Definitions and Prevalence

Osteopenia and osteoporosis are very common conditions

Today it is estimated that 34 million Americans have osteopenia and are at significant risk of developing osteoporosis.1

  • 10 million Americans have osteoporosis1

The National Osteoporosis Foundation has predicted that these estimates will continue to rise, and by 2020:

  • 47 million Americans will have osteopenia and will be at significant risk of developing osteoporosis2
  • 14 million Americans will have osteoporosis2

The condition usually affects females significantly more than males.

  • 80% female vs. 20% male1
Normal Bone vs. Osteoporotic Bone

How is osteoporosis usually defined?

  • Osteoporosis is a skeletal disease characterized by a decrease in bone mass and bone density and an increased risk and/or incidence of fracture
  • Fracture risk similar for young or old; a postmenopausal women study identified that relative risk for osteoporotic fracture was 1.5 for each standard deviation (SD) decrease in bone mineral density (BMD) for both younger (age 50-64) and older (65+) women3
  • BMD score > -2.5 SD below T-score norm4
  • Osteoporosis literally means "porous bone"

How is osteopenia usually defined?

  • Osteopenia is a condition that results in a significant decrease in bone density but not necessarily an increase in the risk or incidence of fracture
  • BMD score from -1.0 to -2.5 SD below T-score norm4
  • Decrease in bone density less severe than osteoporosis4
  • Considered a clinical precursor to osteoporosis4
“Low BMD in younger postmenopausal women 50-64 years of age showed a 1-year relative risk of fracture similar to that found in woman ≥65 years of age”4

References

  1. National Osteoporosis Foundation: Fast Facts http://www.nof.org/osteoporosis/diseasefacts.htm
  2. National Osteoporosis Foundation: America's Bone Health: The State of Osteoporosis and Low Bone Mass in Our Nation. http://www.nof.org/advocacy/prevalence/
  3. Siris E.S. et al Predictive value of low BMD for 1-year fracture outcomes is similar for postmenopausal women ages 50-64 and 65 and older: results from the National Osteoporosis Risk Assessment (NORA) Jnl of Bone and Mineral Research, 2004 (Vol. 19) (No. 8) 1215-1220
  4. National Osteoporosis Foundation Presentation: Osteoporosis: an Overview of Prevention Diagnosis & Treatment 2007 — Slide 39-40