Osteoporosis International

, Volume 16, Issue 11, pp 1412–1416 | Cite as

Incidence of hip fracture in Shiraz, Iran

  • Mahmood Soveid
  • Ali Reza Serati
  • Masoomeh Masoompoor
Original Article


Hip fracture, the most serious complication of osteoporosis, puts the burden of a lot of costs for treatment on any health system. Previous reports on rates of hip fracture in Asian countries differ a lot. The aim of this study was to estimate the incidence rate of hip fracture in Shiraz, Iran. In Shiraz, Iran, all operating-room logs with diagnosis of hip fracture were reviewed for hip fractures caused by a simple fall in patients over 50 years, during March 21, 2000, to March 21, 2003. According to patients’ medical records, age, sex, type of fracture (intertrochanteric, neck, subtrochanteric) and patients’ regions according to Shiraz municipality divisions were obtained. The age-adjusted incidence rates of hip fracture standardized to the 1985 US white population (325.74/100,000 for men and 519.05/100,000 for women) and to the 1989 US white population (384.61/100,000 for men and 548.17/100,000 for women) were the highest in Asia. The intertrochanteric fractures were significantly higher among females ( p =0.003). The incidence of intertrochanteric and neck fractures were increased with age. In all age groups, females had higher incidence rates, except for ages over 80 years, in which males had higher incidence rates than females. In wealthier regions of the city, the incidence rates were higher than in other regions. High incidence of hip fracture in our population, especially in males over 80 years, shows that preventive strategies for hip fracture and osteoporosis should be considered in males as well as females. Further studies are needed to find incidence rates in other cities, especially in the very urbanized city of Tehran.


Falls Hip fracture Incidence rate Shiraz, Iran 



We thank Mrs. Abbasalinejad for her help in collecting data and the Vice-Chancellor for Research in Shiraz, Iran, for its financial support (Shiraz University of medical sciences, Grant No.81–1585)


  1. 1.
    Kannus P, Parkkari J, Sievanen H et al (1996) Epidemiology of hip fractures. Bone 18(1) [Suppl]: 57S–63SGoogle Scholar
  2. 2.
    Gullberg B, Johnell O, Kanis JA (1997) World-wide projections for hip fracture. Osteoporos Int 7:407–413Google Scholar
  3. 3.
    Lau EM, Lee JK, Suriwongpaisal P et al (2001) The incidence of hip fracture in four Asian countries: The Asian Osteoporosis Study (AOS). Osteoporos Int 12:239–243Google Scholar
  4. 4.
    Cummings SR, Black DM, Rubin SM (1989) Lifetime risks of hip, Colles’ or vertebral fracture and coronary heart disease among white postmenopausal women. Arch Intern Med 149:2445–2448Google Scholar
  5. 5.
    Memon A, Pospula WM, Tanatawy AY et al (1998) Incidence of hip fracture in Kuwait. Int J Epidemiol 27:860–865Google Scholar
  6. 6.
    Sosa M, Segarra MC, Hernandez D et al (1993) Epidemiology of proximal femoral fracture in Gran Canaria (Canary Islands). Age Aging 22:285–288Google Scholar
  7. 7.
    Xu L, Lu A, Zhao X et al (1996) Very low rates of hip fracture in Beijing, People’s Republic of China: The Beijing Osteoporosis Project. Am J Epidemiol 144:901–907Google Scholar
  8. 8.
    Rowe SM, Yoon TR, Ryang DH (1993) An epidemiological study of hip fracture in Honam, Korea. Int Orthop 17:139–143Google Scholar
  9. 9.
    Finsen V, Benum P (1987) Changing incidence of hip fractures in rural and urban areas of central Norway. Clin Orthop 218:104–110Google Scholar
  10. 10.
    Gullberg B, Duppe H, Nilsson B et al (1993) Incidence of hip fractures in Malmo, Sweden (1950–1991). Bone 14:S23–S29Google Scholar
  11. 11.
    Silverman SL, Madison RE (1988) Decreased incidence of hip fracture in Hispanics, Asians, and Blacks: California hospital discharge data. Am J Public Health 78:1482–1483Google Scholar
  12. 12.
    Lau EM (1993) Admission rates for hip fracture in Australia in the last decade. Med J Aust 158:604–606Google Scholar
  13. 13.
    Larijani B (2004) An overview of osteoporosis in Iran. Abstract book of the First International Seminar on Prevention, Diagnosis and Treatment of Osteoporosis, September 23–24, 2004, Tehran, Iran. Tehran University Publication, Tehran, Iran, pp 2–4Google Scholar
  14. 14.
    Soltani A, Moayyeri A, Hossinnozhad A et al (2004) Effect of hypovitaminosis D on peak bone mass of Iranian young men. Abstract book of the First International Seminar on Prevention, Diagnosis and Treatment of Osteoporosis, September 23–24, 2004, Tehran, Iran. Tehran University Publication, Tehran, Iran, pp 97–98Google Scholar
  15. 15.
    Ter-Sarkissian N, Azar M, Ghavifekr H et al (1974) High phytic acid in Iranian breads. J Am Diet Assoc 65:651–653Google Scholar
  16. 16.
    Baudoin C., Fardellone P, Sebert JC (1993) Effect of sex and age on the ratio of cervical to trochanteric hip fracture. Acta Orthop Scand 64:647–653Google Scholar
  17. 17.
    Lofman O, Berglund K, Larsson L, Toss G (2002) Changes in hip fracture epidemiology: Redistribution between ages, genders and fracture types. Osteoporos Int 13:18–25Google Scholar
  18. 18.
    Yan L, Zhou B, Prentic A et al (1999) Epidemiological study of hip fracture in Shenyang, People’s Republic of China. Am J Epidemiol 24:151–155Google Scholar
  19. 19.
    Gardsell P, Johnell O, Nilsson BE, Sernbo I (1991) Bone mass in an urban and rural population: A comparative, population-based study in southern Sweden. J Bone Miner Res 6:67–75Google Scholar
  20. 20.
    Madhok R, Melton LJ, Atkinsn EJ et al (1993) Urban vs rural increase in hip fracture incidence. Acta Orthop Scand 64:543–548Google Scholar

Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2005

Authors and Affiliations

  • Mahmood Soveid
    • 1
    • 2
  • Ali Reza Serati
    • 1
  • Masoomeh Masoompoor
    • 1
  1. 1.Endocrinology Research CenterNemazee Hospital, Shiraz University of Medical SciencesShirazIran
  2. 2.Division of Endocrinology, Department of Internal MedicineNamazi HospitalShirazIran

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