Skip to main content

Advertisement

Log in

Osteoporosis strategic plan for the Middle East and North Africa region

  • Original Article
  • Published:
Archives of Osteoporosis Aims and scope Submit manuscript

Abstract

Summary

The first step to achieve a world without fragility fractures is to devise a strategic plan to improve research and planning, and assisting member states to acquire the required financial, technical, and other resources. This article aims to outline the first strategic plan devised for the Middle East and North Africa region proposed by the International Osteoporosis Foundation’s (IOF) Middle East and North Africa (MENA) Regional Advisory Council (RAC).

Purpose

Osteoporosis is no exception in this rising tide of non-communicable diseases, not only sharing common risk factors but also contributing substantially to a heavy social and economic burden on society. During the past decade and after the establishment of the International Osteoporosis Foundation (IOF), a goal-directed movement has started to achieve a world without fragility fractures. In order to achieve this goal, regional councils were formed to maximize the effectiveness of national osteoporosis societies in raising awareness of effective prevention, diagnosis, and treatment strategies.

Methods and results

The first step to achieve this goal is to devise a strategic plan to improve the research and planning, assisting all member states to acquire the financial, technical, and other resources needed in order to achieve a world-class program in the fight against osteoporosis.

Conclusion

This article therefore aims to outline the first strategic plan devised by the IOF’s MENA RAC for the Middle East and North Africa region.

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

Access this article

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

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Notes

  1. https://www.nice.org.uk/guidance/cg124

  2. https://www.nice.org.uk/guidance/qs16

  3. http://anzhfr.org/guidelines-and-standards/

  4. https://www.safetyandquality.gov.au/our-work/clinical-care-standards/hip-fracture-care-clinical-care-standard/

  5. https://www.fragilityfracturenetwork.org/6-themes-of-the-ffn/research-and-education/hip-fracture-audit-sig/

  6. https://nos.org.uk/about-nos/public-affairs/falls-and-fractures-alliance/

  7. http://www.nbha.org/

  8. http://www.livestronger.org.nz/

  9. https://www.sosfracturealliance.org.au/

  10. http://www.capture-the-fracture.org/node/20

  11. http://capturethefracture.org/best-practice-framework-focus-asia-pacific-fls-consensus-meeting-Taipei

References

  1. Bloom, D.E., Cafiero, E.T., Jané-Llopis, E., Abrahams-Gessel, S., Bloom, L.R., Fathima, S., Feigl, A.B., Gaziano, T., Mowafi, M., Pandya, A., Prettner, K., Rosenberg, L., Seligman, B., Stein, A., & Weinstein, C. (2011). The Global Economic Burden of Non-communicable Diseases. Geneva: World Economic Forum

  2. (2011) Global status report on noncommunicable diseases 2010. Geneva: World Health Organization

  3. Sunil Kumar KH, Bhaskar P (2012) Osteoporosis - an emerging disease of the 21(st) century, part 1: an overview. J Family Med Prim Care 1:66–68. https://doi.org/10.4103/2249-4863.94457

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Ghada El-Hajj Fuleihan, Gemma Adib, Nauroy L. (2011) The Middle East and Africa Regional Audit: Epidemiology, costs & burden of osteoporosis in 2011. International Osteoporosis Foundation

  5. Maalouf G, Gannage-Yared MH, Ezzedine J et al (2007) Middle East and North Africa consensus on osteoporosis. J Musculoskelet Neuronal Interact 7:131–143

    CAS  PubMed  Google Scholar 

  6. El-Heis MA, Al-Kamil EA, Kheirallah KA, et al (2013) Factors associated with osteoporosis among a sample of Jordanian women referred for investigation for osteoporosis لدهين العظام ختلخل الستقصاء َّ إحالتهن ت َّ مت الاليت األردنيات النساء من عينة لدى العظام لتخلخل املرافقة العوامل

  7. Khashayar P, Reza H, Meybodi A et al (2016) Vitamin D status and its relationship with bone mineral density in a healthy Iranian population Correlação entre os níveis de vitamina D e densidade mineral óssea em uma população iraniana saudável. Rev Bras Ortop 51:454–458. https://doi.org/10.1016/j.rboe.2015.09.011

    Article  PubMed  PubMed Central  Google Scholar 

  8. Chakhtoura M, Rahme M, Chamoun N, El-Hajj Fuleihan G (2018) Vitamin D in the Middle East and North Africa. Bone Reports 8:135–146. https://doi.org/10.1016/J.BONR.2018.03.004

    Article  PubMed  PubMed Central  Google Scholar 

  9. El-Rassi R, Baliki G, El G, Fulheihan H (2011) Vitamin D status in Middle East and Africa. International Osteoporosis Foundation

  10. Lewiecki EM, Watts NB (2009) New guidelines for the prevention and treatment of osteoporosis New NOF Guidelines. South Med J.; 102(2):175-9

