Risk factors for hip fracture in men

被引:1
|
作者
Grisso, JA
Kelsey, JL
OBrien, LA
Miles, CG
Sidney, S
Maislin, G
LaPann, K
Moritz, D
Peters, B
Hibberd, A
Clancy, M
Cotler, J
DeLong, W
Ecker, M
Friedenberg, ZB
Good, R
Hummer, C
Markman, W
Mooar, P
Stein, H
Wohl, M
Zaslow, D
机构
[1] STANFORD UNIV, SCH MED, DEPT HLTH RES & POLICY, STANFORD, CA 94305 USA
[2] KAISER PERMANENTE MED CARE PROGRAM, DIV RES, OAKLAND, CA 94611 USA
[3] TEMPLE UNIV, HLTH SCI CTR, PHILADELPHIA, PA 19122 USA
[4] THOMAS JEFFERSON UNIV HOSP, PHILADELPHIA, PA 19107 USA
[5] UNIV PENN, PRESBYTERIAN MED CTR, PHILADELPHIA, PA 19104 USA
[6] MERCY CATHOLIC MED CTR, FITZGERALD MERCY DIV, PHILADELPHIA, PA USA
[7] MERCY CATHOLIC MED CTR, MISERICORDIA DIV, PHILADELPHIA, PA USA
[8] COOPER HOSP UNIV MED CTR, PHILADELPHIA, PA USA
[9] CHESTNUT HILL HOSP, PHILADELPHIA, PA USA
[10] BRYN MAWR HOSP, PHILADELPHIA, PA USA
[11] CROZER CHESTER MED CTR, PHILADELPHIA, PA USA
[12] SACRED HEART HOSP, PHILADELPHIA, PA USA
[13] JEANES HOSP, FOX CHASE CANC CTR, PHILADELPHIA, PA USA
[14] MED COLL PENN & HAHNEMANN UNIV, PHILADELPHIA, PA USA
[15] FRANKFORD HOSP, PHILADELPHIA, PA USA
[16] FRANKFORD TORRESDALE DIV, PHILADELPHIA, PA USA
[17] ALBERT EINSTEIN MED CTR, PHILADELPHIA, PA 19141 USA
[18] ST JOSEPH HOSP, PHILADELPHIA, PA USA
关键词
accidental falls; hip fractures; men; osteoporosis;
D O I
暂无
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
To identify risk factors for hip fracture in men, the authors conducted a case-control study involving 20 hospitals in Philadelphia, Pennsylvania, and 14 hospitals in Kaiser Permanente Medical Care Program of northern California, The 356 enrolled men had been admitted with a radiologically confirmed first hip fracture, The 402 control men either were from the Philadelphia area or were members of Kaiser Permanente and were frequency matched to the cases by age and ZIP code or telephone exchange, information on potential risk factors was obtained through personal interviews. Men in the lowest quintile of body mass had a greatly increased risk of hip fracture compared with men in the heaviest quintile (odds ratio (OR) 3.8, 95% confidence interval (CI) 2.3-6.4). Premorbid lower limb dysfunction was associated with increased risks far. hip fracture (OR 3.4, 95% CI 2.1-5.4), Increased risks were also observed with the use of cimetidine (OR 2.5, 95% CI 1.4-4.6) and psychotropic drugs (OR 2.2, 95% CI 1.4-3.3). Smoking cigarettes or a pipe increased the risk of hip fracture, and this association was independent of body mass. Finally, previous physical activity was markedly protective. Factors thought to affect bone density as well as factors identified as risk factors for falls appear to be important determinants of the risk of hip fracture in men. Physical activity may be a particularly promising preventive measure for men, Additional studies of the use of cimetidine an osteoporosis and osteoporotic fractures are indicated.
引用
收藏
页码:786 / 793
页数:8
相关论文
共 50 条
  • [1] Risk factors for hip fracture in men.
