Disparities in the Prevalence of Osteoporosis and Osteopenia in Men and Women Living in Sub-Saharan Africa, the UK, and the USA.

IF 4.2 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Current Osteoporosis Reports Pub Date : 2023-08-01 Epub Date: 2023-06-23 DOI:10.1007/s11914-023-00801-x

Kate A Ward, Camille M Pearse, Tafadzwa Madanhire, Alisha N Wade, June Fabian, Lisa K Micklesfield, Celia L Gregson

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Abstract

Purpose: To review the rising prevalence of osteopenia and osteoporosis in sub-Saharan Africa and the challenges this poses to governments and healthcare services. Using existing studies, we compare the prevalence of osteopenia and osteoporosis in men and women from sub-Saharan Africa to US and UK cohorts. Context-specific disparities in healthcare are discussed particularly the challenges in diagnosis and treatment of osteoporosis.

Recent findings: There are few epidemiological data describing the burden of osteoporosis in sub-Saharan Africa. In the studies and cohorts presented here, osteoporosis prevalence varies by sex, country and area of residence, but is generally higher in African populations, than has previously been appreciated. Risk factors contributing to poorer bone health include HIV, malnutrition and "inflammaging." Reprioritization towards care of ageing populations is urgently required. Equitable access to implementable preventative strategies, diagnostic services, treatments and pathways of care for bone health (for example embedded within HIV services) need now to be recognized and addressed by policy makers.

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生活在撒哈拉以南非洲、英国和美国的男性和女性骨质疏松症和骨质疏松症患病率的差异。

目的：回顾撒哈拉以南非洲地区骨质增生和骨质疏松症患病率的上升情况，以及这给政府和医疗保健服务带来的挑战。利用现有研究，我们将撒哈拉以南非洲男性和女性骨质增生和骨质疏松症的患病率与美国和英国的队列进行了比较。我们还讨论了医疗保健中的具体差异，尤其是骨质疏松症诊断和治疗方面的挑战：描述撒哈拉以南非洲地区骨质疏松症负担的流行病学数据很少。在本文介绍的研究和队列中，骨质疏松症的患病率因性别、国家和居住地区而异，但非洲人口的患病率普遍高于以往的认识。导致骨骼健康状况较差的风险因素包括艾滋病毒、营养不良和 "炎症"。急需重新确定老龄人口护理的优先次序。现在，政策制定者需要认识到并解决公平获得可实施的预防战略、诊断服务、治疗和骨骼健康护理途径（例如嵌入艾滋病毒服务中）的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Osteoporosis Reports Medicine-Endocrinology, Diabetes and Metabolism

CiteScore

8.80

自引率

2.30%

发文量

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of osteoporosis. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as current and future therapeutics, epidemiology and pathophysiology, and evaluation and management. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.