  11. Nevin Hammam TAG (2018) Epidemiology and awareness of osteoporosis: a viewpoint from the Middle East and North Africa. Int J Clin Rheumtol 13. https://doi.org/10.4172/1758-4272.1000177

  12. Matthews HL, Laya M, DeWitt DE (2006) Rural women and osteoporosis: awareness and educational needs. J Rural Health 22:279–283. https://doi.org/10.1111/j.1748-0361.2006.00047.x

    Article  PubMed  Google Scholar 

  13. Kutsal YG, Atalay A, Arslan Ş, Başaran A, Cantürk F, Cindaş A, Eryavuz M, İrdesel J, Karadavut Kİ, Kirazlı Y, Sindel D, Şenel K, Güler-Uysal F, Yıldırım K (2005) Awareness of osteoporotic patients. Osteoporos Int 16:128–133. https://doi.org/10.1007/s00198-004-1678-2

    Article  PubMed  Google Scholar 

  14. Sweileh WM, Al-Jabi SW, Zyoud SH et al (2014) Osteoporosis is a neglected health priority in Arab world: a comparative bibliometric analysis. Springerplus 3(427). https://doi.org/10.1186/2193-1801-3-427

  15. Murray CJL, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, Ezzati M, Shibuya K, Salomon JA, Abdalla S, Aboyans V, Abraham J, Ackerman I, Aggarwal R, Ahn SY, Ali MK, AlMazroa MA, Alvarado M, Anderson HR, Anderson LM, Andrews KG, Atkinson C, Baddour LM, Bahalim AN, Barker-Collo S, Barrero LH, Bartels DH, Basáñez MG, Baxter A, Bell ML, Benjamin EJ, Bennett D, Bernabé E, Bhalla K, Bhandari B, Bikbov B, Abdulhak AB, Birbeck G, Black JA, Blencowe H, Blore JD, Blyth F, Bolliger I, Bonaventure A, Boufous S, Bourne R, Boussinesq M, Braithwaite T, Brayne C, Bridgett L, Brooker S, Brooks P, Brugha TS, Bryan-Hancock C, Bucello C, Buchbinder R, Buckle G, Budke CM, Burch M, Burney P, Burstein R, Calabria B, Campbell B, Canter CE, Carabin H, Carapetis J, Carmona L, Cella C, Charlson F, Chen H, Cheng ATA, Chou D, Chugh SS, Coffeng LE, Colan SD, Colquhoun S, Colson KE, Condon J, Connor MD, Cooper LT, Corriere M, Cortinovis M, de Vaccaro KC, Couser W, Cowie BC, Criqui MH, Cross M, Dabhadkar KC, Dahiya M, Dahodwala N, Damsere-Derry J, Danaei G, Davis A, Leo DD, Degenhardt L, Dellavalle R, Delossantos A, Denenberg J, Derrett S, Des Jarlais DC, Dharmaratne SD, Dherani M, Diaz-Torne C, Dolk H, Dorsey ER, Driscoll T, Duber H, Ebel B, Edmond K, Elbaz A, Ali SE, Erskine H, Erwin PJ, Espindola P, Ewoigbokhan SE, Farzadfar F, Feigin V, Felson DT, Ferrari A, Ferri CP, Fèvre EM, Finucane MM, Flaxman S, Flood L, Foreman K, Forouzanfar MH, Fowkes FGR, Fransen M, Freeman MK, Gabbe BJ, Gabriel SE, Gakidou E, Ganatra HA, Garcia B, Gaspari F, Gillum RF, Gmel G, Gonzalez-Medina D, Gosselin R, Grainger R, Grant B, Groeger J, Guillemin F, Gunnell D, Gupta R, Haagsma J, Hagan H, Halasa YA, Hall W, Haring D, Haro JM, Harrison JE, Havmoeller R, Hay RJ, Higashi H, Hill C, Hoen B, Hoffman H, Hotez PJ, Hoy D, Huang JJ, Ibeanusi SE, Jacobsen KH, James SL, Jarvis D, Jasrasaria R, Jayaraman S, Johns N, Jonas JB, Karthikeyan G, Kassebaum N, Kawakami N, Keren A, Khoo JP, King CH, Knowlton LM, Kobusingye O, Koranteng A, Krishnamurthi R, Laden F, Lalloo R, Laslett LL, Lathlean T, Leasher JL, Lee YY, Leigh J, Levinson D, Lim SS, Limb E, Lin JK, Lipnick M, Lipshultz SE, Liu W, Loane M, Ohno SL, Lyons R, Mabweijano J, MacIntyre MF, Malekzadeh R, Mallinger L, Manivannan S, Marcenes W, March L, Margolis DJ, Marks GB, Marks R, Matsumori A, Matzopoulos R, Mayosi BM, McAnulty JH, McDermott MM, McGill N, McGrath J, Medina-Mora ME, Meltzer M, Memish ZA, Mensah GA, Merriman TR, Meyer AC, Miglioli V, Miller M, Miller TR, Mitchell PB, Mock C, Mocumbi AO, Moffitt TE, Mokdad AA, Monasta L, Montico M, Moradi-Lakeh M, Moran A, Morawska L, Mori R, Murdoch ME, Mwaniki MK, Naidoo K, Nair MN, Naldi L, Narayan KMV, Nelson PK, Nelson RG, Nevitt MC, Newton CR, Nolte S, Norman P, Norman R, O'Donnell M, O’Hanlon S, Olives C, Omer SB, Ortblad K, Osborne R, Ozgediz D, Page A, Pahari B, Pandian JD, Rivero AP, Patten SB, Pearce N, Padilla RP, Perez-Ruiz F, Perico N, Pesudovs K, Phillips D, Phillips MR, Pierce K, Pion S, Polanczyk GV, Polinder S, Pope CA III, Popova S, Porrini E, Pourmalek F, Prince M, Pullan RL, Ramaiah KD, Ranganathan D, Razavi H, Regan M, Rehm JT, Rein DB, Remuzzi G, Richardson K, Rivara FP, Roberts T, Robinson C, de Leòn FR, Ronfani L, Room R, Rosenfeld LC, Rushton L, Sacco RL, Saha S, Sampson U, Sanchez-Riera L, Sanman E, Schwebel DC, Scott JG, Segui-Gomez M, Shahraz S, Shepard DS, Shin H, Shivakoti R, Silberberg D, Singh D, Singh GM, Singh JA, Singleton J, Sleet DA, Sliwa K, Smith E, Smith JL, Stapelberg NJC, Steer A, Steiner T, Stolk WA, Stovner LJ, Sudfeld C, Syed S, Tamburlini G, Tavakkoli M, Taylor HR, Taylor JA, Taylor WJ, Thomas B, Thomson WM, Thurston GD, Tleyjeh IM, Tonelli M, Towbin JA, Truelsen T, Tsilimbaris MK, Ubeda C, Undurraga EA, van der Werf MJ, van Os J, Vavilala MS, Venketasubramanian N, Wang M, Wang W, Watt K, Weatherall DJ, Weinstock MA, Weintraub R, Weisskopf MG, Weissman MM, White RA, Whiteford H, Wiebe N, Wiersma ST, Wilkinson JD, Williams HC, Williams SRM, Witt E, Wolfe F, Woolf AD, Wulf S, Yeh PH, Zaidi AKM, Zheng ZJ, Zonies D, Lopez AD (2012) Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380:2197–2223. https://doi.org/10.1016/S0140-6736(12)61689-4

