Relationships Between Risk Factors and Fractures Differ by Type of Fracture: A Population-Based Study of 12192 Perimenopausal Women |
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Authors: | R Honkanen M Tuppurainen H Kröger E Alhava S Saarikoski |
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Institution: | Institute of Community Medicine, University of Troms?, Norway, NO Department of Obstetrics and Gynaecology, Kuopio University Hospital, Finland, FI Department of Surgery, Kuopio University Hospital, Finland, FI
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Abstract: | Relationship between selected factors and fractures according to type of fracture were retrospectively examined in 12192
women aged 47–56 years responding to the baseline postal enquiry of the Kuopio Osteoporosis Study, Finland, in 1989. A total
of 1358 women reported fractures sustained during the previous 9.4 years, i.e. at ages 38–57 years. The incidence of fractures
per 1000 person-years was 17.2 after menopause and 9.5 before (p < 0.0001). The adjusted fracture risk was elevated in smokers versus non-smokers (OR: 1.5; (95%CI = 1.3–1.9) and in those
with chronic health disorders versus the healthy (OR = 1.3; 95% CI 1.1–1.5). Long-term work disability was associated with
fractures independently of health disorders (OR = 1.3; 95% CI 1.1–1.6). Anthropometric measures were not associated with the
overall fracture risk. Menopause was strongly and linearly related to wrist fracture but not to ankle fracture. A 1 SD increase
in body mass index decreased the risk of wrist fracture by 21% (p = 0.0001) but increased that of ankle fracture by 24% (p = 0.002). Smoking was related to ankle fracture (OR = 2.2; 95% CI 1.6–3.2) but not to wrist fracture (OR = 0.9; 95% CI 0.6–1.4).
Health disorders were more markedly associated with fractures other than those of the wrist or ankle. Relationships between
several risk factors and pre- and perimenopausal fractures vary by type of fracture. This may affect, for example, the comparability
of studies with varying fracture profiles. |
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Keywords: | : Fracture Menopause Osteoporosis Risk factors Women |
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