International comparison of hip fracture rates in 1988–89

Bacon, W. Edward; Maggi, Stefania; Looker, Anne C.; Harris, Tamara B.; Nair, C; Giaconi, Joseph C.; Honkanen, Risto; Ho, Sai-Yin; Peffers, K. A.; Törring, Ove; Gass, Raymond; González, Nerea

doi:10.1007/bf01626541

Cited by 126 publications

(84 citation statements)

References 30 publications

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“…But, comparing Dutch hip fracture incidence data with recent international data, (19,20) they appeared remarkably similar to incidences in Sweden, Scotland, and Switzerland, and slightly lower than in U.S. Caucasians. There have also been indications that BMD distributions might be different in several European countries, but those estimates were based on small samples.…”

Section: Generalizabilitysupporting

confidence: 54%

Hip Fracture Prediction in Elderly Men and Women: Validation in the Rotterdam Study

Laet

Hout

Burger

et al. 1998

Journal of Bone and Mineral Research

295

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The aim of our study was to validate a hip fracture risk function, composed of age and femoral neck bone mineral density (BMD). This estimate of the 1-year cumulative risk was previously developed on the basis of Dutch hip fracture incidence data and BMD in men and women. A cohort of 7046 persons (2778 men) aged 55 years and over was followed for an average of 3.8 years. The 1-year hip fracture risk estimate was calculated for each participant according to the risk function and categorized as low (<0.1%), moderate (0.1 to <1%), or high (>1%). Observed first hip fracture incidence was then analyzed for each of these risk categories by age and gender. Additionally, we calculated the relative risk per standard deviation (SD) decrease in femoral neck BMD in this population. At baseline, 2360 individuals were categorized as low risk, 2567 as moderate risk, and 378 as high risk. During follow-up, 110 first hip fractures were observed corresponding to an incidence rate of 4.1/1000 person-years (pyrs) (95% confidence interval 3.4 -5.0). The observed incidence rate in the low risk group was 0.2/1000 pyrs (0.1-0.9), 2.7/1000 pyrs (1.8 -3.9) in the moderate risk group, and 18.4/1000 pyrs (12.4 -27.2) in the high risk group. Below the age of 70 years, incidence was low in all categories, and very few individuals were considered at high risk. Above the age of 70 years, the observed incidence was high in the high risk group, while in the low and moderate risk groups, the incidence remained low even over 80 years of age. In women, the age-adjusted relative risk for hip fractures was 2.5 per SD decrease in femoral neck BMD (1.8 -3.6), while in men this relative risk was 3.0 per SD (1.7-5.4). In conclusion, we observed a similar relation of hip fracture with femoral neck BMD in men and women and were able to predict accurately hip fracture rates over a period of almost 4 years. (J Bone Miner Res 1998; 13:1587-1593)

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Section: Generalizabilitysupporting

confidence: 54%

Hip Fracture Prediction in Elderly Men and Women: Validation in the Rotterdam Study

Laet

Hout

Burger

et al. 1998

Journal of Bone and Mineral Research

295

View full text Add to dashboard Cite

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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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“…Incident data on hip fractures have been obtained from Portugal, Spain, Italy, France, Greece and Turkey from the MEDOS study 4 . For Finland, Sweden, and Netherlands data have been obtained from register studies 5,6 . Incidence data on hip fractures, both cervical and trochanteric, have been recently collected from several sources and published in a report on osteoporosis in the European Community 7 .…”

Section: Osteoporosis and Osteoporotic Fracturesmentioning

confidence: 99%

Nutrition intervention strategies in chronically malnourished regions: preventing endemic goitre in Togo

Lezama

Lockwood

Bergmann

2001

PHN

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Osteoporosis, a systemic skeletal disease characterized by a low bone mass, is a major public health problem in EC member states because of the high incidence of fragility fractures, especially hip and vertebral fracture. In EC member states the high incidence of osteoporotic fractures leads to considerable mortality, morbidity, reduced mobility and decreased quality of life. In 1995 the number of hip fractures in 15 countries of EC has been 382.000 and the estimated total care cost of about 9 billion of ECUs. Given the magnitude of the problem public health measures are important for preventive intervention. Skeletal bone mass is determined by a combination of endogenous (genetic, hormonal) and exogenous (nutritional, physical activity) factors. Nutrition plays an important role in bone health. The two nutrients essential for bone health are calcium and vitamin D. Reduced supplies of calcium are associated with a reduced bone mass and osteoporosis, whereas a chronic and severe vitamin D deficiency leads to osteomalacia, a metabolic bone disease characterized by a decreased mineralization of bone. Vitamin D insufficiency, the preclinical phase of vitamin D deficiency, is most commonly found in the elderly. The major causes of vitamin D deficiency and insufficiency are decreased renal hydroxylation of vitamin D, poor nutrition, scarce exposition to sunlight and a decline in the synthesis of vitamin D in the skin. The daily average calcium intake in Europe has been evaluated in the SENECA study concerning the diet of elderly people from 19 towns of 10 European countries. In about one third of subjects the dietary calcium intake results were very low, between 300 and 600 mg/day in women, and 350 and 700 mg/day in men. Calcium supplements reduce the rate of bone loss in osteoporotic patients. Some recent studies have reported a significant positive effect of calcium treatment not only on bone mass but also on fracture incidence. The SENECA study, has also shown that vitamin D insufficiency is frequent in elderly populations in Europe. There are a number of studies on the effects of vitamin D supplementation on bone loss in the elderly, showing that supplementations with daily doses of 400±800 IU of vitamin D, given alone or in combination with calcium, are able to reverse vitamin D insufficiency, to prevent bone loss and to improve bone density in the elderly. In recent years, there has been much uncertainty about the intake of calcium for various ages and physiological states. In 1998, the expert committee of the European Community in the Report on Osteoporosis-Action on prevention, has given the recommended daily dietary allowances (RDA) for calcium at all stage of life. For the elderly population, above age 65 the RDA is 700±800 mg/day. The main source of calcium in the diet are dairy products (milk, yoghurts and cheese) fish (sardines with bones), few vegetables and fruits. The optimal way to achieve adequate calcium intake is through the diet. However, when dietary sources are scarce or not well tolerat...

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International comparison of hip fracture rates in 1988–89

Cited by 126 publications

References 30 publications

Hip Fracture Prediction in Elderly Men and Women: Validation in the Rotterdam Study

Hip Fracture Prediction in Elderly Men and Women: Validation in the Rotterdam Study

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

Nutrition intervention strategies in chronically malnourished regions: preventing endemic goitre in Togo

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