Risk factors, falls, and fracture of the distal forearm in Manchester, UK.
Risk factors, falls, and fracture of the distal forearm in Manchester, UK.
复制标题
英国曼彻斯特的危险因素、跌倒和前臂远端骨折。
DOI：
10.1136/jech.50.3.288
复制
发表时间：
1996
影响因子：
6.3
通讯作者：
A. Silman
中科院分区：
文献类型：
--
作者：
T. W. O'Neill;D. Marsden;Jo Adams;A. Silman
目的：确定与前臂远端骨折相关的危险因素，并评估福尔斯对这些风险的影响。设计：病例对照研究。环境：英国曼彻斯特。对象：病例为62名白色女性，年龄45-82岁，前臂远端骨折，曾在当地医院就诊。两个对照组进行了研究- 50名妇女谁落在手上，但没有持续骨折（从同一来源招募的骨折）和116名妇女随机选择的初级保健年龄和性别登记在集水区的医院。病例组和对照组都收到了一封邀请信，邀请他们参加这项研究。数据收集问卷调查完成的采访者。主要结果：与人群对照组相比，骨折患者更可能以轻快的步伐行走（比值比（OR）= 3.5; 95%置信区间（CI）1.3，9.6），尽管他们一生中每天在家或工作时进行的体力活动较少（OR = 0.4; 95% CI 0.2，0.9）。与跌倒对照组相比，与快走相关的风险较低。其他生活方式因素包括钙摄入量、吸烟和饮酒与骨折无关。妇科和激素因素的分析表明，与人群对照组相比，前臂远端骨折者的生育年限较短（OR = 0.4; 95%CI 0.1，0.9），使用口服避孕药的可能性较低（OR = 0.3; 95%CI 0.1，0.9）。结论：这些数据强调了在建议中年和老年受试者进行锻炼时需要谨慎。这些建议应与预防福尔斯的实用信息相结合。激素因素似乎是骨折的额外决定因素。其他生活方式干预似乎不太可能在预防前臂远端骨折中发挥重要作用。
OBJECTIVE: To determine the risk factors associated with fracture of the distal forearm, and to evaluate the influence of falls on these risks. DESIGN: This was a case-control study. SETTING: Manchester, UK. PARTICIPANTS: The cases were 62 white women aged 45-82 years who had sustained a fracture of the distal forearm and had attended local hospitals. Two control groups were studied - 50 women who had fallen onto the hand but had not sustained a fracture (recruited from the same source as those with fracture) and 116 women randomly selected from primary care age and sex registers in the catchment area of the hospitals. Both cases and controls were sent a letter inviting them to take part in the study. Data were collected by questionnaire completed by an interviewer. MAIN RESULTS: Compared with the population control group, those with fracture were more likely to walk at a brisk pace (odds ratio (OR) = 3.5; 95% confidence interval (CI) 1.3, 9.6) though they had undertaken less physical activity at home or work on a daily basis throughout life (OR = 0.4; 95% CI 0.2, 0.9). The risk associated with brisk walking was less marked when the cases were compared with fall controls. Other lifestyle factors including calcium intake, smoking, and alcohol consumption were not associated with fracture. Analysis of gynaecological and hormonal factors suggested that compared with population controls, those with fracture of the distal forearm had had fewer fertile years (OR = 0.4; 95% CI 0.1, 0.9) and were less likely to have used oral contraceptives (OR = 0.3; 95% CI 0.1, 0.9). CONCLUSIONS: The data highlight the need for caution when advising middle aged and elderly subjects about exercise. Such advice should be combined with practical information about the prevention of falls. Hormonal factors seem to be additional determinants of fracture. Other lifestyle interventions seem unlikely to play an important part in preventing distal forearm fracture.
影响因子：
39.2
作者：
ETTINGER, B;GENANT, HK;CANN, CE
通讯作者：
CANN, CE