高创伤骨折和低骨矿物质密度在老年妇女和男性
Dawn C Mackey1, Li-Yung Lui, Peggy M Cawthon
1San Francisco Coordinating Center, California Pacific Medical Center Research Institute, San Francisco, California 94107, USA. dmackey@sfcc-cpmc.net
JAMA
|November 29, 2007
概括
高创伤骨折在老年人中与低骨矿物密度 (BMD) 和未来骨折的风险增加有关,类似于低创伤骨折. 这些发现表明,在骨质疏松症研究中应考虑高创伤骨折.
科学领域:
- 老年学是一门学科.
- 整形外科 整形外科 整形外科
- 流行病学 流行病学
背景情况:
- 普遍认为高创伤骨折不是骨质疏松症的假设尚未被前性地调查.
- 骨质疏松症是一个重要的公共卫生问题,特别是在老龄化人口中.
研究的目的:
- 为了研究骨矿物质密度 (BMD) 和高创伤骨折之间的关联.
- 为了确定高创伤性骨折是否会增加老年人随后骨折的风险.
主要方法:
- 前性队列研究 (骨质疏松性骨折和男性骨质疏松性骨折研究) 涉及65岁以上的社区成年人.
- 用双能X射线吸收计测量骨矿物质密度 (BMD);骨折分为高创伤或低创伤.
- 随访期为女性9.1年,男性5.1年.
主要成果:
- 低部BMD与女性高创伤 (RH 1.45) 和低创伤 (RH 1.49) 骨折的风险增加有关,在男性中一致.
- 患有初始高创伤骨折的女性,随后骨折的风险增加了34%.
- 患有初始低创伤性骨折的女性,随后骨折的风险增加了31%.
结论:
- 老年人的高创伤非脊柱骨折与低BMD有关.
- 高创伤骨折表明后续骨折的风险增加,类似于低创伤骨折.
- 高创伤性骨折应该被视为骨质疏松症研究和临床试验的结果.
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