Contra-lateral hip fracture in the elderly: are decreased body mass index and skin thickness predictive factors?

Aurégan, Jean-Charles; Frison, Aurélien; Bégué, Thierry; Hannouche, Didier; Bosser, C; Bensidhoum, Morad; Hoc, Thierry

doi:10.1007/s00264-016-3264-6

Cited by 11 publications

(6 citation statements)

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“…Most of these people are suffering from excessive weight and obesity that inevitably affect their health and restrict their movement which is one of the most important problems between the elderly people. In our study we found that 37.5% of them had overweight BMI and compared with other study in Norway [34], they reported the increasing of BMI lead to decrease the risk of hip fracture and another study in France; they mentioned the low BMI independently increased the risk of fractures [35].This difference in view is due to the difference in the lifestyle between countries and the factors that cause hip fracture.…”

Section: Discussionsupporting

confidence: 45%

"Epidemiological, Characteristics and Outcomes of Hip Fracture Among Patients in Baghdad"

AbdulRazaq¹

2021

BJSTR

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Hip fracture is one of main public health problems and it's occurred among elder people. This study aimed to assess the epidemiological, complication and outcomes of hip fracture among patients during the study period. A cross-sectional study was conducted at Al-WASITI Hospital for Plastic and Orthopedics surgery in Baghdad from 15th of January to the end of April 2021 .The sample size was 91 patients . The cases were selected randomly from the list of patients that admitted to outpatient's clinic of orthopedics that occurred during the study period. Characteristics and risk factors were all recorded. Continuous variables were illustrated by mean ± standard deviation; Chisquare test was used for comparison between groups. The mean ages were 72.4 with SD 10.2 years; twenty nine of them still in the age groups 70 to 79 years old. Male cases 51.7% were slightly more than 48.3% in female cases. Half of them were married. The mean of frequency to had hip fracture was 1.41 ± 0.66 times. Most of them 63.7%; 62.6% had history of smoking and osteoporosis disease, respectively. Thirty nine of patients had a sub capital fracture; thirty four of them had overweight BMI. Our results indicated that male patients had greater risks of hip fracture complications than female patients (odds ratio [OR] = 1.7; 95% CI 1.23-2.96). Patients with diabetes diseases were more likely to suffer from hip fracture complications than those without diabetes diseases (OR = 1.43; 95% CI 1.87-2.20). Patients with higher osteoporosis were more likely to suffer from hip fracture complications than patients with lower results (OR = 1.15; 95% CI 1.23-4.34). Partial hip replacement was the fundamental type of operation procedures. Tumble is a main cause of hip fractures. Pneumonia disease is one of the major complications as a result of hip fractures. Physical therapy can significantly improve the outcome of hip fracture among people. also occur as a result of light ; even no trauma when getting up,

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Section: Discussionsupporting

confidence: 45%

"Epidemiological, Characteristics and Outcomes of Hip Fracture Among Patients in Baghdad"

AbdulRazaq¹

2021

BJSTR

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“…BMI is associated with the incidence of fracture. Aurégan et al [ 15 ] suggest that low BMI independently increase the risk of fractures. Johansson et al [ 16 ] also found that low BMI was a risk factor for hip and all osteoporotic fracture.…”

Section: Introductionmentioning

confidence: 99%

Associations of body mass index and diabetes with hip fracture risk: a nationwide cohort study

et al. 2018

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BackgroundThe high prevalence of diabetes is associated with body mass index (BMI), and diabetes can cause many complications, such as hip fractures. This study investigated the effects of BMI and diabetes on the risk of hip fractures and related factors.MethodsWe retrospectively reviewed data from 22,048 subjects aged ≧ 40 years from the National Health Interview Survey in Taiwan (NHIST) in 2001, 2005, and 2009. We linked the NHIST data for individual participants with the National Health Insurance Research Database (NHIRD), which includes the incidence of hip fracture from 2000 to 2013. We defined five categories for BMI: low BMI (BMI < 18.5), normal BMI (18.5 ≦ BMI < 24), overweight (24 ≦ BMI < 27), mild obesity (27 ≦ BMI < 30), and moderate obesity (BMI ≧ 30). The Cox proportional hazards model was used to analyze the effects of BMI and diabetes on risk of hip fracture.ResultsThe Cox proportional hazards model shows that hip fracture risk in participants with diabetes was 1.64 times that of non-diabetes patients (95% confidence interval [CI]:1.30–2.15). Participants with low BMIs showed a higher hip fracture risk (HR: 1.75) than those with normal BMI. Among the five BMI groups, compared with non-diabetes patients, only diabetes patients with a normal BMI showed a significantly higher risk on hip fracture (HR: 2.13, 95% CI: 1.48–3.06). In participants with diabetes, compared with those with normal BMI, those with overweight or obesity showed significantly lower hip fracture risks (HR: 0.49 or 0.42). The hip fracture risk in participants who expend ≧ 500 kcal/week in exercise was 0.67 times lower than in those who did not exercise.ConclusionsDiabetes and low BMI separately are important risk factors for hip fracture. There was an interaction between diabetes and BMI in the relationship with hip fracture (p = 0.001). The addition of energy expenditure through exercise could effectively decrease hip fracture risk, regardless of whether the participants have diabetes or not. The results of this study could be used as a reference for health promotion measures for people with diabetes.

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“…Recently, interest in this medical hypothesis has been renewed for a specific population – contra-lateral hip fractures. 43 Fifth, the selection of the studies included in our study represents another limitation. It is possible that studies performed during the interval but not published in English or not published at all were not included in this review.…”

Section: Discussionmentioning

confidence: 99%

Correlation between skin and bone parameters in women with postmenopausal osteoporosis

et al. 2018

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Skin and bone share similarities in terms of biochemical composition.Some authors have hypothesized that their properties could evolve concomitantly with age, allowing the estimation of the parameters of one from those of the other.We performed a systematic review of studies reporting the correlation between skin and bone parameters in women with postmenopausal osteoporosis.Fourteen studies – including 1974 patients – were included in the review.Three of these studies included two groups of participants – osteoporotic and non-osteoporotic – in order to compare skin parameters between them: two studies found a significant difference between the two groups and one did not.Eleven of these studies included one population of interest and compared its skin and bone parameters in a continuous manner: eight studies compared dermal thickness to bone mineral density (seven found a significant correlation [R = 0.19–0.486] and one did not); two studies compared skin elasticity to bone mineral density (both found a significant correlation [R = 0.44–0.57); and one study compared skin collagen to bone mineral density and found a significant correlation (R = 0.587).It can be assumed that the estimation of skin alterations from ageing could help in estimating concomitant bone alterations.Cite this article: EFORT Open Rev 2018;3:449-460. DOI: 10.1302/2058-5241.3.160088

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Contra-lateral hip fracture in the elderly: are decreased body mass index and skin thickness predictive factors?

Abstract: A low BMI and a decreased skin thickness increase independently the risk of fractures by three times. When associated, they increase the risk of fracture risk by five times. This combination had a sensitivity at 71 % and a specificity at 90 % for predicting hip fracture.

Cited by 11 publications

References 20 publications

"Epidemiological, Characteristics and Outcomes of Hip Fracture Among Patients in Baghdad"

"Epidemiological, Characteristics and Outcomes of Hip Fracture Among Patients in Baghdad"

Associations of body mass index and diabetes with hip fracture risk: a nationwide cohort study

Correlation between skin and bone parameters in women with postmenopausal osteoporosis

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