gms | German Medical Science

51. Kongress für Allgemeinmedizin und Familienmedizin

Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin (DEGAM)

21.09. - 23.09.2017, Düsseldorf

Prevalence and comorbidity of osteoporosis in the general population in Germany

Meeting Abstract

  • M.-T. Puth - Institut für Hausarztmedizin, Medizinische Fakultät der Universität Bonn, Bonn, Deutschland; Institut für Medizinische Biometrie, Informatik und Epidemiologie, Universitätsklinikum Bonn, Bonn, Deutschland
  • M. Klaschik - Institut für Hausarztmedizin, Medizinische Fakultät der Universität Bonn, Bonn, Deutschland
  • M. Schmid - Institut für Medizinische Biometrie, Informatik und Epidemiologie, Universitätsklinikum Bonn, Bonn, Deutschland
  • K. Weckbecker - Institut für Hausarztmedizin, Medizinische Fakultät der Universität Bonn, Bonn, Deutschland
  • E. Münster - Institut für Hausarztmedizin, Medizinische Fakultät der Universität Bonn, Bonn, Deutschland

51. Kongress für Allgemeinmedizin und Familienmedizin. Düsseldorf, 21.-23.09.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc17degam140

doi: 10.3205/17degam140, urn:nbn:de:0183-17degam1406

Published: September 5, 2017

© 2017 Puth et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Background: Osteoporosis and its consequences are a major public health concern. When discussing the health problems of osteoporosis the main focus is usually directed towards bone fractures. Only little is known about other diseases that go along with osteoporosis and equally impair the patients’ quality of life.

Question: What comorbidities are most common for adults with osteoporosis?

Methods: This cross-sectional analysis is based on the national telephone health interview survey “German Health Update” (GEDA 2012) performed in 2012/2013. GEDA 2012 provides information on osteoporosis and 15 other self-reported health conditions along with sociodemographic characteristics for nearly 20 000 adults. Descriptive statistical analysis and multiple logistic regression were used to examine the association between osteoporosis and other chronic diseases. All analyses were limited to participants aged 50 years and older.

Results: Overall, 8.7% (95% confidence interval (CI) 8.0%-9.6%) of the 10 660 participants aged 50+ years had osteoporosis (men 4.7%, 95% CI 3.8%-5.9% and women 12.2%, 95% CI 11.1%-13.5%). More than 95% of the adults with osteoporosis had at least one coexisting disease. The odds of having osteoporosis were more than two times greater for adults with arthrosis, chronic low back pain, arthritis, depression or chronic heart failure.

Discussion: Osteoporosis has a major impact on quality of life and overall health. GPs need to be aware of the consequences of multimorbidity in adults with osteoporosis. Health care interventions for affected patients should be expanded by offering early or even preventive care for other diseases that go along with it.