Abstract
Osteosarcopenia is a syndrome with co-existence of osteoporosis and sarcopenia. Osteoporosis is a disease in which the microarchitecture and quality of bone is reduced. Globally, 1 in 3 women and 1 in 5 men aged 50 years and above are at risk of osteoporotic fracture. In fact, the lifetime fracture risk in osteoporosis patients reaches up to 40% and mortality of osteoporotic hip fractures is 33% at 1 year. Hospital expenditures for osteoporotic fractures are hence a major socioeconomic burden. Sarcopenia is a common geriatric syndrome, in which there is progressive loss of lean body mass and function. In normal ageing, muscle mass decreases at a rate of 1% annually after the age of 40 years. More importantly, a high prevalence of sarcopenia in patients with fragility fractures has been reported recently, reaching 95% in males and 64% in females. The disease affects patient balance, gait and muscle strength resulting in falls and fractures. Therefore, the treatment of both osteoporosis and sarcopenia is essential to prevent morbidity and mortality in the elderly. Primary prevention, early diagnosis and treatment of these diseases are found to be extremely important in reducing diseases-related falls and subsequence fractures, mortality rate, healthcare costs as well as poor physical function and quality of life.
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Li, L.W., Ho, W.T., Lau, S.Y. (2022). Osteosarcopenia and Fragility Fracture: A Community Perspective. In: Law, V.T.S., Fong, B.Y.F. (eds) Ageing with Dignity in Hong Kong and Asia. Quality of Life in Asia, vol 16. Springer, Singapore. https://doi.org/10.1007/978-981-19-3061-4_18
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