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Published on: August 8, 2019
Does back pain predict subsequent fracture in postmenopausal women?
1Department of Hygiene and Preventive Medicine, Niigata University School of Medicine, 1-757 Asahimachi-dori, 951, Niigata City, Japan.
Environmental Health and Preventive Medicine
|March 25, 2011
Summary
A history of back pain may predict fragility fractures in postmenopausal women. This longitudinal study found a significant association after accounting for other risk factors, suggesting back pain as a valuable predictor.
Area of Science:
- Gerontology
- Orthopedics
- Epidemiology
Background:
- Postmenopausal osteoporosis is a significant health concern, increasing fracture risk.
- Identifying reliable predictors for fragility fractures is crucial for early intervention.
Purpose of the Study:
- To investigate whether self-reported back pain in postmenopausal women can predict incident fragility fractures over a 7-year follow-up period.
Main Methods:
- A longitudinal study of 434 Caucasian women (aged 55-80) assessed baseline back pain, bone mineral density (BMD), and other risk factors.
- Fracture incidence over 7 years and radial BMD changes over 5 years were recorded.
Main Results:
- Baseline back pain did not significantly predict 7-year fracture incidence (OR=1.137).
- However, a history of back pain showed a statistically significant association with 7-year fracture incidence (OR=2.126) after adjusting for age, baseline BMD, constitution, and physical activity.
Conclusions:
- A history of back pain, despite potential reporting bias, may serve as a valuable predictor of fragility fractures in postmenopausal women.
- Further research into the underlying mechanisms linking back pain and fracture risk is warranted.
