Abstract
We conducted a survey of all hip fractures in patients 35 years old and over during 1998–2001 in Tottori Prefecture, Japan, and compared them with those reported previously. The survey found 604, 671, 710, 729 patients, in 1998, 1999, 2000, and 2001, respectively. The mean age- and gender-specific incidences (per 100,000 person-years) for men were 108.0, 209.0, 449.1, and 780.0 in the age groups of 70–74, 75–79, 80–84 and over 84, respectively, and those for women were 249.1, 505.8, 1,115.4, and 2,066.4, respectively. The expected numbers of patients in 1998 were 1.23 and 1.42 times those in 1986, and those in 2001 were 1.61 and 1.48 times those in 1986, for men and women, respectively, and the increases with time for both genders were significant. It was concluded that there was a significant increase in the incidence rates of hip fracture from 1986 to 2001.
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Yan L, Zhou B, Prentice A, Wang X, Golden MH (1999) Epidemiological study of hip fracture in Shenyang, People’s Republic of China. Bone 24(2):151–155
Hagino H, Yamamoto K, Ohshiro H, Nakamura T, Kishimoto H, Nose T (1999) Changing incidence of hip, distal radius, and proximal humerus fractures in Tottori Prefecture, Japan. Bone 24(3):265–270
Ross PD, Huang C (2000) Hip fracture incidence among Caucasians in Hawaii is similar to Japanese. A population-based study. Aging (Milano). 12(5):356–359
Lau EM, Lee JK, Suriwongpaisal P, Saw SM, Das De S, Khir A, Sambrook P (2001) The incidence of hip fracture in four Asian countries: the Asian Osteoporosis Study (AOS). Osteoporos Int 12:239–243
Zingmond DS, Melton LJ 3rd, Silverman SL (2004) Increasing hip fracture incidence in California Hispanics, 1983 to 2000. Osteoporos Int 15: 603–610
Zebaze RM, Seeman E (2003) Epidemiology of hip and wrist fractures in Cameroon, Africa. Osteoporos Int 14:301–305
El Maghraoui A, Koumba BA, Jroundi I, Achemlal L, Bezza A, Tazi MA (2004) Epidemiology of hip fractures in 2002 in Rabat, Morocco. Osteoporos Int 16(6):597–602
Koh LK, Saw SM, Lee JJ, Leong KH, Lee J (2001) National Working Committee on Osteoporosis. Hip fracture incidence rates in Singapore 1991–1998. Osteoporos Int 12:311–318
Chie WC, Yang RS, Liu JP, Tsai KS (2004) High incidence rate of hip fracture in Taiwan: estimated from a nationwide health insurance database. Osteoporos Int 15:998–1002
Cummings SR, Cauley JA, Palermo L, Ross PD, Wasnich RD, Black D, and Faulkner KG (1994) Racial differences in hip axis lengths might explain racial differences in rates of hip fracture. Osteoporos Int 4:226–229
Nakamura T, Turner CH, Yoshikawa T, Slemenda CW, Peacock M, Burr DB, Mizuno Y, Orimo H, Ochi Y, Johnston CC (1994) Do variations in hip geometry explain differences in hip fracture risk between Japanese and white Americans? J Bone Miner Res 9:1071–1076
Aoyagi K, Ross PD, Davis JW, Wasnich RD, Hayashi T, Takemoto T (1998) Falls among community-dwelling elderly in Japan. J Bone Miner Res 13:1468–1474
Suzuki T, Yoshida H, Hashimoto T, Yoshimura N, Fujiwara S, Fukunaga M, Nakamura T, Yoh K, Inoue T, Hosoi T, Orimo H (1997) Case-control study of risk factors for hip fractures in the Japanese elderly by a Mediterranean Osteoporosis Study (MEDOS) questionnaire. Bone 21:461–467
Fleiss JL (1973) Statistical methods for rates and proportions. Wiley, New York, pp 96–99
Morita Y, Endo N, Iga T, Tokunaga K, Ohkawa Y (2002) The incidence of cervical and trochanteric fractures of the proximal femur in 1999 in Niigata Prefecture, Japan. J Bone Miner Metab 20:311–318
Yoshimura N, Suzuki T, Hosoi T, Orimo H (2005) Epidemiology of hip fracture in Japan: incidence and risk factors. J Bone Miner Metab 23 [Suppl]:78–80
Boyce WJ, Vessey MP (1985) Rising incidence of fractures of the proximal femur. Lancet 1:150–151
Gullberg B, Duppe H, Nilsson B, Johnell IR, Sernbo I, Obrant K, Johnell O (1993) Incidence of hip fractures in Malmö, Sweden (1950–1991). Bone 14:S23–S29
