Distribution of clinical risk factors for fracture in a Brussels cohort of postmenopausal women: The FRISBEE study and comparison with other major cohort studies

Cappelle, Sylvie; Ramon, Isolde; Dekelver, C.; Rozenberg, Serge; Baleanu, Felicia; Karmali, Rafik; Rubinstein, Michel; Tondeur, Marianne; Moreau, Michel; Paesmans, Marianne; Bergmann, Pierre; Body, Jean‐Jacques

doi:10.1016/j.maturitas.2017.08.010

Cited by 23 publications

(22 citation statements)

References 26 publications

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“…We performed a cross‐sectional analysis using BMD results measured by DXA (Hologic System 4500 W) at the lumbar spine, total hip, and femoral neck from 260 subjects participating in the FRISBEE study (Fracture RISk Brussels Epidemiological Enquiry), an ongoing prospective epidemiological study in a population‐based cohort (Brussels, Belgium) of 3560 postmenopausal women aged 60‐85 years. The FRISBEE study design and participant characteristics have been described elsewhere . Briefly, the FRISBEE study aims at validating and integrating several independent CRFs in order to develop a fracture risk model (at 5 and 10 years) in a well characterised population studied prospectively.…”

Section: Design and Settingsmentioning

confidence: 99%

Assessment of bone quality with trabecular bone score in type 2 diabetes mellitus: A study from the FRISBEE cohort

et al. 2019

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Objective The purpose of our study was to compare bone mineral density (BMD) and trabecular bone score (TBS) values between patients with type 2 diabetes (T2D) and control subjects with similar FRAX scores in order to evaluate TBS as an additional tool for assessing fracture risk in diabetic subjects. Methods A cross‐sectional analysis was performed using BMD results from 260 subjects participating in the FRISBEE study (Fracture RISk Brussels Epidemiological Enquiry), an ongoing prospective epidemiological study in a population‐based cohort (Brussels, Belgium) of 3560 postmenopausal women aged 60‐85 years. TBS measurement was possible in 1108 subjects from the FRISBEE cohort. Among these 1108 subjects, 65 had known T2D at inclusion. For each diabetic case we selected 3 controls from our database. (n = 195). Diabetic subjects and controls were matched for age and baseline FRAX score for major osteoporotic fractures. Results BMD (g/cm2) tended to be higher in T2D than in control subjects, significantly so at the total hip 0.90 ± 0.13 versus 0.87 ± 0.12 (P = 0.015). On the contrary, TBS was significantly lower in the T2D group (mean = 1.19 ± 0.17) compared with the control group (mean = 1.27 ± 0.13) (P = 0.005). Mean TBS remained significantly lower in T2D (1.22 ± 0.17) compared with the control group (1.27 ± 0.13) (P = 0.02) after adjustment for body mass index. Conclusion Our data suggest that TBS complements BMD at the total hip, in demonstrating the “diabetes‐associated bone disease”.

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Section: Design and Settingsmentioning

confidence: 99%

Assessment of bone quality with trabecular bone score in type 2 diabetes mellitus: A study from the FRISBEE cohort

et al. 2019

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“…The FRISBEE cohort consists of 3560 postmenopausal women recruited between 2007 and 2013 who are surveyed yearly for the occurrence of fragility fractures. The study design has been detailed and reported previously …”

Section: Methodsmentioning

confidence: 99%

“…We selected these additional CRFs after a systematic review of recent cohorts and studies, using the following criteria: a population‐based prospective study that aimed to determine an association between diverse CRFs and fracture risk, which included at least 1000 women and was published in English. We retained six of these, in which at least three CRFs used for the calculation of the FRAX score and one or more CRFs not included in the FRAX model were taken into consideration . They included early non‐substituted menopause (occurring before the age 45 years) considered as a cause of secondary osteoporosis in the FRAX® score but that we separately considered in this analysis: fall history (documented using frequency of falls), sedentary lifestyle (i.e.…”

