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Published on September 24, 2013 | http://doi.org/10.5867/medwave.2013.08.5791

Osteoporosis in Latin America: panel expert review

Osteoporosis en América Latina: revisión de panel de expertos

Patricia Clark, Gabriela Chico, Fernando Carlos, Fernando Zamudio, Rosa Maria R. Pereira, José Zanchetta, Jorge Castillo

Abstract

Background. The Latin American region is undergoing a demographic and epidemiological transition, which is leading to an increase in chronic and degenerative diseases. Osteoporosis (OP) and fragility fractures (FF) are emerging as main causes of disease burden with great impact on health institutions. Purpose. This review article provides an updated overview of trends in the epidemiology and economic impact of OP and FF, as well as in diagnosis and available treatments in Latin America, including calcium, vitamin D and prevention programs. Methods. Expert panel. Conclusions. According to this review, there is a lack of epidemiological and economic information in the region. It is desirable to obtain information regarding quality of life in OP and FF as well as to highlight prevention as a tool to reduce FF.

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Authors

Patricia Clark

Unidad de Investigación en Epidemiologia Clínica, Hospital Infantil Federico Gómez, Facultad de Medicina UNAM, México DF, México

Gabriela Chico

Unidad de Investigación en Epidemiologia Clínica, Hospital Infantil Federico Gómez, Facultad de Medicina UNAM, México DF, México

Fernando Carlos

RAC Salud Consultores, S.A. de C.V., México DF, México

Fernando Zamudio

Hospital Regional de Alta Especialidad de Oaxaca, México

Rosa Maria R. Pereira

Clínica de Enfermedades Osteometabólicas y Osteoporosis del Departamento de Reumatología del Hospital de Clínicas, Facultad de Medicina de la Universidad de São Paulo, Brasil

José Zanchetta

Instituto de Investigaciones Metabólicas, Buenos Aires, Argentina

Jorge Castillo

Clínica Compensar, Bogotá, Colombia

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History

Citation Clark P, Chico G, Carlos F, Zamudio F, Pereira RMR, Zanchetta Jet al. Osteoporosis in Latin America: panel expert review. Medwave 2013;13(08):e5791 doi: 10.5867/medwave.2013.08.5791

