BODY HEIGHT AND HIP FRACTURE - A COHORT STUDY OF 90000 WOMEN

BODY HEIGHT AND HIP FRACTURE - A COHORT STUDY OF 90000 WOMEN
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DOI:
10.1093/ije/24.4.783
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发表时间:
1995-08-01
影响因子:
7.7
通讯作者:
COLDITZ, GA
COLDITZ, GA
中科院分区:
医学1区
文献类型:
--
作者:
HEMENWAY, D;FESKANICH, D;COLDITZ, GA

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背景髋部骨折是一个重大的公共卫生问题。最近的研究已经注意到身高和髋关节之间的联系。我们调查了身高和髋部骨折之间的关系,使用了一个前瞻性队列,其中包括92000多名美国女性护士,主要是白色,从1980年6月到1990年6月随访了10年。1980年参加护士健康研究的妇女年龄在35-59岁之间。在考虑了年龄、体重指数、吸烟和饮酒等因素后,5英尺8英寸或更高的女性发生髋部骨折的可能性是5英尺2英寸以下女性的两倍多(多变量相对风险2.40,95%可信区间:1.43-4.02;趋势P < 0.0001)。身高似乎是美国女性髋部骨折的一个重要的独立危险因素。在髋部骨折的研究中,身高应作为混杂因素,应建议较高的老年妇女考虑采取预防措施。
Background. Hip fractures are a major public health problem. Recent studies have noted a connection between body height and hip fracture.Methods. We investigated the relationship between body height and hip fracture using a prospective cohort of over 92 000 American, predominantly white, female nurses who were followed for 10 years, from June 1980 to June 1990. The women, participants in the Nurses Health Study, were aged 35-59 in 1980.Results. Women 5'8'' or taller were more than twice as likely as women under 5'2'' to sustain a hip fracture, after accounting for age, body mass index, cigarette smoking and alcohol consumption (multivariate relative risk 2.40, 95% confidence interval : 1.43-4.02; P for trend < 0.0001).Conclusion. Height appears to be an important independent risk factor for hip fracture among American women. Height should be included as a confounder in studies of hip fracture, and taller, elderly women should be advised to consider preventive measures.