Risk factors for fractures of the wrist, shoulder and ankle: The Blue Mountains Eye Study

被引:34
作者
Ivers, RQ
Cumming, RG
Mitchell, P
Peduto, AJ
机构
[1] Inst Int Hlth, Newtown, NSW, Australia
[2] Univ Sydney, Dept Publ Hlth & Community Med, Sydney, NSW 2006, Australia
[3] Univ Sydney, Dept Ophthalmol, Sydney, NSW 2006, Australia
[4] Westmead Hosp, Dept Radiol, Sydney, NSW, Australia
关键词
aged; fractures; longitudinal studies; risk factors;
D O I
10.1007/s001980200063
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Few studies have examined risk factors for fractures of the wrist, shoulder or ankle. The Blue Mountains Eye Study is a population-based longitudinal study in 3654 people aged 49 years or older resident in an area west of Sydney, Australia. Detailed eye examinations and interviews were carried out at baseline (1992-3) and after 5 years (1997-9). Information about fractures sustained during follow-up were collected by a combination of self-report and a search of hospital radiology records. After 4.7 years follow-up subjects had sustained 53 fractures of the distal forearm, 20 fractures of the proximal humerus and 33 ankle fractures. In multivariate models factors independently associated with wrist fractures in women were no vigorous exercise in the past 2 weeks (relative risk RR 0.4, 95% CI 0.20-0.9) and ever use of HRT (RR 0.4, 95% CI 0.1-1.0). Factors independently associated with ankle fractures were male sex (RR 0.3, 95% CI 0.1-0.8) and visual field loss (RR 2.8, 95% CI 1.2-6.6). These findings are in keeping with other studies, and suggest that different types of osteoporotic fracture have different, if overlapping, sets of risk factors.
引用
收藏
页码:513 / 518
页数:6
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