BODY HEIGHT, BODY-MASS-INDEX, AND FATAL HIP-FRACTURES - 16 YEARS FOLLOW-UP OF 674,000 NORWEGIAN WOMEN AND MEN

被引:52
作者
MEYER, HE
TVERDAL, A
FALCH, JA
机构
[1] National Health Screening Service, Aker Hospital, Oslo
[2] Department of Internal Medicine, Aker Hospital, Oslo
关键词
COHORT STUDY; HIP FRACTURES; MORTALITY; BODY HEIGHT; BODY MASS INDEX; GENDER;
D O I
10.1097/00001648-199505000-00019
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We studied the relations between body height, body mass index (BMI), and fatal hip fractures prospectively in a large, representative population. During the years 1963-1975, a nationwide compulsory mass x-ray examination including standardized height and weight measurements took place in Norway covering all persons age 15 years and older. In the study presented here, we selected women (N = 357,807) and men (N = 316,041) age 50-89 years at screening. We matched the file to the national death register containing causes of death throughout 1991; we defined cases as persons with hip fracture mentioned on their death certificates. During an average follow-up of 16.4 years, we identified a total of 6,087 fatal hip fractures in the study population. There was a distinct inverse relation between BMI and fatal hip fracture, with an age-adjusted relative risk (RR) in the three highest us the low quartile of 0.68 [95% confidence interval (CT) = 0.63-0.72] in women and 0.57 (95% CI = 0.52-0.62) in men. The risk of fatal hip fractures increased slightly with increasing body height [RR = 1.10 (95% CI = 1.04-1.16) in women and RR = 1.08 (95% CI = 1.01-1.16) in men per 10-cm increase in body height]. This study indicates that low BMI is an important risk factor for fatal hip fractures and that body height has a weak, positive association.
引用
收藏
页码:299 / 305
页数:7
相关论文
共 33 条
  • [1] Bauer D.C., Browner W.S., Cauley J.A., Orwoll E.S., Scott J.C., Black D.M., Tao J.L., Cummings S.R., Factors associated with appendicular bone mass in older women, Ann Intern Med, 118, pp. 657-665, (1993)
  • [2] Paganini-Hill A., Chao A., Ross R.K., Henderson B.E., Exercise and other factors in the prevention of hip fracture: The Leisure World Study, Epidemiology, 2, pp. 16-25, (1991)
  • [3] Farmer M.E., Harris T., Madans J.H., Wallace R.B., Cornoni-Huntley J., White L.R., Anthropometric indicators and hip fracture: The NHANES I epidemiologic follow-up study, J am Geriatr Soc, 37, pp. 9-16, (1989)
  • [4] Hemenway D., Colditz G.A., Willett W.C., Stampfer M.J., Speizer F.E., Fractures and lifestyle: Effect of cigarette smoking, alcohol intake, and relative weight on the risk of hip and forearm fractures in middle-aged women, Am J Public Health, 78, pp. 1554-1558, (1988)
  • [5] Cooper C., Barker D.J.P., Wickham C., Physical activity, muscle strength, and calcium intake in fracture of the proximal femur in Britain, Br Med J, 297, pp. 1443-1446, (1988)
  • [6] Meyer H.E., Tverdal A., Falch J.A., Risk factors for hip fracture in middle-aged Norwegian women and men, Am J Epidemiol, 137, pp. 1203-1211, (1993)
  • [7] Faulkner K.G., Cummings S.R., Black D., Palermo L., Gluer C.C., Genant H.K., Simple measurement of femoral geometry predicts hip fracture: The study of osteoporotic fractures, J Bone Miner Res, 8, pp. 1211-1217, (1993)
  • [8] Cummings S.R., Faulkner K.G., Cauley J., Ross P.D., Wasnich R.D., Palermo L., Lower Rates Ot Hip Fracture in Asian Women May by due to Their Shorter Hip Axis Length, (1993)
  • [9] Ross P.D., Norimatsu H., Davis J.W., Yano K., Wasnich R.D., Fujiwara S., Hosoda Y., Melton L.J., A comparison of hip fracture incidence among native Japanese, Japanese Americans, and American Caucasians, Am J Epidemiol, 133, pp. 801-809, (1991)
  • [10] Karlsson M.K., Gardsetl P., Johnell O., Nilsson B.E., Akesson K., Obrant K.J., Bone mineral normative data in Malmö, Sweden: Comparison with reference data and hip fracture incidence in other ethnic groups, Acta Orthop Scand, 64, pp. 168-172, (1993)