    Article  PubMed  Google Scholar 

  16. Odén A, McCloskey EV, Kanis JA, Harvey NC, Johansson H (2015) Burden of high fracture probability worldwide: secular increases 2010--2040. Osteoporos Int 26:2243–2248. https://doi.org/10.1007/s00198-015-3154-6

    Article  PubMed  Google Scholar 

  17. Vijayakumar R, Büsselberg D (2016) Osteoporosis: an under-recognized public health problem local and global risk factors and its regional and worldwide prevalence. J Local Glob Health Sci 2016:2. https://doi.org/10.5339/jlghs.2016.2

    Article  Google Scholar 

  18. Peykari N, Hashemi H, Dinarvand R, Haji-Aghajani M, Malekzadeh R, Sadrolsadat A, Sayyari AA, Asadi-lari M, Delavari A, Farzadfar F, Haghdoost A, Heshmat R, Jamshidi H, Kalantari N, Koosha A, Takian A, Larijani B (2017) National action plan for non-communicable diseases prevention and control in Iran; a response to emerging epidemic. J Diabetes Metab Disord 16(3):3. https://doi.org/10.1186/s40200-017-0288-4

    Article  PubMed  PubMed Central  Google Scholar 

  19. Bassil D, Rahme M, Hoteit M, Fuleihan GE-H (2013) Hypovitaminosis D in the Middle East and North Africa: prevalence, risk factors and impact on outcomes. Dermatoendocrinol 5:274–298. https://doi.org/10.4161/derm.25111

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Maalouf G, Bachour F, Hlais S, Maalouf NM, Yazbeck P, Yaghi Y, Yaghi K, el Hage R, Issa M (2013) Epidemiology of hip fractures in Lebanon: a nationwide survey. Orthop Traumatol Surg Res 99:675–680. https://doi.org/10.1016/j.otsr.2013.04.009

    Article  CAS  PubMed  Google Scholar 

  21. Azizieh F (2017) Fractures in Kuwait: incidence and distribution. Risk Manag Healthc Policy Volume 10:117–125. https://doi.org/10.2147/RMHP.S136844

