Archives of Osteoporosis

, Volume 5, Issue 1–2, pp 1–6 | Cite as

Epidemiology, costs, and burden of osteoporosis in Argentina, 2009




Osteoporosis is a major public health concern for elderly subjects. Old age is a risk factor for fragility fractures; countries with aging population face a heavy burden of fractures and their consequences.


In 2009, the total population of Argentina was 40 million, with 10 million inhabitants aged >50 years. Population will grow 13% by 2050 and reach 53 million, but the elderly population will reach 19.5 million.


Local bone mineral density studies reveal that two out of four postmenopausal women have osteopenia, one has osteoporosis, and one has a normal bone mineral density. Around 3.3 million women will suffer from osteopenia in 2025 and 5.24 million in 2050. Although the rate of fragility fractures is higher in patients with osteoporosis, the absolute number of fractures is higher in osteopenic patients. In Argentina, the mean annual rate of hip fractures is 488/100,000 inhabitants aged above 50 years, with a 2.6:1 F/M ratio. Thus, over 34,000 hip fractures occur every year among the aged populationwith an average 90 such fractures per day.


The Latin American Vertebral Osteoporosis Study found an overall 16.2% prevalence of vertebral fractures in Argentinean women aged 50 years or over. Hospitalization costs of hip and vertebral fractures in Argentina exceed 190 million USD per year. Consequently, the costs of osteoporosis for the public health system are staggering; however, the federal or the provincial governments of Argentina do not give the disease a high priority. To conclude, efforts for the prevention and management of osteoporosis are urgently needed.


