Epidemiology of hip fractures in Oslo, Norway

Lofthus, C. M.; Osnes, E.; Falch, Jan A.; Kaastad, T S; Is, Kristiansen; Nordsletten, Lars; Stensvold, Inger; Meyer, Haakon E

doi:10.1016/s8756-3282(01)00603-2

Cited by 230 publications

(191 citation statements)

References 31 publications

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“…The incidence rates in this study are similar to previously reported European incidence rates [22], although slightly lower than the Scandinavian values [17,18] and the rates from the United States of America [21]. However, the values are greater than those reported in the multinational study by Schwartz et al [22] and to those from other parts of the world, such as the Mediterranean countries [1] or the African countries [25].…”

Section: Discussionsupporting

confidence: 85%

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Epidemiology of osteoporotic hip fractures in Spain

Herrera

Martı́nez

Ferrández³

et al. 2005

International Orthopaedics (SICO

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We conducted a multicentre study, divided into a retrospective and a prospective portion. The retrospective study evaluated osteoporotic hip fractures that occurred during 2002. The prospective study evaluated osteoporotic hip fractures that occurred during May 2003. The study was conducted in 77 hospitals in Spain and comprised patients 60 years of age and over. In the retrospective study we registered 13,195 hip fractures. Of the patients, 74% were women and 26% were men. The mean age was 80.7±8.4 years. The average incidence was 6.94±0.44 hip fractures per 1,000 inhabitants/year (95% CI, 6.07-7.82). In the prospective study, we registered 1,399 hip fractures. This represents a monthly incidence of 0.60±0.04 hip fractures per 1,000 inhabitants/year (95% CI, 0.51-0.69). Of the subjects, 74% were women and 26% were men. The mean age was 81.4±8

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Section: Discussionsupporting

confidence: 85%

“…Other authors [18] have, however, reported that, in recent years, the incidence is no longer increasing.…”

Section: Discussionmentioning

confidence: 92%

Epidemiology of osteoporotic hip fractures in Spain

Herrera

Martı́nez

Ferrández³

et al. 2005

International Orthopaedics (SICO

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“…Despite the heavy burden of osteoporotic fractures in elderly Norwegians [4,16,17], BMD levels appeared higher in Norwegian adolescents compared to the Lunar pediatric reference data. Height, participation in intensive physical activity of more than four hours a week and early sexual maturation were significantly associated with higher BMD levels at both femoral sites in girls, whereas BMI only at the total hip.…”

Section: Discussionmentioning

confidence: 62%

“…Since older adolescents were considered to diverge substantially in biology and behaviour from their younger peers, the main analyses are based on data from 469 girls and 492 boys [15][16][17][18] years. For the comparison with the Lunar reference, we also included the 18 year old participants, similar to the reference.…”

Section: Study Population and Design: Fit Futuresmentioning

confidence: 99%

The Tromsø Study: Fit Futures: a study of Norwegian adolescents’ lifestyle and bone health

et al. 2014

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Summary Bone mass achievement predicts later fracture risk. This population-based study describes bone mineral density levels (BMD) and associated factors in Norwegian adolescents. Compared with international reference ranges, BMD levels appear higher and physical activity levels are positively associated with BMD.Purpose Norway has one of the highest reported incidences of osteoporotic fractures. Maximization of peak bone mass may prevent later fractures. This population-based study compared BMD levels of Norwegian adolescents with international reference ranges and explored associated factors.Methods All first year upper secondary school students, aged 15-19 years in the Tromsø region were invited to the Fit Futures study in 2010-2011. Over 90% of the invited participants attended, 508 girls and 530 boys. BMD was measured at total hip, femoral neck and total body by dual x-ray absorptiometry.Lifestyle variables were collected by self-administered questionnaires and interviews. All analyses were performed sex stratified, using linear regression models.Results In girls mean BMD (SD) was 1.060 (0.124), 1.066 (0.123) and 1.142 (0.077) g/cm² at the total hip, femoral neck and total body respectively. In boys corresponding values were 1.116 (0.147), 1.103 (0.150) and 1.182 (0.097), with significant higher values than the Lunar pediatric reference at 16 years of age In girls, height and self-reported intensive physical activity of more than four hours a week and early sexual maturation were positively associated with BMD at both femoral sites (p<0.047). Among boys age, height, body mass index, physical activity and alcohol intake were positively (p<0.038), whereas early stages of sexual maturation and smoking was negatively (p<0.047) related to BMD.Conclusions Despite the heavy fracture burden, Norwegian adolescents´ BMD levels are higher than agematched Caucasians. Physical activity is associated with 1 SD increased BMD levels in those involved in competition or hard training.

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“…Nos Estados Unidos, há registros de 0,8 caso/mil pessoas com idade ≥ 60 anos/anualmente, com gastos anuais aproximados de 10 bilhões de dólares 13 . No continente europeu os casos apresentam uma distribuição característica, com incidência mais elevada nos países do norte como Suécia, Dinamarca e Noruega, e menores na região do Mediterrâneo 14,15,16 . Na América Latina, os coeficientes de incidência de fratura de fêmur, sobretudo em mulheres com idade superior a 50 anos, também apresentam variações entre os países, sendo de 0,45 caso/mil pessoas com idade ≥ 60 anos/anualmente no Chile e 0,95 caso/mil pessoas com idade ≥ 60 anos/anualmente na Venezuela 17 .…”

Section: Introductionunclassified

Fraturas de fêmur em idosos no Brasil: análise espaço-temporal de 2008 a 2012

et al. 2014

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Fraturas de fêmur em pessoas com idade igual ou superior a 60 anos (idosos) representam um grande impacto para a saúde pública, e estão associadas à elevada morbimortalidade e grandes custos socioeconômicos. Buscou-se descrever temporal e espacialmente os casos de fratura de fêmur em idosos de todas as regiões do país, por sexo, em um período de cinco anos. Foram realizadas descrições de série temporal e espacial bayesiana, baseadas em dados obtidos do Sistema de Informações Hospitalares do Sistema Único de Saúde (SIH-SUS), empregando modelo de regressão de Poisson, sobre os casos ocorridos entre os anos de 2008-2012. No período estudado ocorreram mais de 181 mil casos de fratura de fêmur, predominando o sexo feminino, sem correlações espaciais e diferenças temporais importantes. Apesar de não se observar predomínio de comportamento temporal e espacial, o número de casos de fratura de fêmur no Brasil é alto e com grandes custos financeiros e sociais. Políticas públicas de saúde visando a controlar os fatores predisponentes para esse evento devem ser urgentemente implementadas.

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Epidemiology of hip fractures in Oslo, Norway

Cited by 230 publications

References 31 publications

Epidemiology of osteoporotic hip fractures in Spain

Epidemiology of osteoporotic hip fractures in Spain

The Tromsø Study: Fit Futures: a study of Norwegian adolescents’ lifestyle and bone health

Fraturas de fêmur em idosos no Brasil: análise espaço-temporal de 2008 a 2012

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