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Related Experiment Videos

Risks of perimenopausal fractures--a prospective population-based study

M Tuppurainen1, H Kröger, R Honkanen

  • 1Department of Obstetrics and Gynecology, University Hospital of Kuopio, Finland.

Acta Obstetricia Et Gynecologica Scandinavica
|September 1, 1995
PubMed
Summary

Previous fractures, low bone mineral density, and alcohol use increase fracture risk in perimenopausal women. Hormone replacement therapy shows a protective effect against fractures in this demographic.

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Area of Science:

  • Bone Health and Osteoporosis Research
  • Menopause and Women's Health
  • Fracture Prevention Strategies

Background:

  • Perimenopausal women are at increased risk for fractures due to hormonal changes and bone density loss.
  • Identifying modifiable and non-modifiable risk factors is crucial for effective fracture prevention in this population.

Purpose of the Study:

  • To investigate the associations between various potential risk factors and the occurrence of fractures in a cohort of perimenopausal women.
  • To identify key predictors of fracture risk and protective factors during the menopausal transition.

Main Methods:

  • A longitudinal study followed 3,140 women (mean age 53.4 years) for 2.4 years.
  • Axial bone densitometry (lumbar spine and femoral neck) was performed, and fracture occurrences were recorded.

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  • Statistical analyses were used to assess the impact of risk factors like prior fractures, alcohol intake, and hormone replacement therapy (HRT).
  • Main Results:

    • 5.6% of women experienced fractures, with the wrist being the most common site.
    • Lower lumbar and femoral bone mineral density (BMD) were significantly associated with fracture cases (p < 0.0001).
    • Prior fracture history, higher alcohol intake, and early bilateral oophorectomy (<45 years) increased fracture risk, while HRT use was protective.

    Conclusions:

    • Former fracture history, low baseline BMD, and alcohol consumption are significant predisposing factors for fractures in perimenopausal women.
    • Hormone replacement therapy demonstrates a protective effect against fractures in this age group.
    • These findings highlight the importance of BMD assessment and lifestyle modifications for fracture prevention in perimenopausal women.