Osteoporosis Fractures Epidemiology Costs Argentina 


  1. 1.
    Harvey N, Earl S, Cooper C (2006) The epidemiology of osteoporotic fractures. In: Favus MJ (ed) Primer on the metabolic bone diseases and disorders of mineral metabolism, 6th edn. American Society for Bone and Mineral Research, Washington DC, pp 244–248Google Scholar
  2. 2.
    Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A (2007) Incidence and economic burden of osteoporosis-related fractures in the United States, 2005–2025. J Bone Miner Res 22:465–475CrossRefPubMedGoogle Scholar
  3. 3.
    CELADE (2000) Latin America: population by calendar years and simple ages 1995-2005. Boletín Demográfico N° 66. ECLAC-CEPAL, Santiago, ChileGoogle Scholar
  4. 4.
    US Census Bureau, International Data Base, 2009Google Scholar
  5. 5.
    Johnell O, Kanis J (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17:1726–1733CrossRefPubMedGoogle Scholar
  6. 6.
    Schurman L, Bagur A, Claus-Hermberg H, Messina OD, Negri A, Sánchez A (2007) [Argentine Guidelines for the Diagnosis, Prevention, and Treatment of Osteoporosis.] Actual Osteol 3:117-136; and Rev Arg Osteol 6(3):27-42 (double publication). Abridged English version available at Google Scholar
  7. 7.
    National Institute of Statistics and Census (INDEC).
  8. 8.
    Siris E, Chen Y-T, Abbott TA, Barrett-Connor E, Miller PD, Wehren LE, Berger ML (2004) Bone mineral density thresholds for pharmacological intervention to prevent fractures. Arch Intern Med 164:1108–1112CrossRefPubMedGoogle Scholar
  9. 9.
    Wainwright SA, Marshall LM, Ensrud KE, Cauley JA, Black DM, Hillier TA, Hochberg MC, Vogt MT, Orwoll ES, The Study of Osteoporotic Fractures Research Group (2005) Hip fracture in women without osteoporosis. J Clin Endocrinol Metab 90:2787–2793CrossRefPubMedGoogle Scholar
  10. 10.
    Freitas SS, Barrett-Connor E, Ensrud KE, Fink HA, Bauer DC, Cawthon PM, Lambert LC, Orwoll ES, Osteoporotic Fractures in Men (MrOS) Research Group (2008) Rate and circumstances of clinical vertebral fractures in older men. Osteoporos Int 19:615–623CrossRefPubMedGoogle Scholar
  11. 11.
    Mosquera MT, Maurel DL, Pavón S, Arregui A, Moreno C, Vázquez J (1998) Incidence and risk factors in fractures of the proximal femur due to osteoporosis. Panam J Public Health 3:211–218Google Scholar
  12. 12.
    Bagur A, Mautalen C, Rubin Z (1994) Epidemiology of hip fractures in an urban population of central Argentina. Osteoporos Int 4:332–335CrossRefPubMedGoogle Scholar
  13. 13.
    Morosano M, Masoni A, Sánchez A (2005) Incidence of hip fractures in the city of Rosario, Argentina. Osteoporos Int 16:1339–1344CrossRefPubMedGoogle Scholar
  14. 14.
    Somma LF, Rosso GZ, Trobo RI, Barreira JC, Messina OD (2000) Epidemiology of hip fracture in Luján, Argentina (Abstract). Osteology 3:267Google Scholar
  15. 15.
    Claus-Hermberg H, Lozano Bullrich MP, Ilera V, Malter Terrada J, Pozzo MJ (2008) Incidence of hip fractures in women affiliated to the medical care system of the German Hospital, Buenos Aires. Actual Osteol 4:57–62Google Scholar
  16. 16.
    Bagur A, Rovai G, López Giovanelli J, Díaz M, Jacobo J, Nieva A, Pilili R, Plantalech L (2009) Incidence of hip fractures in Corrientes, Bariloche and Comodoro Rivadavia. Actual Osteol 5:81–87Google Scholar
  17. 17.
    Wittich A, Bagur A, Oliveri B, Cristofari A, Escobar O, Carrizo G, Oliveri B (2009) Epidemiology of hip fracture in Tucumán, Argentina. Osteoporos Int. doi:10.1007/s00198-009-1135-3 PubMedGoogle Scholar
  18. 18.
    Spivacow FR (2001) Epidemiology of osteoporotic fractures. In: Zanchetta JR, Talbot J (eds) Osteoporosis, Fisiología, Diagnóstico, Prevención y Tratamiento. Editorial Médica Panamericana, Buenos Aires, pp 415–421Google Scholar
  19. 19.
    Morales-Torres J, Gutiérrez-Ureña S (2004) The burden of osteoporosis in Latin America. Osteoporos Int 15:625–632CrossRefPubMedGoogle Scholar
  20. 20.
    Sequeira G, Kerzberg EM, Marconi EH, Guebel CG, Fernández MM (2003) Hip fractures in the Argentine Republic. Communication to the 37th Argentine Congress of Rheumatology, Buenos AiresGoogle Scholar
  21. 21.
    Masoni A, Morosano M, Tomat MF, Pezzotto SM, Sánchez A (2007) Association between hip fractures and risk factors for osteoporosis. Multivariate analysis. Medicina (B Aires) 67:423–428Google Scholar
  22. 22.
    Nguyen TV, Center JR, Eisman JA (2004) Osteoporosis: underrated, underdiagnosed and undertreated. Med J Aust 180(5 Suppl):S18–S22PubMedGoogle Scholar
  23. 23.
