Low-energy distal radius fractures in middle-aged and elderly women—seasonal variations, prevalence of osteoporosis, and associates with fractures
Summary There is a lack of data on the prevalence of osteoporosis in patients with distal radius fractures occurring at the various seasons. The prevalence of osteoporosis is high, both in patients with indoor and outdoor fractures and higher than in controls. All female distal radius fracture patie...
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| description | Summary There is a lack of data on the prevalence of osteoporosis in patients with distal radius fractures occurring at the various seasons. The prevalence of osteoporosis is high, both in patients with indoor and outdoor fractures and higher than in controls. All female distal radius fracture patients ≥50 years should be referred for osteoporosis assessment. Introduction The objectives of this study in female distal radius fracture patients were to investigate seasonal differences, estimate the prevalence of osteoporosis, and identify factors associated with distal radius fractures compared with controls. Methods In a 2-year period, 263 women ≥50 years suffered a low-energy distal radius fracture in the geographic catchment area. The 214 women who met for osteoporosis assessment were age-matched with 191 controls. Bone mineral density was assessed by dual energy X-ray absorptiometry at femoral neck, total hip, and lumbar spine. Demographic and clinical data were collected. Results The prevalence of indoor fractures showed no seasonal variance. For outdoor fractures, the prevalence was highest in the winter months. The prevalence of osteoporosis among patients with indoor fractures was higher (58.5%) than outdoor fractures without (38.6%) and with snow/ice (36.0%; p |
| doi_str_mv | 10.1007/s00198-009-1065-0 |
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E ; Hochberg, M ; Johnsen, V ; Haugeberg, G</creator><creatorcontrib>Øyen, J ; Rohde, G. E ; Hochberg, M ; Johnsen, V ; Haugeberg, G</creatorcontrib><description>Summary There is a lack of data on the prevalence of osteoporosis in patients with distal radius fractures occurring at the various seasons. The prevalence of osteoporosis is high, both in patients with indoor and outdoor fractures and higher than in controls. All female distal radius fracture patients ≥50 years should be referred for osteoporosis assessment. Introduction The objectives of this study in female distal radius fracture patients were to investigate seasonal differences, estimate the prevalence of osteoporosis, and identify factors associated with distal radius fractures compared with controls. Methods In a 2-year period, 263 women ≥50 years suffered a low-energy distal radius fracture in the geographic catchment area. The 214 women who met for osteoporosis assessment were age-matched with 191 controls. Bone mineral density was assessed by dual energy X-ray absorptiometry at femoral neck, total hip, and lumbar spine. Demographic and clinical data were collected. Results The prevalence of indoor fractures showed no seasonal variance. For outdoor fractures, the prevalence was highest in the winter months. The prevalence of osteoporosis among patients with indoor fractures was higher (58.5%) than outdoor fractures without (38.6%) and with snow/ice (36.0%; p < 0.001). The prevalence of osteoporosis was higher in fracture patients (42.5%) than controls (24.1%; p < 0.001), this was also found in the youngest age group 50-59 years (22.2% vs 1.8%; p < 0.001). In conditional logistic regression analyses osteoporosis, current use of glucocorticoids, and living alone were independently associated with distal radius fractures. Conclusions Our study highlights that environmental factor, as well as osteoporosis are associated with distal radius fractures in middle-aged and elderly women. Osteoporosis is also frequently found in outdoor patients, thus, all female distal radius fracture patients ≥50 years should be referred for osteoporosis assessment.