Evidence map›Paper›PMID 40890217›Full record

Articlenpj aging2025

Global epidemiology and burden of osteoporosis among postmenopausal women: insights from the Global Burden of Disease Study 2021.

Haofeng Liang, Shibo Chen, Meiling Shi, Jialiang Xu, Chenxi Zhao, Bingsheng Yang, Sikuan Zheng, Jianye Tan

Abstract read
In one paragraph

Article in npj aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing 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

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

  1. Pooled it
  2. Article
  3. Glucose metabolism in osteoporosis: A potential therapeutic target (Review).International journal of molecular medicine · 2026
    Review
  4. 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
    Review
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  13. Review
  14. Engineered bone-targetingMaterials today. Bio · 2026
    Article
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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

8 authors.

Haofeng Liang *Department of Orthopedics, Huizhou Central People's Hospital, Huizhou, China.
Shibo Chen *Department of Joint and Orthopedics, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Meiling Shi *Department of Anesthesiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.
Jialiang XuQueen Mary College, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Chenxi ZhaoQueen Mary College, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Bingsheng YangDepartment of Joint and Orthopedics, Zhujiang Hospital, Southern Medical University, Guangzhou, China. ybs0626@163.com.
Sikuan ZhengDepartment of Orthopaedics, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China. 821123406@qq.com.
Jianye TanDepartment of Joint and Orthopedics, Zhujiang Hospital, Southern Medical University, Guangzhou, China. tjytzy@126.com.

Funding

National Natural Science Foundation of China 82460548Natural Science Foundation of Jiangxi Province of China 20242BAB20368
6 · The paper itself

Abstract

Osteoporosis, primarily characterized by low bone mineral density (LBMD), is a major skeletal disorder among postmenopausal women (PMW), yet its global burden remains poorly quantified. Leveraging data from the Global Burden of Disease (GBD) Study 2021, we assessed the LBMD burden in PMW across 204 countries and territories between 1990 and 2021. Metrics included deaths, disability-adjusted life years (DALYs), years of life lost (YLLs), and years lived with disability (YLDs), with temporal trends evaluated via estimated annual percentage change (EAPC). We found that in 2021, LBMD was responsible for 219,552 deaths and 7.76 million DALYs in PMW globally, with age-standardized DALY rates reaching 979.2 per 100,000 population. Compared to premenopausal women, PMW experienced a 15.17-fold higher mortality, a 5.84-fold higher burden in DALYs, and a 6.29-fold higher burden in YLDs. While age-standardized rates (ASR) for deaths and DALYs showed slight declines from 1990 to 2021, the absolute number of LBMD-related deaths more than doubled, increasing from 91,941 in 1990 to 219,552 in 2021, largely driven by global population aging. South Asia experienced the greatest burden, with India reporting the highest DALYs rates. The burden was highest in women aged ≥80 years and increased most rapidly in those aged ≥95. Regions with a high Socio-demographic Index (SDI) exhibited lower mortality rates but disproportionately higher levels of disability, whereas low-SDI regions bore a greater burden of mortality. Projections to 2045 suggest a sustained rise in deaths and disability, despite modest rate reductions. These findings underscore the urgent need for age-tailored, equity-focused interventions to mitigate fracture risk and improve musculoskeletal health among aging female populations worldwide.

Identifiers

PMID40890217
PMCPMC12402057

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Registered trials

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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.