Evidence map›Paper›PMID 38578689›Full record

ArticleJMIR public health and surveillance2024

Sex- and Age-Specific Prevalence of Osteopenia and Osteoporosis: Sampling Survey.

Yao Fan, Qun Li, Yu Liu, Jing Miao, Ting Zhao, Jinxin Cai, Min Liu, Jun Cao, Haifeng Xu, Lai Wei and 2 more

Abstract read
In one paragraph

Article in JMIR public health and surveillance, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Women's musculoskeletal health: insights from the 2024 National Academies of Sciences, Engineering, and Medicine report on chronic conditions.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Yao Fan *Division of Clinical Epidemiology, Affiliated Geriatric Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0002-0725-6960
Qun Li *Department of Nutrition, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID 0009-0006-8420-9048
Yu Liu *Institute for the Prevention and Control of Chronic Non-communicable Diseases, Center for Disease Control and Prevention of Jurong City, Jurong, China.ORCID 0009-0007-2405-6403
Jing MiaoDepartment of Clinical Nutrition, Affiliated Sir Run Run Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0001-6581-4361
Ting ZhaoDepartment of Nutrition, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0001-6446-9252
Jinxin CaiDepartment of Nutrition, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID 0009-0009-5388-5301
Min LiuInstitute for the Prevention and Control of Chronic Non-communicable Diseases, Center for Disease Control and Prevention of Jurong City, Jurong, China.ORCID 0009-0007-1965-7589
Jun CaoInstitute for the Prevention and Control of Chronic Non-communicable Diseases, Center for Disease Control and Prevention of Jurong City, Jurong, China.ORCID 0009-0009-3235-9302
Haifeng XuInstitute for the Prevention and Control of Chronic Non-communicable Diseases, Center for Disease Control and Prevention of Jurong City, Jurong, China.ORCID 0009-0005-6689-1277
Lai WeiDepartment of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing, China.ORCID 0000-0003-0425-0413
Mengxia LiDepartment of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing, China.ORCID 0009-0006-5716-7962
Chong ShenDepartment of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing, China.ORCID 0000-0001-6447-6591

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteopenia and osteoporosis are posing a long-term influence on the aging population's health contributing to a higher risk of mortality, loss of autonomy, hospitalization, and huge health system costs and social burden. Therefore, more pertinent data are needed to demonstrate the current state of osteoporosis.

objectiveThis sampling survey seeks to assess the trends in the prevalence of osteopenia and osteoporosis in a Chinese Han population.

methodsA community-based cross-sectional study involving 16,377 participants used a multistage sampling method. Bone mineral density was measured using the quantitative ultrasonic densitometry. Student t test and Mann-Whitney U test were used to test the difference between normally and nonnormally distributed quantitative variables between male and female participants. A chi-square (χ

resultsThe prevalence rates of osteopenia and osteoporosis were 40.5% (6633/16,377) and 7.93% (1299/16,377), respectively, and the age-standardized prevalence rates were 27.32% (287,877,129.4/1,053,861,940) and 3.51% (36,974,582.3/1,053,861,940), respectively. There was an increase in osteopenia and osteoporosis prevalence from 21.47% (120/559) to 56.23% (754/1341) and 0.89% (5/559) to 17.23% (231/1341), respectively, as age increased from 18 years to 75 years old. The prevalence rates of osteopenia and osteoporosis were significantly higher in female participants (4238/9645, 43.94% and 1130/9645, 11.72%) than in male participants (2395/6732, 35.58% and 169/6732, 2.51%; P<.001), and in postmenopausal female participants (3638/7493, 48.55% and 1053/7493, 14.05%) than in premenopausal female participants (538/2026, 26.55% and 53/2026, 2.62%; P<.001). In addition, female participants with a history of calcium intake had a lower osteoporosis prevalence rate than female participants without any history of calcium intake in all age groups (P=.004). From low quartile to high quartile of T-score, the prevalence of diabetes mellitus (752/4037, 18.63%; 779/4029, 19.33%; 769/3894, 19.75%; and 869/3879, 22.4%) and dyslipidemia (2228/4036, 55.2%; 2304/4027, 57.21%; 2306/3891, 59.26%; and 2379/3878, 61.35%) were linearly increased (P<.001), while the prevalence of cancer (112/4037, 2.77%; 110/4029, 2.73%; 103/3894, 2.65%; and 77/3879, 1.99%) was decreased (P=.03).

conclusionsOur data imply that as people age, osteopenia and osteoporosis are more common in females than in males, particularly in postmenopausal females than in premenopausal females, and bone mineral density significantly affects the prevalence of chronic diseases. These findings offer information that can be applied to intervention programs meant to prevent or lessen the burden of osteoporosis in China.

Indexed as

Bone Diseases, MetabolicOsteoporosisAdolescentAgedAge FactorsCalciumCross-Sectional StudiesFemaleHumansMalePrevalenceCalciumcross-sectional studyosteopeniaosteoporosisprevalencequantitative ultrasound

Identifiers

PMID38578689
PMCPMC11031699

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.