</description><identifier>ISSN: 0937-941X</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s00198-009-1065-0</identifier><identifier>PMID: 19774323</identifier><language>eng</language><publisher>London: London : Springer-Verlag</publisher><subject>Absorptiometry, Photon ; Aged ; Biological and medical sciences ; Body mass index ; Bone density ; Bone Density - physiology ; Case-Control Studies ; Diseases of the osteoarticular system ; Distal radius fractures ; Endocrinology ; Energy ; Female ; Femur Neck - physiopathology ; Fractures ; Hip Joint - physiopathology ; Hospitals ; Humans ; Injuries of the limb. Injuries of the spine ; Investigative techniques, diagnostic techniques (general aspects) ; Lumbar Vertebrae - physiopathology ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle age ; Middle Aged ; Norway - epidemiology ; Older people ; Original Article ; Orthopedics ; Osteoarticular system. Muscles ; Osteoporosis ; Osteoporosis, Postmenopausal - complications ; Osteoporosis, Postmenopausal - epidemiology ; Osteoporosis. Osteomalacia. Paget disease ; Osteoporotic Fractures - epidemiology ; Patients ; Population ; Prevalence ; Preventive medicine ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Radius Fractures - epidemiology ; Radius Fractures - etiology ; Rheumatology ; Risk assessment ; risk factors ; Seasonal variations ; Seasons ; Trauma ; Traumas. Diseases due to physical agents ; X-rays</subject><ispartof>Osteoporosis international, 2010-07, Vol.21 (7), p.1247-1255</ispartof><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2009</rights><rights>2015 INIST-CNRS</rights><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-bb16f0edcffd35d9e606d052c6793f988a31444878c07b14eeb5d896867769603</citedby><cites>FETCH-LOGICAL-c456t-bb16f0edcffd35d9e606d052c6793f988a31444878c07b14eeb5d896867769603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00198-009-1065-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00198-009-1065-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22912091$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19774323$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Øyen, J</creatorcontrib><creatorcontrib>Rohde, G. E</creatorcontrib><creatorcontrib>Hochberg, M</creatorcontrib><creatorcontrib>Johnsen, V</creatorcontrib><creatorcontrib>Haugeberg, G</creatorcontrib><title>Low-energy distal radius fractures in middle-aged and elderly women—seasonal variations, prevalence of osteoporosis, and associates with fractures</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><addtitle>Osteoporos Int</addtitle><description>Summary There is a lack of data on the prevalence of osteoporosis in patients with distal radius fractures occurring at the various seasons. The prevalence of osteoporosis is high, both in patients with indoor and outdoor fractures and higher than in controls. All female distal radius fracture patients ≥50 years should be referred for osteoporosis assessment. Introduction The objectives of this study in female distal radius fracture patients were to investigate seasonal differences, estimate the prevalence of osteoporosis, and identify factors associated with distal radius fractures compared with controls. Methods In a 2-year period, 263 women ≥50 years suffered a low-energy distal radius fracture in the geographic catchment area. The 214 women who met for osteoporosis assessment were age-matched with 191 controls. Bone mineral density was assessed by dual energy X-ray absorptiometry at femoral neck, total hip, and lumbar spine. Demographic and clinical data were collected. Results The prevalence of indoor fractures showed no seasonal variance. For outdoor fractures, the prevalence was highest in the winter months. The prevalence of osteoporosis among patients with indoor fractures was higher (58.5%) than outdoor fractures without (38.6%) and with snow/ice (36.0%; p < 0.001). The prevalence of osteoporosis was higher in fracture patients (42.5%) than controls (24.1%; p < 0.001), this was also found in the youngest age group 50-59 years (22.2% vs 1.8%; p < 0.001). In conditional logistic regression analyses osteoporosis, current use of glucocorticoids, and living alone were independently associated with distal radius fractures. Conclusions Our study highlights that environmental factor, as well as osteoporosis are associated with distal radius fractures in middle-aged and elderly women. Osteoporosis is also frequently found in outdoor patients, thus, all female distal radius fracture patients ≥50 years should be referred for osteoporosis assessment.