    Cooper C, Atkinson EJ, O'Fallon WM, Melton LJ 3rd (1992) Incidence of clinically diagnosed vertebral fractures: a population-based study in Rochester, Minnesota, 1985-1989. J Bone Miner Res 7:221–227CrossRefPubMedGoogle Scholar
  24. 24.
    Clark P, Cons-Molina F, Delezé M, Ragi S, Haddock L, Zanchetta JR, Jaller JJ, Palermo L, Talavera JO, Messina DO, Morales-Torres J, Salmeron J, Navarrete A, Suarez E, Pérez CM, Cummings SR (2009) The prevalence of vertebral deformity in Latin American countries: the Latin American Vertebral Osteoporosis Study (LAVOS). Osteoporos Int 20:275–282CrossRefPubMedGoogle Scholar
  25. 25.
    Ronayne de Ferrer PA (2007) Intake of dairy products in Argentina: Evolution and present situation. Actual Osteol 3:81-88. Available at Google Scholar
  26. 26.
    Oliveri B, Plantalech L, Bagur A, Wittich AC, Rovai G, Pusiol E, López Giovanelli J, Ponce G, Nieva A, Chaperón A, Ladizesky M, Somoza J, Casco C, Zeni S, Parisi MS, Mautalen CA (2004) High prevalence of vitamin D insufficiency in healthy elderly people living at home in Argentina. Eur J Clin Nutr 58:337–342CrossRefPubMedGoogle Scholar
  27. 27.
    Plantalech L (2005) Map of hypovitaminosis D in Argentina. Actual Osteol 1:11-16. Available at
  28. 28.
    Kanis JA, Delmas P, Burckhardt P, Cooper C, Torgerson D (1997) Guidelines for diagnosis and management of osteoporosis. The European Foundation for Osteoporosis and Bone Disease. Osteoporos Int 7:390–406CrossRefPubMedGoogle Scholar
  29. 29.
    Kobayashi K, Shimoyama K, Nakamura K, Murata K (2005) Percutaneous vertebroplasty immediately relieves pain of osteoporotic vertebral compression fractures and prevents prolonged immobilization of patients. Eur Radiol 15:360–367CrossRefPubMedGoogle Scholar
  30. 30.
    Dublin AB, Hartman J, Latchaw RE, Hald JK, Reid MH (2005) The vertebral body fracture in osteoporosis: restoration of height using percutaneous vertebroplasty. Am J Neuroradiol 26:489–492PubMedGoogle Scholar
  31. 31.
    Trout AT, Kallmes DF, Gray LA, Goodnature BA, Everson SL, Comstock BA, Jarvik JG (2005) Evaluation of vertebroplasty with a validated outcome measure: the Roland-Morris Disability Questionnaire. Am J Neuroradiol 26:2652–2657PubMedGoogle Scholar
  32. 32.
    McKiernan F, Faciszewski T, Jensen R (2004) Quality of life following vertebroplasty. J Bone Joint Surg Am 86:2600–2606PubMedGoogle Scholar
  33. 33.
    Buchbinder R, Osborne RH, Ebeling PR, Wark JD, Mitchell P, Wriedt C, Graves S, Staples MP, Murphy B (2009) A randomized trial of vertebroplasty for painful osteoporotic vertebral fractures. N Engl J Med 61:557–568CrossRefGoogle Scholar
  34. 34.
    Kallmes DF, Comstock BA, Heagerty PJ, Turner JA, Wilson DJ, Diamond TH, Edwards R, Gray LA, Stout L, Owen S, Hollingworth W, Ghdoke B, Annesley-Williams DJ, Ralston SH, Jarvik JG (2009) A randomized trial of vertebroplasty for osteoporotic spinal fractures. N Engl J Med 361:569–579CrossRefPubMedGoogle Scholar
  35. 35.
    Weinstein JN (2009) Balancing science and informed choice in decisions about vertebroplasty (editorial). N Engl J Med 361:319–321CrossRefGoogle Scholar
  36. 36.
    Huot L, Couris CM, Tainturier V, Jaglal S, Colin C, Schott AM (2008) Trends in HRT and anti-osteoporosis medication prescribing in a European population after the WHI study. Osteoporos Int 19:1047–1054CrossRefPubMedGoogle Scholar
  37. 37.
    Farley JF, Blalock SJ, Cline RR (2008) Effect of the women's health initiative on prescription anti-osteoporosis medication utilization. Osteoporos Int 19:1603–1612CrossRefPubMedGoogle Scholar
  38. 38.
    Lazar F Jr, Costa-Paiva L, Morais SS, Pedro AO, Pinto-Neto AM (2007) The attitude of gynecologists in São Paulo, Brazil 3 years after the Women's Health Initiative study. Maturitas 56:129–141CrossRefPubMedGoogle Scholar
  39. 39.
    Sánchez A, Puche R, Zeni S, Oliveri B, Galich AM, Maffei L, Plantalech L, Poudes G, Bregni C (2002) Role of calcium and vitamin D in bone health (review). Rev Esp Enferm Metab Oseas 11:201–217 (Part I); (2003) 12:14-29 (Part II)Google Scholar
  40. 40.
    Schurman L, Bagur A, Claus-Hermberg H, Messina OD, Negri A, Sánchez A (2004) Argentine guidelines for the diagnosis, prevention, and treatment of osteoporosis. Rev Arg Osteol 3(3):4–5Google Scholar

Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2010

Authors and Affiliations

  1. 1.Sociedad Argentina de Osteoporosis (SAO)Instituto de Investigaciones Metabólicas (IDIM)Buenos AiresArgentina
  2. 2.Asociación Argentina de Osteología y Metabolismo Mineral (AAOMM)Centro de EndocrinologíaRosarioArgentina

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