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In a study of hip fractures in 63 countries around the world, Kanis and colleagues (2012) noted the highest incidence rates per 100,000 women in Denmark, Norway, and Sweden. The lowest are in Nigeria and South Africa. Age-standardized incidence rates of hip fractures in the men are highest in Denmark but lowest in Ecuador (Kanis et al. 2012). Osteoporosis affects an estimated 75 million people in Europe, United States, and Japan. More than 8 million women and 2 million men in the United States have osteoporosis (National Osteoporosis Foundation 2011).

2 Coronary Heart Disease Risk Factors Positive risk factors* Criteria 1. Age Men ≥ 45 yr, women ≥ 55 yr 2. Family history Myocardial infarction, coronary revascularization, or sudden death before 55 yr of age in father or other first-degree male relative (brother or son) or before 65 yr of age in mother or other first-degree female relative (sister or daughter) 3. Cigarette smoking Current cigarette smoking, exposure to environmental smoke, or smoking cessation within previous 6 mo 4. Hypertension Systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg measured on two separate occasions; individual is taking antihypertensive medication.

Data from National Cholesterol Education Program 2001; Roger et al. 2012. 3 Classification of Blood Pressure for Adults 18 yr or Older a a Systolic BP (mmHg)b Category Diastolic BP (mmHg) <120 Normal <80 120-139 Prehypertension 80-89 140-159 Stage 1 hypertension 90-99 ≥160 Stage 2 hypertension ≥100 For individuals not taking antihypertensive medication and not acutely ill. Based on average of two or more readings on two or more occasions. When systolic and diastolic pressures fall into different categories, use the higher category for classification.

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