dc.date.accessioned | 2022-10-10T15:40:24Z | |
dc.date.available | 2022-10-10T15:40:24Z | |
dc.date.created | 2022-08-09T14:14:40Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Søgaard, Anne-Johanne Aga, Ruth Holvik, Kristin Meyer, Haakon Eduard . Characteristics of fallers who later sustain a hip fracture: a NOREPOS study. Osteoporosis International. 2022, 1-12 | |
dc.identifier.uri | http://hdl.handle.net/10852/97141 | |
dc.description.abstract | Fall prevention programs have shown inconclusive results concerning hip fracture reduction. We found that fallers with poor health, low societal participation, and use of psychotropics/painkillers had a threefold to fivefold increased hip fracture risk compared to non-fallers without these risk factors. This may help target fall prevention towards high-risk individuals. Introduction: To investigate whether self-reported information on health, societal participation, and drug use in older people, easily obtainable by health care providers, contribute to predict future hip fracture beyond self-reported falls. Methods: We used data from 3801 women and 6439 men aged 70-79 years participating in population-based studies in five counties in Norway 2000-2003. Height and weight were measured. Socioeconomic status, lifestyle, health status, and history of falling were self-reported through questionnaires. Falls last year were dichotomized into one or more versus no falls. Hip fractures were identified by linkage to hospital data with follow-up through 2013. Hazard ratios (HR) with 95% confidence intervals (95% CI) for hip fracture by combinations of risk factors with history of falling were estimated using Cox proportional hazards regression. Results: More women (32.4%) than men (27.7%) reported one or more falls during the previous year, and 17.9% of women (n = 682) and 8.9% of men (n = 572) suffered a hip fracture during median 11.6 years of follow-up. Poor health, low societal participation, and use of psychotropics/analgesics among fallers were strong predictors of hip fracture. The presence of all three risk factors and history of falling was associated with HR 2.92 (95% CI 2.10-4.05) for hip fracture in women and HR 4.60 (95% CI 2.71-7.81) in men compared to non-fallers without these factors. Conclusion: Our study indicates that self-assessment of health, information about activities outside home, and drug use among fallers far better identify high risk of hip fracture in older people than information about falls alone. | |
dc.description.abstract | Characteristics of fallers who later sustain a hip fracture: a NOREPOS study | |
dc.language | EN | |
dc.rights | Attribution-NonCommercial 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | |
dc.title | Characteristics of fallers who later sustain a hip fracture: a NOREPOS study | |
dc.title.alternative | ENEngelskEnglishCharacteristics of fallers who later sustain a hip fracture: a NOREPOS study | |
dc.type | Journal article | |
dc.creator.author | Søgaard, Anne-Johanne | |
dc.creator.author | Aga, Ruth | |
dc.creator.author | Holvik, Kristin | |
dc.creator.author | Meyer, Haakon Eduard | |
cristin.unitcode | 185,52,14,0 | |
cristin.unitname | Avd. for samfunnsmedisin og global helse | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 2041995 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Osteoporosis International&rft.volume=&rft.spage=1&rft.date=2022 | |
dc.identifier.jtitle | Osteoporosis International | |
dc.identifier.startpage | 1 | |
dc.identifier.endpage | 12 | |
dc.identifier.doi | https://doi.org/10.1007/s00198-022-06490-z | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 0937-941X | |
dc.type.version | PublishedVersion | |