</description><subject>Absorptiometry, Photon</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Body mass index</subject><subject>Bone density</subject><subject>Bone Density - physiology</subject><subject>Case-Control Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Distal radius fractures</subject><subject>Endocrinology</subject><subject>Energy</subject><subject>Female</subject><subject>Femur Neck - physiopathology</subject><subject>Fractures</subject><subject>Hip Joint - physiopathology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lumbar Vertebrae - physiopathology</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle age</subject><subject>Middle Aged</subject><subject>Norway - epidemiology</subject><subject>Older people</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Osteoarticular system. Muscles</subject><subject>Osteoporosis</subject><subject>Osteoporosis, Postmenopausal - complications</subject><subject>Osteoporosis, Postmenopausal - epidemiology</subject><subject>Osteoporosis. Osteomalacia. Paget disease</subject><subject>Osteoporotic Fractures - epidemiology</subject><subject>Patients</subject><subject>Population</subject><subject>Prevalence</subject><subject>Preventive medicine</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Radius Fractures - epidemiology</subject><subject>Radius Fractures - etiology</subject><subject>Rheumatology</subject><subject>Risk assessment</subject><subject>risk factors</subject><subject>Seasonal variations</subject><subject>Seasons</subject><subject>Trauma</subject><subject>Traumas. Diseases due to physical agents</subject><subject>X-rays</subject><issn>0937-941X</issn><issn>1433-2965</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkc2KFDEUhQtRnHb0AdxoEMSNpUkllZ_lMDij0OBCB9yFdHKrzVBdaXOrpumdDzFP6JOYohsbXOgqi_udc3LvqarnjL5jlKr3SCkzuqbU1IzKtqYPqgUTnNeNke3DakENV7UR7NtZ9QTxlhaNMepxdcaMUoI3fFHdL9OuhgHyek9CxNH1JLsQJyRddn6cMiCJA9nEEHqo3RoCcUMg0AfI_Z7s0gaGXz_vERymoYjvXI5ujGnAt2Sb4c71MHggqSMJR0jblBPGMptNHGLyhS4Ruzh-PyU-rR51rkd4dnzPq5urD18vP9bLz9efLi-WtRetHOvVismOQvBdF3gbDEgqA20bL5XhndHacSaE0Ep7qlZMAKzaoI3UUilpJOXn1ZuD7zanHxPgaDcRPfS9GyBNaE0rJBXcyP-SinNTjI0o5Ku_yNs05XIatFroVjNOWYHYAfLlHJihs9scNy7vLaN2rtYeqrWlWjtXa-fPvjgaT6sNhJPi2GUBXh8Bh9715ZqDj_iHaxrDGmrm8ObAYRkNa8inH_4r_eVB1Llk3ToX45svDZ230YqWvfhveJPHtA</recordid><startdate>20100701</startdate><enddate>20100701</enddate><creator>Øyen, J</creator><creator>Rohde, G. E</creator><creator>Hochberg, M</creator><creator>Johnsen, V</creator><creator>Haugeberg, G</creator><general>London : Springer-Verlag</general><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20100701</creationdate><title>Low-energy distal radius fractures in middle-aged and elderly women—seasonal variations, prevalence of osteoporosis, and associates with fractures</title><author>Øyen, J ; Rohde, G. E ; Hochberg, M ; Johnsen, V ; Haugeberg, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-bb16f0edcffd35d9e606d052c6793f988a31444878c07b14eeb5d896867769603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Absorptiometry, Photon</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Body mass index</topic><topic>Bone density</topic><topic>Bone Density - physiology</topic><topic>Case-Control Studies</topic><topic>Diseases of the osteoarticular system</topic><topic>Distal radius fractures</topic><topic>Endocrinology</topic><topic>Energy</topic><topic>Female</topic><topic>Femur Neck - physiopathology</topic><topic>Fractures</topic><topic>Hip Joint - physiopathology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lumbar Vertebrae - physiopathology</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle age</topic><topic>Middle Aged</topic><topic>Norway - epidemiology</topic><topic>Older people</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Osteoarticular system. Muscles</topic><topic>Osteoporosis</topic><topic>Osteoporosis, Postmenopausal - complications</topic><topic>Osteoporosis, Postmenopausal - epidemiology</topic><topic>Osteoporosis. Osteomalacia. Paget disease</topic><topic>Osteoporotic Fractures - epidemiology</topic><topic>Patients</topic><topic>Population</topic><topic>Prevalence</topic><topic>Preventive medicine</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Radius Fractures - epidemiology</topic><topic>Radius Fractures - etiology</topic><topic>Rheumatology</topic><topic>Risk assessment</topic><topic>risk factors</topic><topic>Seasonal variations</topic><topic>Seasons</topic><topic>Trauma</topic><topic>Traumas. Diseases due to physical