Osteoporosis & bone health

Time trend analysis of osteoporosis prevalence among adults 50 years of age and older in the USA, 2005–2018

Osteoporos IntPublished Cross-sectional study

Authors' conclusion

The substantial and increasing prevalence among certain groups and sub-groups, along with the lack of diagnostic capture of osteoporosis, highlights existing gaps in public health efforts and care delivery infrastructure.

Study context

Population
Adults ≥50 years in the USA, National Health and Nutrition Examination Survey (NHANES) 2005–2006, 2007–2008, 2009–2010, 2013–2014 and 2017–2018
Outcome
Temporal trends in osteoporosis prevalence and proportion of undiagnosed osteoporosis
Methodological detailsobservational time trend analysis, descriptive analysis, NHANES 2005–2018
  • Observational time trend analysis
  • Descriptive analysis
  • NHANES 2005–2018

Main finding

As reported in the abstract

Osteoporosis prevalence trend, 2005–2018
  • Statistically significant increase in osteoporosis prevalence among women, non-Hispanic Whites, and all age groups (except ≥80 years)
  • Statistically significant increase among Other Hispanic men and non-Hispanic White women (gender by ethnicity/race)

Observational data: associations, not effects.

Further findings

Proportion of undiagnosed osteoporosis (2017-2018 NHANES)

Individuals with osteoporosis undiagnosed
69.12%
Men with osteoporosis undiagnosed (highest group)
86.88%
Individuals 50-59 years with osteoporosis undiagnosed (highest group)
84.77%
  • Descriptive analysis

Original publication

Time trend analysis of osteoporosis prevalence among adults 50 years of age and older in the USA, 2005–2018. Osteoporos Int. Published 28 January 2025. doi:10.1007/s00198-025-07395-3

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