Osteoporosis in Japan: Factors Contributing to the Low Incidence of Hip Fracture

  • Takuo Fujita
Part of the Advances in Nutritional Research book series (ANUR, volume 9)


Hip fracture or fracture of the proximal part of the femur is the most serious complication of osteoporosis, progressively increasing with age, especially in females, to become an urgent public health problem all over the world. Among elderly subjects confined to bed, or so-called bedridden patients, osteoporosis and resultant hip or vertebral fractures represent the second major cause responsible for such a miserable state, next only to cerebrovascular accidents, in Japan


Vertebral Fracture Calcium Intake Bone Quality Quantitative Compute Tomography Nutritional Intake 
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  1. Cummings, S.R., Kelsey, J.L. Newitt, M.C., and O’Doud, K.J., 1985, Epidemiology of osteoporosis and osteoporotic fracture, Epidemiol. Rev. 7: 178.Google Scholar
  2. Fujii, Y., Tsutsumi, M., and Tsunenari, T., 1989, Quantitative computed tomography of lumbar vertebrae in Japanese patients with osteoporosis, Bone and Mineral 6: 87.CrossRefGoogle Scholar
  3. Fujita, T., 1992, Comparison of osteoporosis and calcium intake between Japan and the United States, Proc. Soc. Exp. Biol. Med. 200: 149.Google Scholar
  4. Gallagher, T.C., Melton, L.C., Riggs, B.L., and Bergstrath, E., 1980, Epidemiology of fractures of the proximal femur in Rochester, Minnesota, Clin. Orthoped. Rel. Res. 150: 163.Google Scholar
  5. Hayashi, Y., 1991. “Abnormalities of the musculoskeletal system,” in: Falls and Fractures of the Elderly (Committee for Lake Riwa Symposium on Science of Aging, eds.), pp. 59–72, Ishiyaku Publ., Tokyo.Google Scholar
  6. Heaney, R.P., Avioli, L.V., and Chestnut, C.H. III, 1989, Osteoporotic bone fragility: detection by ultrasound transmission velocity, JAMA 261: 2976.CrossRefGoogle Scholar
  7. Hegsted, D.M., 1986, Calcium and osteoporosis, J. Nutr. 116: 2316.Google Scholar
  8. Kawashima, T., 1989, Epidemiology of the femoral neck fracture in 1985, Niigata Prefecture, Japan, J. Bone Min. Metab. 7: 118.CrossRefGoogle Scholar
  9. Lau, E.M.C., Cooper, C., Dorman, S., and Barker, D.J.P., 1990, “Incidence and risk factors for hip fractures in Hong Kong Chinese,” in: Osteoporosis 1990: Proceedings Third International Symposium on Osteoporosis ( C. Christiansen and K. Overgaard, eds.), pp. 66–70, Osteopress, Copenhagen.Google Scholar
  10. Ross, P.D., 1991a, Bone mass and other risk factors for fracture, J. Bone Min. Metab. 9: 146.Google Scholar
  11. Ross, P.D., 1991b, “Comparison of vertebral fracture between Caucasians and Japanese,” in: Proceedings of the International Conference on Osteoporosis, 1991 (T. Fujita, ed.), p. 56 (in press).Google Scholar
  12. Shimizu, S., Kushida, K., Sumi, Y., Denda, M., Yamazalo. K., Inoue, T., 1991, Osteomalacia in elderly patients with hip fractures, J Bone Min. Metab. 9: 259.Google Scholar
  13. Vogel, M., Hahn, M., Caselitz, P., Woggan, J,Pompesuis-Kempa, M., and Delling, G., 1990, “Comparison of trabecular bone structure in man today and an ancient population in western Germany,” in: Bone Morphometry (H.E. Takahashi, ed.), pp. 220–224, Nishimura Publishers.Google Scholar
  14. Wong, P.C.N., 1966, Fracture epidemiology in a mixed southeastern Asian community (Singapore), Clin. Orthop. Rel. Res. 45: 55.Google Scholar
  15. Yamamoto, K., Hagino, H., and Nakamura, T., 1991. Incidence and risk factors for hip fractures in Japanese elderly women, J. Bone Min. Metab. 9: 168.Google Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Takuo Fujita
    • 1
  1. 1.Calcium Research InstituteKishiwada, Osaka 596Japan

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