During the past decade @entity170 has emerged as a major public health problem. In societies with aging populations, an increasing number of @entity1 are at risk of @entity174 , the most detrimental outcome of @entity170 . @entity170 was initially identified as a problem of westernized countries, but a rising number of @entity174 are occurring in Asia and South America, and the global estimates show steep increases in these regions. Over the age of 70 years, only 31-36% of @entity1 are estimated to have normal bone mass. The lifetime risk for @entity173 for 50-year-old @entity1 is 18 to 25% and the risk for @entity1 6 to 7%. @entity173 affect the most aged, and are a contributing factor to death, with up to 20% of @entity1 having died within the first year. Rehabilitation is needed, but only 30% regain pre- @entity174 function. The lifetime risk of @entity174 has been estimated to be 15.4% after age 45 years, but this most likely largely underestimates the true risk. The demand on the health care system is therefore increasing, as are costs for society. Prevention of @entity170 and @entity174 must be considered particularly for the elderly at highest risk. Awareness is needed at all levels, including decision making bodies, in order to raise the priority of, and effectively implement, strategies to reduce the number of @entity1 suffering. Interventions for prevention of @entity174 must be cost-effective; therefore strategies are needed to identify those who will benefit most from more costly secondary measures.

Principles of bone and joint disease control programs-- XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'people', 'persons', 'men'] @entity173 :: ('MESH:D006620', 'Disease') :: ['Hip fractures', 'hip fracture'] @entity170 :: ('MESH:D010024', 'Disease') :: ['Osteoporosis', 'osteoporosis'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'vertebral fracture', 'fracture']
@entity170 :: (MESH:D010024,Disease) :: ['osteoporosis']