Lauritzen JB, Schwarz P, Lund B, McNair P, Transbøl I (1993) Changing incidence and residual lifetime risk of common osteoporosis-related fractures. Osteoporos Int 3:127–132
Parkkari J, Kannus P, Niemi S, Pasanen M, Järvinen M, Lüthje P, Vuori I (1994) Increasing age-adjusted incidence of hip fractures in Finland: The number and incidence of fractures in 1970–1991 and prediction for the future. Calcif Tissue Int 55:342–345
Reginster JY, Gillet P, Gosset C (2001) Secular increase in the incidence of hip fractures in Belgium between 1984 and 1996: need for a concerted public health strategy. Bull World Health Organ 79:942–946
Huusko TM, Karppi P, Avikainen V, Kautiainen H, Sulkava R (1999) The changing picture of hip fractures: dramatic change in age distribution and no change in age-adjusted incidence within 10 years in Central Finland. Bone 24:257–259
Löfman O, Berglund K, Larsson L, Toss G (2002) Changes in hip fracture epidemiology: redistribution between ages, genders and fracture types. Osteoporos Int 13:18–25
Finsen V, Johnsen LG, Tranø G, Hansen B, Sneve KS (2004) Hip fracture incidence in central Norway: a follow-up study. Clin Orthop 419:173–178
Melton LJ, Atkinson EJ, Madbok R (1996) Downturn in hip fracture incidence. Public Health Rep 111:146–150
Boufous S, Finch CF, Lord SR (2004) Incidence of hip fracture in New South Wales: are our efforts having an effect? Med J Aust 21 180:623–626
Wildner M, Clark DE (2001) Hip fracture incidence in East and West Germany: reassessment ten years after unification. Osteoporos Int 12:136–139
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
Lee CM, Sidhu JS, Pan KL (1993) Hip fracture incidence in Malaysia 1981–1989. Acta Orthop Scand 64:178–180
Lau EM, Cooper C, Fung H, Lam D, Tsang KK (1999) Hip fracture in Hong Kong over the last decade—a comparison with the UK. J Public Health Med 21:249–250
Fujiwara S, Kasagi F, Yamada M, Kodama K (1997) Risk factors for hip fracture in a Japanese cohort. J Bone Miner Res 12:998–1004
Hagino H, Fujiwara S, Nakashima E, Nanjo Y, Teshima R (2004) Case-control study of risk factors for fractures of the distal radius and proximal humerus among the Japanese population. Osteoporos Int 15:226–230
Jacobsen SJ, Goldberg J, Miles TP, Brody JA, Stiers W, Rimm AA (1991) Seasonal variation in the incidence of hip fracture among white persons aged 65 years and older in the United States, 1984–1987. Am J Epidemiol 15 133:996–1004
Lau EM, Gillespie BG, Valenti L, O’Connell D (1995) The seasonality of hip fracture and its relationship with weather conditions in New South Wales. Aust J Public Health 19:76–80
Levy AR, Bensimon DR, Mayo NE, Leighton HG (1998) Inclement weather and the risk of hip fracture. Epidemiology 9:172–177
Crawford JR, Parker MJ (2003) Seasonal variation of proximal femoral fractures in the United Kingdom. Injury 34:223–225
Pedrazzoni M, Alfano FS, Malvi C, Ostanello F, Passeri M (1993) Seasonal variation in the incidence of hip fractures in Emilia-Romagna and Parma. Bone 14 [Suppl 1]:S57–63
Committee for Osteoporosis Treatment of the Japanese Orthopaedic Association (2004) Nationwide survey of hip fractures in Japan. J Orthop Sci 9:1–5
Pfeifer M, Begerow B, Minne HW (2002): Vitamin D and muscle function. Osteoporos Int 13:187–194
Acknowledgement
The authors sincerely acknowledge all staff members of hospitals in Tottori Prefecture that cooperated in this study. This study was partially supported by a grant-in-aid from the Ministry of Health, Labour and Welfare of Japan (grant H12-Choujyu-033)
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Hagino, H., Katagiri, H., Okano, T. et al. Increasing incidence of hip fracture in Tottori Prefecture, Japan: Trend from 1986 to 2001. Osteoporos Int 16, 1963–1968 (2005). https://doi.org/10.1007/s00198-005-1974-5
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DOI: https://doi.org/10.1007/s00198-005-1974-5