Risk factors for hip fracture in a high incidence area: A case-control study from Oslo, Norway

Risk factors for hip fracture in a high incidence area: A case-control study from Oslo, Norway
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高发区髋部骨折的危险因素:来自挪威奥斯陆的病例对照研究

DOI:
10.1007/bf01774013
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发表时间:
2005
影响因子:
4
通讯作者:
A. Tverdal
A. Tverdal
中科院分区:
医学2区
文献类型:
--
作者:
H. E. Meyer;C. Henriksen;J. Falch;Jan I. Pedersen;A. Tverdal

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这项以人群为基础的配对病例对照研究的目的是评估危险因素对挪威奥斯陆髋部骨折的影响,挪威奥斯陆的髋部骨折发病率是有史以来最高的。研究人群包括居住在奥斯陆两家医院集水区的所有50岁或50岁以上的非住院患者,在一年期间有246名患者因髋部骨折入院。对照组是从研究人群中随机选择的,年龄和性别1:1匹配。髋部骨折与瘦身材、吸烟、握力低和体力活动减少有关,与教育年限成反比。此外,髋部骨折与总食物摄入量指标(每天进餐次数、晚餐频率和每天面包切片)呈负相关。髋部骨折与维生素D摄入量低有关,而与膳食钙摄入量无关。最后,在前两年中报告两次或两次以上住院的人,以及在前一年中由于食欲不佳而体重减轻的人,骨折的风险都增加了。总而言之,在奥斯陆的老年人群中,髋部骨折的危险因素模式与以前在其他骨折发生率较低的人群中所描述的基本相同。这项研究还表明髋部骨折与低食物摄入量之间的关系。
The aim of this population-based matched case-control study was to evaluate the effect of risk factors for hip fracture in Oslo, Norway, which has some of the highest incidence rates ever reported. The study population comprised all non-institutionalized persons 50 years or older living in the catchment area of two Oslo hospitals, and cases were 246 patients admitted for hip fracture during a 1-year period. The controls were randomly selected from the study population, matched 1:1 for age and sex. Hip fracture was associated with lean body stature, smoking, low grip strength and decreased levels of physical activity, and inversely with length of education. In addition, hip fracture was inversely related to indicators of total food intake (number of meals per day, frequency of dinners, and slices of bread per day). A relation between hip fracture and low vitamin D intake was also suggested, whereas no association with dietary calcium intake was found. Finally, increased risk of fracture was seen in persons reporting two or more hospital admissions in the previous 2 years, and in those reporting weight reduction due to poor appetite during the previous year. In conclusion, the risk factor pattern for hip fracture was much the same in the elderly population of Oslo as previously described in other populations with a lower incidence of fracture. This study also indicates a relation between hip fracture and low food intake.
1976 年至 1985 年加拿大萨斯喀彻温省髋部骨折的发生率。
DOI: 10.1093/oxfordjournals.aje.a115524
发表时间: 1990
影响因子: 5
作者:
Ray,WA;Griffin,MR;West,R;Strand,L;Melton3rd,LJ
通讯作者: Melton3rd,LJ
DOI: 10.1056/nejm199105093241905
发表时间: 1991-05-09
影响因子: 158.5
作者:
GRISSO, JA;KELSEY, JL;KAPLAN, F
通讯作者: KAPLAN, F
DOI: 10.1093/oxfordjournals.aje.a116842
发表时间: 1993-08-01
影响因子: 5
作者:
EDELSTEIN, SL;BARRETTCONNOR, E
通讯作者: BARRETTCONNOR, E