BMC Geriatrics

Hip fracture rates rose among older adults in China

Estimated incidence rose from 556.87 per 100,000 in 1990 to 1,088.96 in 2023 among adults aged 60 and older.

Paper by Zeqian Zhang, Jinxian Zhao, Jiamin Lei, 3 more authorsChaohong Li · Guangzhou University of Chinese Medicine
Figure 1 from BMC Geriatrics
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Figure 1. Zhang et al., CC BY-NC-ND
Computational study of Chinese adults aged 60 and older, against older Chinese adults in 1990Populations

Limit: Population aging accounted for 33.05% of the crude incidence increase

Edited by Boris Djordjevic · AgingResearch.News

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Researchers analyzed annual hip fracture estimates for Chinese adults aged 60 and older from 1990 to 2023 in a modeling study. The estimated incidence rate rose by 58.46% after adjusting for differences in age distribution. Changes in age composition accounted for 33.05% of the increase in the unadjusted rate.

The researchers compared forecasting models against data withheld from model fitting and selected one for projections to 2035. For that year, it projected 14,266.00 new hip fractures per 100,000 women aged 95 and older, compared with 7,052.89 per 100,000 men of the same age. Projected rates increased most in the oldest groups but declined among adults aged 60–69.

Why it matters

Hip fractures contribute to disability in older age. These estimates can inform planning for prevention, surgery, rehabilitation and long-term care as China’s population ages.

Caveats

The future rates are model projections, not observed outcomes. The analysis concerned adults aged 60 and older in China, not younger adults or populations elsewhere.