Submission date 18/07/2013

Acceptance date 09/09/2013

Publication date 24/09/2013

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Notes

Keywords

osteoporosis, fracturas, epidemiología, prevención, impacto económico

Origin and peer review

con revisión por dos pares revisores, a doble ciego

References

  1. Kanis JA, on behalf of the World Health Organization Scientific Group. Assessment of osteoporosis at primary health-care level. Technical Report. United Kingdom: University of Sheffield, 2007. | Link
  2. Who are candidates for prevention and treatment for osteoporosis? Osteoporos Int. 1997;7(1):1-6. | CrossRef | PubMed
  3. Johnell O, Kanis JA. An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Osteoporos Int. 2004;15(11):897-902. | CrossRef | PubMed
  4. Enlaces a los 14 Paises y Territorios de Sur América. exitoexportador.com [on line] | Link
  5. Zanchetta J, MacDonald S. The Latin America regional audit. Epidemiology, costs & burden of osteoporosis in 2012. Switzerland: International Osteoporosis Foundation,2012. | Link
  6. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group. World Health Organ Tech Rep Ser. 1994;843:1-129. | PubMed
  7. Clark P, Carlos F, Vázquez-Martínez JL. Epidemiology, costs and burden of osteoporosis in Mexico. Arch Osteoporos. 2010;5:9-17. | CrossRef
  8. Clark P, Lavielle P, Franco-Marina F, Ramírez E, Salmerón J, Kanis JA, et al. Incidence rates and life-time risk of hip fractures in Mexicans over 50 years of age: a population-based study. Osteoporos Int. 2005 Dec;16(12):2025-30. | CrossRef | PubMed
  9. INE, CEPAL. Chile: proyecciones y estimaciones de población. Total País 1950-2050. Santiago, Chile: INE, 2002. | Link
  10. Johansson H, Clark P, Carlos F, Oden A, McCloskey EV, Kanis JA. Increasing age- and sex-specific rates of hip fracture in Mexico: a survey of the Mexican Institute of Social Security. Osteoporos Int. 2011 Aug;22(8):2359-64. | CrossRef | PubMed
  11. Komatsu RS, Ramos LR, Szejnfeld VL. Incidence of proximal femur fractures in Marilia, Brazil. J Nutr Health Aging. 2004;8(5):362-7. | PubMed
  12. Carmona F. Osteoporosis en Santa Fe de Bogotá. Santa Fe de Bogotá, Colombia: Instituto Nacional de Salud, 1999.
  13. Health care costs of osteopenia, osteoporosis, and fragility fractures in Mexico. Arch Osteoporos. 2013;(8):125. | Link
  14. Clark P, Cons-Molina F, Deleze M, Ragi S, Haddock L, Zanchetta JR, et al. The prevalence of radiographic vertebral fractures in Latin American countries: the Latin American Vertebral Osteoporosis Study (LAVOS). Osteoporos Int. 2009 Feb;20(2):275-82. | CrossRef | PubMed
  15. Monge-Rojas R, Nuñez HP. Dietary calcium intake by a group of 13 18-year-old Costa Rican teenagers. Arch Latinoam Nutr. 2001 Jun;51(2):127-31. | PubMed
  16. Vivanco-Muñoz N, Reyes-Sánchez M, Lazcano E, Díaz R, Antúnez O, Clark P. Physical activity is a prognostic factor for bone mineral density in Mexican children. Bol Med Hosp Infant Mex. 2012;69(1):40-5.
  17. Clark P, de la Peña F, Gómez García F, Orozco JA, Tugwell P. Risk factors for osteoporotic hip fractures in Mexicans. Arch Med Res. 1998 Autumn;29(3):253-7. | PubMed
  18. Mundo-Rosas V, Rodríguez-Ramírez S, Shamah-Levy T. Energy and nutrient intake in Mexican children 1 to 4 years old: results from the Mexican National Health and Nutrition Survey 2006. Salud Publica Mex. 2009;51 Suppl 4:S530-9. | CrossRef | PubMed
  19. Flores M, Macías N, Rivera M, Barquera S, Hernández L, García-Guerra A, et al. Energy and nutrient intake among Mexican school-aged children, Mexican National Health and Nutrition Survey 2006. Salud Pública Mex. 2009;51 Suppl 4:S540-50. | CrossRef | PubMed
  20. Rodríguez-Ramírez S, Mundo-Rosas V, Shamah-Levy T, Ponce-Martínez X, Jiménez-Aguilar A, González-de Cossío T. Energy and nutrient intake in Mexican adolescents: analysis of the Mexican National Health and Nutrition Survey 2006. Salud Publica Mex. 2009;51 Suppl 4:S551-61. | PubMed
  21. Barquera S, Hernández-Barrera L, Campos-Nonato I, Espinosa J, Flores M, J AB, et al. Energy and nutrient consumption in adults: analysis of the Mexican National Health and Nutrition Survey 2006. Salud Publica Mex. 2009;51 Suppl 4:S562-73. | PubMed
  22. Oliveri B, Plantalech L, Bagur A, Wittich AC, Rovai G, Pusiol E, et al. High prevalence of vitamin D insufficiency in healthy elderly people living at home in Argentina. Eur J Clin Nutr. 2004 Feb;58(2):337-42. | CrossRef | PubMed
  23. Arévalo CE, Núñez M, Barcia RE, Sarandria P, Miyazato M. Deficit de Vitamina D en mujeres adultas de la Ciudad de Buenos Aires. Medicina (B Aires). 2009;69(6):635-9. | PubMed
  24. Silva BC, Camargos BM, Fujii JB, Dias EP, Soares MM. Prevalencia de deficiencia e insuficiencia de vitamina D e sua correlacao com PTH, marcadores de remodelacao ossea e densidade mineral ossea, em pacientes ambulatoriais. Arq Bras Endocrinol Metabol. 2008 Apr;52(3):482-8. | CrossRef | PubMed
  25. Lips P, Hosking D, Lippuner K, Norquist JM, Wehren L, Maalouf G, et al. The prevalence of vitamin D inadequacy amongst women with osteoporosis: an international epidemiological investigation. J Intern Med. 2006 Sep;260(3):245-54. | CrossRef | PubMed
  26. Bandeira F, Griz L, Freese E, Lima DC, Thé AC, Diniz ET, et al. Vitamin D deficiency and its relationship with bone mineral density among postmenopausal women living in the tropics. Arq Bras Endocrinol Metabol. 2010 Mar;54(2):227-32. | CrossRef | PubMed
  27. Saraiva GL, Cendoroglo MS, Ramos LR, Araújo LM, Vieira JG, Maeda SS, et al. Prevalencia da deficiencia, insuficiencia de vitamina D e hiperparatiroidismo secundario em idosos institucionalizados e moradores na comunidade da cidade de Sao Paulo, Brasil. Arq Bras Endocrinol Metabol. 2007 Apr;51(3):437-42. | CrossRef | PubMed
  28. Rodríguez P JA, Valdivia CG, Trincado MP. Vertebral fractures, osteoporosis and vitamin D levels in Chilean postmenopausal women. Rev Med Chil. 2007 Jan;135(1):31-6. Epub 2007 Mar 6. | CrossRef | PubMed
  29. Sud SR, Montenegro-Bethancourt G, Bermúdez OI, Heaney RP, Armas L, Solomons NW. Older Mayan residents of the western highlands of Guatemala lack sufficient levels of vitamin D. Nutr Res. 2010 Nov;30(11):739-46. | CrossRef | PubMed
  30. Elizondo-Alanis L, Espinoza-Zamora J, Zayas-Jaime F. Serum levels of vitamin D in healthy postmenopausal women at 4 cities in Mexico. Rev Metab Óseo Miner. 2006;4:389-98.
  31. Hernández-Bueno J, Vásquez-Alanis A, Sánchez-Méndez E, Sobrino-Cossio S. Blood vitamin D levels in Mexican osteoporotic postmenopausal women with or without supplement administration. 12th World Congress on Menopause; Madrid, Spain.2008.
  32. Flores M, Sánchez L, Macías N, Lozada A, Díaz E, Barquera S. Concentraciones séricas de vitamina D en niños, adolescentes y adultos mexicanos. Resultados de la ENSANUT 2006. México: Instituto Nacional de Salud Pública, 2011.
  33. Abstracts of IOF Regionals, the 1st Latin America Osteoporosis Meeting. São Paulo, Brazil. May 24-27, 2012. Osteoporos Int. 2012 Jun;23 Suppl 4:S461-519. | PubMed