    Article  Google Scholar 

  22. Irani AD, Poorolajal J, Khalilian A et al (2013) Prevalence of osteoporosis in Iran: a meta-analysis. J Res Med Sci 18(9):759–766

    PubMed  PubMed Central  Google Scholar 

  23. Ahmadi-Abhari S, Moayyeri A, Abolhassani F (2007) Burden of hip fracture in Iran. Calcif Tissue Int 80:147–153

    Article  CAS  PubMed  Google Scholar 

  24. Abolhassani F, Mohammadi M, Soltani A (2004) Burden of osteoporosis in Iran. Iran J Publ Heal Suppl; 33:18–28

  25. Alghamdi MA, Mohammed AGA (2018) Knowledge and awareness of osteoporosis among Saudi physicians and nurses: a cross-sectional study. Open Access Maced J Med Sci 6:913–916. https://doi.org/10.3889/oamjms.2018.177

    Article  PubMed  PubMed Central  Google Scholar 

  26. Zakai G, Zakai H, Medicine F, Arabia S (2015) Awareness about osteoporosis among university students in Jeddah , Saudi Arabia. J Adv Lab Res Biol; 6(2): 43-47

  27. Elsabagh HM, Aldeib AF, Atlam SA, Saied SM (2015) Osteoporosis knowledge and health beliefs among employees of Tanta University. Am J Res Com. 12: 62-77

  28. El-Tawab SS, Saba EKA, Elweshahi HMT, Ashry MH (2016) Knowledge of osteoporosis among women in Alexandria (Egypt): a community based survey. Egypt Rheumatol 38:225–231. https://doi.org/10.1016/J.EJR.2015.08.001

    Article  Google Scholar 

  29. Jalili Z, Nakhaee N, Askari R, Sharifi V (2007) Knowledge, attitude and preventive practice of women concerning osteoporosis. Iran J Public Health 36(2):19–24

    Google Scholar 

  30. Khashayar P, Qorbani M, Keshtkar A, Khashayar P, Ziaee A, Larijani B (2017) Awareness of osteoporosis among female head of household: an Iranian experience. Arch Osteoporos 12:36. https://doi.org/10.1007/s11657-017-0330-7

    Article  PubMed  Google Scholar 

  31. Mahdaviazad H, Keshtkar V, Emami MJ (2018) Osteoporosis guideline awareness among Iranian family physicians: results of a knowledge, attitudes, and practices survey. Prim Health Care Res Dev 19:485–491. https://doi.org/10.1017/S1463423618000014

    Article  PubMed  PubMed Central  Google Scholar 

  32. Johansen A, Golding D, Brent L, Close J, Gjertsen JE, Holt G, Hommel A, Pedersen AB, Röck ND, Thorngren KG (2017) Using national hip fracture registries and audit databases to develop an international perspective. Injury 48:2174–2179. https://doi.org/10.1016/J.INJURY.2017.08.001

    Article  PubMed  Google Scholar 

  33. Tian M, Gong X, Rath S, Wei J, Yan LL, Lamb SE, Lindley RI, Sherrington C, Willett K, Norton R (2016) Management of hip fractures in older people in Beijing: a retrospective audit and comparison with evidence-based guidelines and practice in the UK. Osteoporos Int 27:677–681. https://doi.org/10.1007/s00198-015-3261-4

    Article  CAS  PubMed  Google Scholar 

  34. El-Hajj Fuleihan G (2010) Vitamin D deficiency in the Middle East and its health consequences. In: Vitamin D. Humana Press, Totowa, pp 469–494

    Chapter  Google Scholar 

  35. Nguyen TV, Center JR, Eisman JA (2004) Osteoporosis: underrated, underdiagnosed and undertreated. Med J Aust 180:S18–S22

    Article  PubMed  Google Scholar 

  36. Miller PD (2016) Underdiagnoses and undertreatment of osteoporosis: the battle to be won. J Clin Endocrinol Metab 101:852–859. https://doi.org/10.1210/jc.2015-3156

    Article  CAS  PubMed  Google Scholar 

  37. Westesson P-L, Lee RK, Ketkar MA, Lin Edward P (2002) Underdiagnosis and undertreatment of osteoporosis. Lancet 360:1891

    Article  PubMed  Google Scholar 

  38. Mitchell PJ (2013) Best practices in secondary fracture prevention: fracture liaison services. Curr Osteoporos Rep 11:52–60. https://doi.org/10.1007/s11914-012-0130-3

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bagher Larijani.

Ethics declarations

Conflicts of interest

None.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Khashayar, P., Taheri, E., Adib, G. et al. Osteoporosis strategic plan for the Middle East and North Africa region. Arch Osteoporos 14, 20 (2019). https://doi.org/10.1007/s11657-019-0567-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s11657-019-0567-4

Keywords

Navigation