Prevalence of Fracture and Osteoporosis Risk Factors in American Indian and Alaska Native People

被引:8
作者
Frech, Tracy [1 ]
Ma, Khe-ni [2 ]
Ferrucci, Elizabeth D.
Lanier, Anne P. [3 ]
McFadden, Molly [2 ]
Tom-Orme, Lillian [2 ]
Slattery, Martha L. [2 ]
Murtaugh, Maureen A. [2 ]
机构
[1] Univ Utah, Div Rheumatol, Salt Lake City, UT 84132 USA
[2] Univ Utah, Div Epidemiol, Salt Lake City, UT 84132 USA
[3] Alaska Native Tribal Hlth Consortium, Off Alaska Native Hlth Res, Anchorage, AK USA
关键词
Osteoporosis; fracture; American Indian; Alaskan Native; POSTMENOPAUSAL WOMEN; DIETARY HISTORY; BONE HEALTH; ADIPONECTIN; MASS; OBESITY; CALCIUM; COHORT; MEN;
D O I
10.1353/hpu.2012.0110
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective. Little is known about prevalence of osteoporosis risk factors among American Indians and Alaska Natives (AIAN). Methods. We included AIAN people (n=8,039) enrolled in the Education and Research Towards Health (EARTH) Study. Prevalence ratios were used to determine cross-sectional associations of risk factors with self-reported bone fractures. Results. There is a high prevalence of multiple risk factors for osteoporosis in AIAN, although the factors that are associated with past fracture vary by gender and geographical area. In general, women who reported a fracture reported more risk behaviors, more than two medical conditions, and low physical activity. Men with higher BMI were less likely to report a fracture. Smoking history was associated with fracture for both genders, though not significantly in all sub-groups. Conclusion. We prevent a high prevalence of risk factors for osteoporosis for AIAN. Future research for osteoporosis risk reduction and prevention in AIAN people is indicated.
引用
收藏
页码:1157 / 1173
页数:17
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