    Muraki, S
    Yamamoto, S
    [J]. JOURNAL OF BONE AND MINERAL RESEARCH, 2002, 17 : S459 - S459
  • [2] Risk Factors for Hip Fracture in Older Men: The Osteoporotic Fractures in Men Study (MrOS)
    Cauley, Jane A.
    Cawthon, Peggy M.
    Peters, Katherine E.
    Cummings, Steven R.
    Ensrud, Kristine E.
    Bauer, Douglas C.
    Taylor, Brent C.
    Shikany, James M.
    Hoffman, Andrew R.
    Lane, Nancy E.
    Kado, Deborah M.
    Stefanick, Marcia L.
    Orwoll, Eric S.
    [J]. JOURNAL OF BONE AND MINERAL RESEARCH, 2016, 31 (10) : 1810 - 1819
  • [3] Risk factors for hip fracture in older men: The Osteoporotic Fractures in Men Study (MrOS).
    Cauley, Jane
    Cawthon, Peggy
    Peters, Kathy
    Cummings, Steven
    Ensrud, Kristine
    Bauer, Douglas
    Taylor, Brent
    Shikany, James M.
    Hoffman, Andrew
    Lane, Nancy
    Kado, Deborah
    Orwoll, Eric
    [J]. JOURNAL OF BONE AND MINERAL RESEARCH, 2014, 29 : S452 - S452
  • [4] RISK FACTORS AND BONE MINERAL DENSITY IN MEN WITH AND WITHOUT HIP FRACTURE
    Filipov, R. N.
    Stojanovic, D. R.
    Markovic, K. S.
    Dimitrijevic, I.
    Vasovic, I. Jovanovic
    Mitic, S.
    [J]. AGING CLINICAL AND EXPERIMENTAL RESEARCH, 2023, 35 : S521 - S521
  • [5] Risk factors for hip fracture
    Lai, Shih-Wei
    [J]. OSTEOPOROSIS INTERNATIONAL, 2021, 32 (12) : 2599 - 2599
  • [6] Risk factors for hip fracture
    Shih-Wei Lai
    [J]. Osteoporosis International, 2021, 32 : 2599 - 2599
  • [7] Risk factors for hip fracture in men from Southern Europe: The MEDOS study
    Kanis, J
    Johnell, O
    Gullberg, B
    Allander, E
    Elffors, L
    Ranstam, J
    Dequeker, J
    Dilsen, G
    Gennari, C
    Vaz, AL
    Lyritis, G
    Mazzuoli, G
    Miravet, L
    Passeri, M
    Cano, RP
    Rapado, A
    Ribot, C
    [J]. OSTEOPOROSIS INTERNATIONAL, 1999, 9 (01) : 45 - 54
  • [8] Risk Factors for Hip Fracture in Men from Southern Europe: The MEDOS Study
    J. Kanis
    O. Johnell
    B. Gullberg
    E. Allander
    L. Elffors
    J. Ranstam
    J. Dequeker
    G. Dilsen
    C. Gennari
    A. Lopes Vaz
    G. Lyritis
    G. Mazzuoli
    L. Miravet
    M. Passeri
    R. Perez Cano
    A. Rapado
    C. Ribot
    [J]. Osteoporosis International, 1999, 9 : 45 - 54
  • [9] Risk factors for hip fracture in Asian men and women: The Asian Osteoporosis Study
    Lau, EMC
    Suriwongpaisal, P
    Lee, JK
    das De, S
    Festin, MR
    Saw, SM
    Khir, A
    Torralba, T
    Sham, A
    Sambrook, P
    [J]. JOURNAL OF BONE AND MINERAL RESEARCH, 2001, 16 (03) : 572 - 580
  • [10] Weight and physical disability as risk factors for hip fracture in older men.
    Langlois, JA
    Maagi, S
    [J]. JOURNAL OF BONE AND MINERAL RESEARCH, 1996, 11 : S571 - S571