Risk Factors for Hip Fracture in Asian Men and Women: The Asian Osteoporosis Study

Lau, Edith M. C.; Suriwongpaisal, P.; Lee, J. K.; De, Soumen Das; Festin, Mario; Saw, Seang‐Mei; Khir, Amir S; Torralba, Tito P.; Sham, Aprille; Sambrook, P N

doi:10.1359/jbmr.2001.16.3.572

Cited by 131 publications

(87 citation statements)

References 29 publications

(34 reference statements)

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“…The mechanisms by which urbanization may impact hip fracture rates are not known, but may include decreased physical activity, an increase in hard surfaces, calcium and vitamin D deficiencies, (78) or other lifestyle factors. (79,80) Increased urbanization could also reflect an associated increase in prosperity and access to medical care, which could, theoretically, increase survival of the frailest elderly, as was recently proposed as a possible contributor to the increase in fracture rates among older Korean women.…”

Section: Discussionmentioning

confidence: 99%

Secular Trends in Hip Fractures Worldwide: Opposing Trends East Versus West

Ballane

Cauley

Luckey

et al. 2014

Journal of Bone and Mineral Research

165

118

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Despite wide variations in hip rates fractures worldwide, reasons for such differences are not clear. Furthermore, secular trends in the age-specific hip fracture rates are changing the world map of this devastating disease, with the highest rise projected to occur in developing countries. The aim of our investigation is to systematically characterize secular trends in hip fractures worldwide, examine new data for various ethnic groups in the United States, evidence for divergent temporal patterns, and investigate potential contributing factors for the observed change in their epidemiology. All studies retrieved through a complex Medline Ovid search between 1966 and 2013 were examined. For each selected study, we calculated the percent annual change in age-standardized hip fracture rates de-novo. Although occurring at different time points, trend breaks in hip fracture incidence occurred in most Western countries and Oceania. After a steep rise in age-adjusted rates in these regions, a decrease became evident sometimes between the mid-seventies and nineties, depending on the country. Conversely, the data is scarce in Asia and South America, with evidence for a continuous rise in hip fracture rates, with the exception of Hong-Kong and Taiwan that seem to follow Western trends. The etiologies of these secular patterns in both the developed and the developing countries have not been fully elucidated, but the impact of urbanization is at least one plausible explanation. Data presented here show close parallels between rising rates of urbanization and hip fractures across disparate geographic locations and cultures. Once the proportion of the urban population stabilized, hip fracture rates also stabilize or begin to decrease perhaps due to the influence of other factors such as birth cohort effects, changes in bone mineral density and BMI, osteoporosis medication use and/or lifestyle interventions such as smoking cessation, improvement in nutritional status and fall prevention.

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Section: Discussionmentioning

confidence: 99%

Secular Trends in Hip Fractures Worldwide: Opposing Trends East Versus West

Ballane

Cauley

Luckey

et al. 2014

Journal of Bone and Mineral Research

165

118

View full text Add to dashboard Cite

show abstract

“…Physical inactivity has long been identified as a risk factor for osteoporosis [82][83][84]. Increasing physical activity through specific exercise training may therefore be an effective strategy for enhancing bone health.…”

Section: Exercise To Improve and Maintain Bone Health Poststrokementioning

confidence: 99%

Balance, falls, and bone health: Role of exercise in reducing fracture risk after stroke

Eng

Pang

Ashe

2008

JRRD

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Abstract-Fractures occur frequently in people living with stroke and have high personal, social, and economic costs for these individuals, their families, and the community. Exercise to reduce the risk of fragility fractures is a relatively new application in stroke rehabilitation but is a promising treatment with the potential to reduce the incidence of falls as well as maintain or improve bone health. In this article, we outline fracture risk factors and provide an overview of exercise interventions aimed at reducing fracture risk poststroke. Although randomized controlled trials support the use of exercise to reduce fracture risk factors poststroke, the body of literature is small and further studies are required. Further, the optimal dose of exercise and the additive effects of pharmacology on fracture risk need to be determined. Given the many health benefits associated with exercise, it should be considered an important modality for the management of falls and maintenance of bone health following stroke.

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“…Studies have shown that drinking milk can reduce bone loss. Because of estrogen, postmenopausal women are easy to bone loss, therefore, it's very important for postmenopausal women to drink milk [7].…”

Section: Editorialmentioning

confidence: 99%

Drinking Milk Behavior and Bone Health among the Elderly

Xu¹

2015

J Food Sci Nutr The

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Risk Factors for Hip Fracture in Asian Men and Women: The Asian Osteoporosis Study

Cited by 131 publications

References 29 publications

Secular Trends in Hip Fractures Worldwide: Opposing Trends East Versus West

Secular Trends in Hip Fractures Worldwide: Opposing Trends East Versus West

Balance, falls, and bone health: Role of exercise in reducing fracture risk after stroke

Drinking Milk Behavior and Bone Health among the Elderly

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