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Risk factors for osteoporotic hip fractures in Mexicans
P Clark1, F de la Peña, F Gómez García
1Hospital de Especialidades Centro Médico Nacional Siglo XXI, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM), México, D.F. clarkfam@compuserve.com.mx
Archives of Medical Research
|October 17, 1998
Summary
Low weight and alcohol consumption significantly increase osteoporosis hip fracture risk in Mexican adults. Calcium intake was higher in healthy individuals, highlighting modifiable risk factors for this common elderly fracture.
Area of Science:
- Gerontology
- Orthopedics
- Epidemiology
Background:
- Osteoporosis and fractures pose significant morbidity and mortality risks in the elderly population.
- Previous research on osteoporosis hip fracture risk factors is limited in the Mexican population.
- This study aimed to identify specific risk factors for osteoporotic hip fractures among Mexicans.
Purpose of the Study:
- To assess the prevalence of osteoporotic hip fractures in the Mexican population.
- To identify key risk factors associated with osteoporotic hip fractures in Mexican adults.
- To compare risk factors with those identified in other ethnic groups.
Main Methods:
- A case-control study involving 152 patients with hip fractures and 143 healthy controls, all aged 45 and above.
- Data collected via questionnaires on known risk factors and objective measurements including the Singh and cortical indices from pelvic roentgenograms.
- Statistical analysis to determine odds ratios for various risk factors.
Main Results:
- Low body weight (Quetelet Index) showed a significant association with increased hip fracture risk (OR=4.03).
- Any alcohol consumption was linked to a higher risk of hip fracture (OR=1.73 overall, OR=2.78 in women).
- Healthy controls had significantly higher daily calcium intake compared to hip fracture cases (p < 0.007).
Conclusions:
- The study confirms previously identified risk factors for osteoporotic hip fractures, such as low weight and alcohol intake, are relevant in the Mexican population.
- Identified risk factors like low weight, alcohol consumption, and lower calcium intake are crucial for targeted prevention strategies.
- Further research into bone turnover rates, anthropometric dimensions, and genetic factors is recommended to understand ethnic variations in osteoporosis.