Prevalence and Burden of Osteoporosis in India

Osteoporosis is a disease that is characterised by bone micro-architectural deterioration and is predisposed to easy fractures. In India, this poses a huge challenge, as India is a developing country due to demographic transition and population ageing, as well as limited availability of resources in rural India. Most Indians’ bone health is at risk and has an enormous burden on the nation despite great progress in understanding the disease, diagnosis and treatment over the last decade. Worldwide, postmenopausal women and the geriatric population are mainly affected by osteoporosis. Osteoporosis is immediately referred to as a “SILENT DISEASE” because a fragility fracture that causes hospitalisation along with increased morbidity and mortality is often the earliest evidence. Due to the limited availability of data as well as difficulties in quantifying the severity of the problem, the exact disease burden is difficult to measure and the biggest problem is the lack of understanding on the part of The provider of healthcare for the public. Unfortunately, it is not possible to calculate bone strength or detect architectural degradation in living patients, and most approaches are used as “proxies” for ad Bone Mass Density (BMD) bone strength assessment. However, the likelihood of fractures can be safely predicted by the Fracture Risk Assessment Tool (FRAX) of the World Health Organization (WHO), which is mainly focused on clinica. And any patient with a low bone density must be considered for treatment of osteoporosis (T-score of between −1.0 and −2.5) Bone health is critically important for the quality of life of individuals. In terms of early prevention, adequate evaluation, diagnosis and care, there have been significant changes recently. From the Indian viewpoint, this chapter will focus mainly on the prevalence of osteoporosis. Fig. Fig. 1 indicates the distinction between bones that are normal and osteoporotic.

Author (s) Details

Dr. Sunil Sheshrao Nikose
Professor of Orthopedic surgery and Director of Centre of Excellence of Medical Simulation Datta Meghe Institute of Medical Sciences, Wardha, India.

Devashree Nikose
Medical Doctor, NKP Salve Institute of Medical Sciences, Nagpur, India.

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