The risk of hip fracture among noninstitutionalized older adults.
The risk of hip fracture among noninstitutionalized older adults.
复制标题
非收容老年人髋部骨折的风险。
DOI：
10.1093/geronj/49.4.s165
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Fitzgerald,JF
中科院分区：
文献类型：
--
作者：
Wolinsky,FD;Fitzgerald,JF
对老龄化纵向研究（LSOA）的7,527名受访者中髋部骨折的风险进行了前瞻性建模，使用逻辑回归技术。在现有研究的基础上，一个七阶段的分层模型连续引入生态，人口统计学和社会因素以及一般健康状况，然后考虑有助于髋部骨折的症状和疾病，跌倒史和体重，以及以前的髋部骨折。互动条款涉及年龄和白色妇女，然后介绍了探索新的假设。在LSOA的受访者中，368人（4.9%）在1984年至1991年期间经历过髋部骨折。髋部骨折的显著风险与年龄、女性、白色人种、基线前一年住院（任何原因）、基线前一年至少跌倒一次和较瘦的体重相关。随着年龄的增长，风险会随着生命的进程而减少。同样，身体质量的保护作用随着生命过程而减弱。最后，以前的生态研究结果澄清，确定一个高风险的白色妇女生活在农村南部。
The risk of hip fracture among the 7,527 respondents to the Longitudinal Study on Aging (LSOA) is prospectively modeled using logistic regression techniques. Based on existing studies, a seven-stage hierarchical model serially introduces ecological, demographic, and social factors as well as general health status before considering symptoms and diseases conducive to hip fracture, falling history and body mass, and previous hip fracture. Interaction terms involving age and white women are then introduced to explore novel hypotheses. Of the LSOA respondents, 368 (4.9%) experienced hip fracture between 1984 and 1991. Significant risks of hip fracture were associated with age, female gender, white race, being hospitalized (for any cause) in the year prior to baseline, having fallen at least once in the year prior to baseline, and leaner body mass. The risk associated with increasing age diminishes over the life course. Similarly, the protective effect of body mass diminishes over the life course. Finally, previous ecological findings are clarified by identifying an elevated risk for white women living in the rural south.