Section: Methodsmentioning

confidence: 99%

“…The study design has been detailed and reported previously. (18) We conducted separate analyses for women with one of the four major osteoporotic fractures (MOFs: vertebra, hip, shoulder, and wrist), and other major fractures (defined as fractures at the following sites: ankle, pelvis and sacrum, elbow, knee (except patella), distal humerus, proximal forearm, lower leg, distal femur). Other fractures, considered as minor, were not considered in this study.…”

Section: Methodsmentioning

confidence: 99%

“…We retained six of these, in which at least three CRFs used for the calculation of the FRAX score and one or more CRFs not included in the FRAX model were taken into consideration. (18) They included early non-substituted menopause (occurring before the age 45 years) considered as a cause of secondary osteoporosis in the FRAX ® score (19,20) but that we separately considered in this analysis: fall history (documented using frequency of falls), (20,21) sedentary lifestyle (i.e. the lowest activity level evaluated according to the 6-level scale, adapted from the International Physical Activity Questionnaire (IPAQ) World Health Organization score) and diabetes type 2.…”

Section: Methodsmentioning

confidence: 99%

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Does the Prediction Accuracy of Osteoporotic Fractures by BMD and Clinical Risk Factors Vary With Fracture Site?

et al. 2019

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Several clinical risk factors (CRFs) have been shown to predict the risk of fragility fractures independently of BMD, but their accuracy in the prediction of a particular fracture site has not been extensively studied. In this study based on longitudinal data from the FRISBEE cohort (Fracture Risk Brussels Epidemiological Enquiry), we evaluated if CRFs are specific for sites of incident osteoporotic fractures during follow‐up. We recruited 3560 postmenopausal women, aged 60 to 85 years, from 2007 to 2013, and surveyed yearly for the occurrence of fragility fractures during 6.2 years (median). We analyzed the association between CRFs included in the FRAX (fracture risk assessment tool) model or additional CRFs (falls, sedentary lifestyle, early untreated menopause, diabetes, use of selective serotonin reuptake inhibitors or proton pump inhibitors) and the first incident validated major osteoporotic fracture (MOF; n = 362; vertebra, hip, shoulder, and wrist) or other major fractures (n = 74; ankle, pelvis/sacrum, elbow, knee, long bones). Uni‐ and multivariate analyses using the Cox proportional hazards model were used. For MOFs considered together, the risk of fracture was highly associated in uni‐ and multivariate analyses (p<0.01) with osteoporosis (T‐score < −2.5), prior fracture, age, BMD (assessed by DXA), and fall history (HR 2.34, 1.82,1.71, 1.38, and 1.32, respectively). For each site analyzed separately, prior OF, age, smoking, and total hip BMD remained independent predictors for hip fractures (HR 5.72, 3.98, 3.10, 2.32, and 1.92, respectively); osteoporosis, age, prior OF, glucocorticoids, and spine BMD for vertebral fracture (HR 2.08, 1.87, 1.78, 1.76, and 1.45, respectively); osteoporosis, prior OF, and femoral neck BMD (HR 1.83, 1.60, and 1.56, respectively) for wrist fracture; osteoporosis, prior OF, and spine BMD (HR 2.48, 1.78, and 1.31, respectively) for shoulder fracture; prior OF and diabetes (HR 2.62 and 2.03) for other major fractures. Thus, a prior fracture and BMD were the best predictors of fracture risk at any site. Other CRFs have a weaker predictive value, which is a function of the site of a future fracture. © 2019 The Authors. JBMR Plus published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research.

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Independent External Validation of FRAX and Garvan Fracture Risk Calculators: A Sub‐Study of the FRISBEE Cohort

et al. 2021

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Distribution of clinical risk factors for fracture in a Brussels cohort of postmenopausal women: The FRISBEE study and comparison with other major cohort studies

Cited by 23 publications

References 26 publications

Assessment of bone quality with trabecular bone score in type 2 diabetes mellitus: A study from the FRISBEE cohort

Assessment of bone quality with trabecular bone score in type 2 diabetes mellitus: A study from the FRISBEE cohort

Does the Prediction Accuracy of Osteoporotic Fractures by BMD and Clinical Risk Factors Vary With Fracture Site?

Independent External Validation of FRAX and Garvan Fracture Risk Calculators: A Sub‐Study of the FRISBEE Cohort

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