In Brazil, the prevalence of hip fractures in individuals above the age of 60 years is estimated at 19.46 per 10,000, yielding approximately 57,117 elderly individuals with this injury in the country. The epidemiology of hip fractures follows the progressive loss of bone mass that occurs with aging. Hip fragility fracture-a sign of osteoporosis-results from mechanical forces that usually do not lead to fracture, quantified by the World Health Organization (WHO) as equivalent to a fall from the same level or less. In Brazil, 10 million individuals have osteoporosis. Osteoporosis is highly prevalent in this age group, and these lifestyle habits are known risk factors for decreased bone mass and increased risk of fractures. This social isolation during the pandemic was fundamental to protect elderly individuals but may have limited the access of this population to the health care system and negatively affected their health status by promoting worse lifestyle habits (e.g., changes in diet, physical activity, access to material resources, and consumption of tobacco and alcoholic beverages). On March 20, 2020, the Brazilian Ministry of Health announced a state of community transmission of the virus and instructed individuals aged 60 years and older to restrict movement outside their homes. ![]() This measure had a huge impact on the country’s health care system. The pandemic associated with the SARS-CoV-2 virus that causes COVID-19 has led several Brazilian states to recommend social isolation measures to control the spread of the virus.
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