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Alcohol consumption and hip fractures: the Framingham Study
D T Felson1, D P Kiel, J J Anderson
1Boston University Multipurpose Arthritis Center, MA.
American Journal of Epidemiology
|November 1, 1988
Summary
Heavy alcohol consumption significantly increases hip fracture risk, particularly in individuals under 65. Past light drinking may offer some protection against fractures for current heavy drinkers.
Area of Science:
- Gerontology
- Epidemiology
- Public Health
Background:
- Alcoholism is frequently linked to fractures, yet specific associations with hip fractures remain underexplored.
- Limited research exists on moderate alcohol intake, elderly populations, and evolving consumption patterns concerning hip fracture risk.
Purpose of the Study:
- To investigate the association between alcohol consumption and hip fracture risk.
- To examine the influence of alcohol intake levels, age, and changes in consumption over time on hip fracture incidence.
Main Methods:
- Retrospective cohort study utilizing data from the Framingham Heart Study.
- Analysis of 117,224 person-years with 217 hip fractures, assessing alcohol consumption and adjusting for covariates.
Main Results:
- Heavy current alcohol consumption (≥7 oz/week) showed a modestly increased hip fracture risk in both women (RR=1.54) and men (RR=1.26).
- Significant fracture risk increase (p=0.01) was observed with current alcohol consumption, especially in those under 65.
- Past light alcohol consumption reduced fracture risk (p=0.03) among current heavy drinkers.
Conclusions:
- Long-term and heavy alcohol consumption is a significant risk factor for hip fractures.
- The impact of alcohol on hip fracture risk varies by age, with younger individuals (<65) showing greater susceptibility.
- Modifying alcohol consumption patterns may influence fracture risk.