Fracture risk in obesity: a narrative review
While low body mass index (BMI) is a risk factor for fractures, the association between obesity and fracture risk is inconsistent and puzzling. Several studies reported higher fracture risk (FR), and others reported lower FR in obese populations. Our narrative review presents the overall incidence o...
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| Veröffentlicht in: | Endokrynologia Polska 2022-01, Vol.73 (5), p.885-892 |
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| container_title | Endokrynologia Polska |
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| creator | Kupisz-Urbańska, Małgorzata Stuss, Michał Kuryłowicz, Alina Jankowski, Piotr Pilz, Stefan Sewerynek, Ewa Marcinowska-Suchowierska, Ewa |
| description | While low body mass index (BMI) is a risk factor for fractures, the association between obesity and fracture risk is inconsistent and puzzling. Several studies reported higher fracture risk (FR), and others reported lower FR in obese populations. Our narrative review presents the overall incidence of fractures by anatomic locations in adult patients, geriatric populations, and in those after bariatric surgery. In conclusion, obesity should be considered as a fracture risk in adults, as well as falls and fractures in geriatric patients, in particular in those with sarcopenic obesity, and after bariatric surgery. The specific characteristics of fractures risk associated with obesity should be considered by physicians in the diagnostic and therapeutic work-up of obese patients. This review outlines the current literature on this topic and aims to guide physicians regarding proper decisions to prevent fractures in patients with obesity. |
| doi_str_mv | 10.5603/EP.a2022.0077 |
| format | Article |
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Several studies reported higher fracture risk (FR), and others reported lower FR in obese populations. Our narrative review presents the overall incidence of fractures by anatomic locations in adult patients, geriatric populations, and in those after bariatric surgery. In conclusion, obesity should be considered as a fracture risk in adults, as well as falls and fractures in geriatric patients, in particular in those with sarcopenic obesity, and after bariatric surgery. The specific characteristics of fractures risk associated with obesity should be considered by physicians in the diagnostic and therapeutic work-up of obese patients. This review outlines the current literature on this topic and aims to guide physicians regarding proper decisions to prevent fractures in patients with obesity.</description><identifier>ISSN: 0423-104X</identifier><identifier>EISSN: 2299-8306</identifier><identifier>DOI: 10.5603/EP.a2022.0077</identifier><identifier>PMID: 36591811</identifier><language>eng</language><publisher>Poland: Wydawnictwo Via Medica</publisher><subject>Abdomen ; Adult ; Aged ; Bariatric Surgery ; Body composition ; Body fat ; Body Mass Index ; Cohort analysis ; Fractures ; Fractures, Bone - complications ; Fractures, Bone - etiology ; Gastrointestinal surgery ; Geriatrics ; Humans ; Internal medicine ; Medical education ; Obesity ; Obesity - complications ; Obesity - epidemiology ; Obesity - surgery ; Older people ; Osteoporosis ; Overweight ; Risk Factors ; Sarcopenia - complications ; Vitamin deficiency ; Womens health</subject><ispartof>Endokrynologia Polska, 2022-01, Vol.73 (5), p.885-892</ispartof><rights>2022. 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| subjects | Abdomen Adult Aged Bariatric Surgery Body composition Body fat Body Mass Index Cohort analysis Fractures Fractures, Bone - complications Fractures, Bone - etiology Gastrointestinal surgery Geriatrics Humans Internal medicine Medical education Obesity Obesity - complications Obesity - epidemiology Obesity - surgery Older people Osteoporosis Overweight Risk Factors Sarcopenia - complications Vitamin deficiency Womens health |
| title | Fracture risk in obesity: a narrative review |
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