, Looker A, Maggi S (1993) Hip fracture rates in Hong Kong and the United States, 1988 through 1989. Am J Public Health 83:694–697

    Article  PubMed  CAS  Google Scholar 

  25. Clark P, Lavielle P, Franco-Marina F et al (2005) Incidence rates and life-time risk of hip fractures in Mexicans over 50 years of age: a population-based study. Osteoporos Int 16:2025–2030

    Article  PubMed  Google Scholar 

  26. Morosano M, Masoni A, Sanchez A (2005) Incidence of hip fractures in the city of Rosario, Argentina. Osteoporos Int 16:1339–1344

    Article  PubMed  Google Scholar 

  27. Couris CM, Duclos A, Rabilloud M et al (2007) A seventy percent overestimation of the burden of hip fractures in women aged 85 and over. Bone 41:896–900

    Article  PubMed  Google Scholar 

  28. Kanis JA, Johnell O, De Laet C, Jonsson B, Oden A, Ogelsby AK (2002) International variations in hip fracture probabilities: implications for risk assessment. J Bone Miner Res 17:1237–1244

    Article  PubMed  Google Scholar 

  29. Johansson H, Clark P, Carlos F, Oden A, McCloskey EV, Kanis JA (2011) Increasing age- and sex-specific rates of hip fracture in Mexico: a survey of the Mexican institute of social security. Osteoporos Int 22:2359–2364

    Article  PubMed  CAS  Google Scholar 

  30. Cooper C, Cole ZA, Holroyd CR et al (2011) Secular trends in the incidence of hip and other osteoporotic fractures. Osteoporos Int 22:1277–1288

    Article  PubMed  CAS  Google Scholar 

  31. Holt G, Smith R, Duncan K, Hutchison JD, Reid D (2009) Changes in population demographics and the future incidence of hip fracture. Injury 40:722–726

    Article  PubMed  CAS  Google Scholar 

  32. Bergstrom U, Jonsson H, Gustafson Y, Pettersson U, Stenlund H, Svensson O (2009) The hip fracture incidence curve is shifting to the right. Acta Orthop 80:520–524

    Article  PubMed  Google Scholar 

  33. Fujiwara S, Sone T, Yamazaki K et al (2005) Heel bone ultrasound predicts non-spine fracture in Japanese men and women. Osteoporos Int 16:2107–2112

    Article  PubMed  CAS  Google Scholar 

  34. Chevalley T, Guilley E, Herrmann FR, Hoffmeyer P, Rapin CH, Rizzoli R (2007) Incidence of hip fracture over a 10-year period (1991–2000): reversal of a secular trend. Bone 40:1284–1289

    Article  PubMed  CAS  Google Scholar 

  35. Goettsch WG, de Jong RB, Kramarz P, Herings RM (2007) Developments of the incidence of osteoporosis in The Netherlands: a PHARMO study. Pharmacoepidemiol Drug Saf 16:166–172

    Article  PubMed  Google Scholar 

  36. Maravic M, Taupin P, Landais P, Roux C (2011) Change in hip fracture incidence over the last 6 years in France. Osteoporos Int 22:797–801

    Article  PubMed  CAS  Google Scholar 

  37. Kannus P, Niemi S, Parkkari J, Palvanen M, Vuori I, Jarvinen M (2006) Nationwide decline in incidence of hip fracture. J Bone Miner Res 21:1836–1838

    Article  PubMed  Google Scholar 

  38. Kaastad TS, Meyer HE, Falch JA (1998) Incidence of hip fracture in Oslo, Norway: differences within the city. Bone 22:175–178

    Article  PubMed  CAS  Google Scholar 

  39. Kanis JA, Oden A, Johnell O, Jonsson B, de Laet C, Dawson A (2001) The burden of osteoporotic fractures: a method for setting intervention thresholds. Osteoporos Int 12:417–427

    Article  PubMed  CAS  Google Scholar 

  40. Armstrong ME, Spencer EA, Cairns BJ et al (2011) Body mass index and physical activity in relation to the incidence of hip fracture in postmenopausal women. J Bone Miner Res 26:1330–1338

    Article  PubMed  Google Scholar 

  41. Guilley E, Herrmann F, Rapin CH, Hoffmeyer P, Rizzoli R, Chevalley T (2011) Socioeconomic and living conditions are determinants of hip fracture incidence and age occurrence among community-dwelling elderly. Osteoporos Int 22:647–653

    Article  PubMed  CAS  Google Scholar 

  42. Kanis JA, Oden A, McCloskey EV, et al. (2012) A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int. doi:10.1007/s00198-012-1964-3

Download references

Acknowledgments

The authors thank the orthopedic departments of the five public hospitals of Rabat province: Ibn Sina Hospital (Prof. Moradh El Yaacoubi), Military Hospital Mohammed V (Prof. Jaafar Abdeloihab and Prof. Kacem Chagar), Moulay Abdellah Hospital of Salé, Sidi Lahcen Hospital of Temara, and Provincial Hospital of Khemisset, and Prof. Nabil Bousselmame, Prof. Farid Ismail, Dr. Rachid Nazih, Dr. Mohamed Missoum, Dr. Mounir Sbiti, Dr. Samir El Blidi, and Dr. Mohamed Zidouh for the help and assistance during the data collection.

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Rheumatology Department, Military Hospital Mohammed V, PO box 1018, Rabat, Morocco

    A. El Maghraoui, A. R. Ngbanda, N. Bensaoud, M. Bensaoud & A. Rezqi

  2. Epidemiology Department, Ministry of Health, Rabat, Morocco

    M. A. Tazi

Authors
  1. A. El Maghraoui
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. R. Ngbanda
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. N. Bensaoud
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. Bensaoud
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A. Rezqi
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. M. A. Tazi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to A. El Maghraoui.

Rights and permissions

Reprints and permissions

About this article

Cite this article

El Maghraoui, A., Ngbanda, A.R., Bensaoud, N. et al. Age-adjusted incidence rates of hip fractures between 2006 and 2009 in Rabat, Morocco. Osteoporos Int 24, 1267–1273 (2013). https://doi.org/10.1007/s00198-012-2061-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00198-012-2061-3

Keywords

Search

Navigation