1. 2016 World Osteoporosis Day Report
Paul Mitchell
Chairman of the Board of Trustees
Osteoporosis New Zealand
3rd November 2016
Dementia Today: Diverse Communities Collective Action
Alzheimers NZ Biennial Conference and 19th Asia Pacific Regional Conference of Alzheimer’s Disease International
TSB Bank Arena and Convention Centre, Queens Wharf, Wellington, New Zealand

2. Osteoporosis: A highly prevalent disease
Osteoporosis causes bones to become weak and fragile, so that they break easily
Globally, one third of women and one fifth of men over the age of 50 years will suffer an osteoporotic fracture
In 2000, more than 8.9 million fractures occurred
Osteoporosis accounts for more bed days in hospital than other diseases including breast cancer, heart attacks and diabetes

4. World Osteoporosis Day – 20th October www.worldosteoporosisday.org

5. 2016 World Osteoporosis Day Report Gaps and Solutions in Bone Health

6. 2016 World Osteoporosis Day Report Gaps and Solutions in Bone Health
Case finding and management:
Gap 1: Secondary fracture prevention
Gap 2: Osteoporosis induced by medicines
Gap 3: Diseases associated with osteoporosis
Gap 4: Primary fracture prevention for individuals at high risk of fracture
Public awareness:
Gap 5: The importance of staying on treatment
Gap 6: Public awareness of osteoporosis and fracture risk
Gap 7: Public awareness of benefits versus risks of osteoporosis treatment
Government and health system issues:
Gap 8: Access and reimbursement for osteoporosis assessment and treatment
Gap 9: Prioritization of fragility fracture prevention in national policy
Lack of data:
Gap 10: The burden of osteoporosis in the developing world

7. Fracture begets fracture
Opportunities for intervention
‘Hip fracture is all too often the final destination of a thirty year journey fuelled by decreasing bone strength and increasing falls risk’2
1. J Endocrinol Invest 1999;30: Kanis JA & Johnell O
2. Osteoporosis Review. 2009;17(1):14-16 Mitchell PJ

8. 2016 World Osteoporosis Day Report Osteoporosis induced by medicines

9. 2016 World Osteoporosis Day Report Diseases associated with osteoporosis

10. 2016 World Osteoporosis Day Report Diseases associated with osteoporosis

11. 2016 World Osteoporosis Day Report Diseases associated with osteoporosis - Dementia
People who are living with dementia may be at high risk of suffering osteoporosis, falls and fractures
A UK study published in 2009 found that during a 12 month period, 66% of participants with dementia had a fall compared with 36% of age-matched individuals without dementia
The incidence of hip fracture among people with Alzheimer’s disease (AD) has been reported to be almost three times higher than their peers who do not have AD
Approximately one third of people who break their hip are living with dementia

12. 2016 World Osteoporosis Day Report Diseases associated with osteoporosis - Dementia
A Call to Action for better bone health for people who are living with dementia:
“Persons with dementia suffer more falls, more fractures and higher post-fracture mortality than those without dementia, yet they are under-assessed for falls risk factors and are less likely to receive treatment for osteoporosis.
Falls and fracture patients have a high prevalence of dementia and cognitive impairment, yet do not routinely receive cognitive assessment and, consequently, frequently miss an opportunity for a diagnosis of dementia to be made.”
“As the population of dementia sufferers is set to grow spectacularly in the coming decades, evidence-based guidelines for the management of osteoporosis - and falls risk - in dementia must be drafted and implemented as soon as possible”.

13. BoneCare 2020: Osteoporosis New Zealand A systematic approach for New Zealand

14. Osteoporosis New Zealand Strategy BoneCare 2020

15. New Zealand – 12 July 2016 ACC to invest $30 million into falls and fracture prevention

16. Thank you