agents</topic><topic>X-rays</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Øyen, J</creatorcontrib><creatorcontrib>Rohde, G. E</creatorcontrib><creatorcontrib>Hochberg, M</creatorcontrib><creatorcontrib>Johnsen, V</creatorcontrib><creatorcontrib>Haugeberg, G</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Osteoporosis international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Øyen, J</au><au>Rohde, G. E</au><au>Hochberg, M</au><au>Johnsen, V</au><au>Haugeberg, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low-energy distal radius fractures in middle-aged and elderly women—seasonal variations, prevalence of osteoporosis, and associates with fractures</atitle><jtitle>Osteoporosis international</jtitle><stitle>Osteoporos Int</stitle><addtitle>Osteoporos Int</addtitle><date>2010-07-01</date><risdate>2010</risdate><volume>21</volume><issue>7</issue><spage>1247</spage><epage>1255</epage><pages>1247-1255</pages><issn>0937-941X</issn><eissn>1433-2965</eissn><abstract>Summary There is a lack of data on the prevalence of osteoporosis in patients with distal radius fractures occurring at the various seasons. The prevalence of osteoporosis is high, both in patients with indoor and outdoor fractures and higher than in controls. All female distal radius fracture patients ≥50 years should be referred for osteoporosis assessment. Introduction The objectives of this study in female distal radius fracture patients were to investigate seasonal differences, estimate the prevalence of osteoporosis, and identify factors associated with distal radius fractures compared with controls. Methods In a 2-year period, 263 women ≥50 years suffered a low-energy distal radius fracture in the geographic catchment area. The 214 women who met for osteoporosis assessment were age-matched with 191 controls. Bone mineral density was assessed by dual energy X-ray absorptiometry at femoral neck, total hip, and lumbar spine. Demographic and clinical data were collected. Results The prevalence of indoor fractures showed no seasonal variance. For outdoor fractures, the prevalence was highest in the winter months. The prevalence of osteoporosis among patients with indoor fractures was higher (58.5%) than outdoor fractures without (38.6%) and with snow/ice (36.0%; p < 0.001). The prevalence of osteoporosis was higher in fracture patients (42.5%) than controls (24.1%; p < 0.001), this was also found in the youngest age group 50-59 years (22.2% vs 1.8%; p < 0.001). In conditional logistic regression analyses osteoporosis, current use of glucocorticoids, and living alone were independently associated with distal radius fractures. Conclusions Our study highlights that environmental factor, as well as osteoporosis are associated with distal radius fractures in middle-aged and elderly women. Osteoporosis is also frequently found in outdoor patients, thus, all female distal radius fracture patients ≥50 years should be referred for osteoporosis assessment.</abstract><cop>London</cop><pub>London : Springer-Verlag</pub><pmid>19774323</pmid><doi>10.1007/s00198-009-1065-0</doi><tpages>9</tpages></addata></record> |
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| subjects | Absorptiometry, Photon Aged Biological and medical sciences Body mass index Bone density Bone Density - physiology Case-Control Studies Diseases of the osteoarticular system Distal radius fractures Endocrinology Energy Female Femur Neck - physiopathology Fractures Hip Joint - physiopathology Hospitals Humans Injuries of the limb. Injuries of the spine Investigative techniques, diagnostic techniques (general aspects) Lumbar Vertebrae - physiopathology Medical sciences Medicine Medicine & Public Health Middle age Middle Aged Norway - epidemiology Older people Original Article Orthopedics Osteoarticular system. Muscles Osteoporosis Osteoporosis, Postmenopausal - complications Osteoporosis, Postmenopausal - epidemiology Osteoporosis. Osteomalacia. Paget disease Osteoporotic Fractures - epidemiology Patients Population Prevalence Preventive medicine Radiodiagnosis. Nmr imagery. Nmr spectrometry Radius Fractures - epidemiology Radius Fractures - etiology Rheumatology Risk assessment risk factors Seasonal variations Seasons Trauma Traumas. Diseases due to physical agents X-rays |
| title | Low-energy distal radius fractures in middle-aged and elderly women—seasonal variations, prevalence of osteoporosis, and associates with fractures |
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