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Summary <p>This study examined hip fracture trends in older Chinese adults from 1990 to 2023, finding a sharp rise in cases, especially from falls, but less disability over time. It highlights the need for better prevention, particularly for women, to ease the growing health burden as China’s population ages.</p> Objective <p>With China’s rapidly aging population, hip fractures have become a leading cause of disability and healthcare burden among older adults. This study examined the incidence and disability burden of hip fractures among adults aged 60 years and above from 1990 to 2023 in mainland China and described sex-specific patterns and changes over time.</p> Methods <p>Data were obtained from the Global Burden of Disease (GBD) 2023 study. We extracted the number of hip fractures, crude incidence rate, and years lived with disability (YLDs) rate for adults aged 60 years and older in mainland China. Age standardization followed the 2020 China census population. Temporal changes were assessed by comparing percent differences between the 1990 and 2023 estimates, with all results reported together with their 95% uncertainty intervals.</p> Results <p>In 2023, mainland China had an estimated 3.23 million hip fractures among adults aged 60 years and above (2.28 to 4.43 million), including 1.16 million cases among males (0.83 to 1.59 million) and 2.07 million among females (1.45 to 2.85 million). The age-standardized incidence rate reached 1065.47 per 100,000 population (685.35 to 1597.70) in 2023, increasing by 58.3% compared with 1990. The age-standardized rate was higher in females at 1312.98 per 100,000 (833.36 to 1976.11) than in males at 799.29 per 100,000 (517.93 to 1202.45). In contrast, the age-standardized YLD rate showed a modest decline from 1990 to 2023, decreasing from 222.51 (151.48 to 304.89) to 197.35 (135.20 to 277.92). Across causes, falls remained the leading contributor to hip fractures throughout the study period.</p> Conclusions <p>Hip fractures among older adults in mainland China continued to rise in both number and incidence rate from 1990 to 2023, with women experiencing a consistently higher burden than men. The decrease in age-standardized YLDs suggests some improvement in post-fracture management, although the growing incidence highlights the need for strengthened prevention strategies, particularly fall prevention and osteoporosis management in older adults.</p>

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Trends, disease burden, and cause patterns of hip fracture among older adults from 1990 to 2023 in mainland China

  • 期刊论文

  • 发表日期：

    2026年4月24日

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  • Xi Qi,
  • Liangjie Lu,
  • Haotian Li,
  • Zilu Sun,
  • Yao Li,
  • Longbing Ren

摘要

Summary

This study examined hip fracture trends in older Chinese adults from 1990 to 2023, finding a sharp rise in cases, especially from falls, but less disability over time. It highlights the need for better prevention, particularly for women, to ease the growing health burden as China’s population ages.

Objective

With China’s rapidly aging population, hip fractures have become a leading cause of disability and healthcare burden among older adults. This study examined the incidence and disability burden of hip fractures among adults aged 60 years and above from 1990 to 2023 in mainland China and described sex-specific patterns and changes over time.

Methods

Data were obtained from the Global Burden of Disease (GBD) 2023 study. We extracted the number of hip fractures, crude incidence rate, and years lived with disability (YLDs) rate for adults aged 60 years and older in mainland China. Age standardization followed the 2020 China census population. Temporal changes were assessed by comparing percent differences between the 1990 and 2023 estimates, with all results reported together with their 95% uncertainty intervals.

Results

In 2023, mainland China had an estimated 3.23 million hip fractures among adults aged 60 years and above (2.28 to 4.43 million), including 1.16 million cases among males (0.83 to 1.59 million) and 2.07 million among females (1.45 to 2.85 million). The age-standardized incidence rate reached 1065.47 per 100,000 population (685.35 to 1597.70) in 2023, increasing by 58.3% compared with 1990. The age-standardized rate was higher in females at 1312.98 per 100,000 (833.36 to 1976.11) than in males at 799.29 per 100,000 (517.93 to 1202.45). In contrast, the age-standardized YLD rate showed a modest decline from 1990 to 2023, decreasing from 222.51 (151.48 to 304.89) to 197.35 (135.20 to 277.92). Across causes, falls remained the leading contributor to hip fractures throughout the study period.

Conclusions

Hip fractures among older adults in mainland China continued to rise in both number and incidence rate from 1990 to 2023, with women experiencing a consistently higher burden than men. The decrease in age-standardized YLDs suggests some improvement in post-fracture management, although the growing incidence highlights the need for strengthened prevention strategies, particularly fall prevention and osteoporosis management in older adults.