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Centre for Policy on Ageing | |
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Risk factors for hip fractures
— a review | | Author(s) | Jes Bruun Lauritzen, Peter A McNair, Bjarne Lund |
| Journal title | Danish Medical Bulletin, vol 40, no 4, September 1993 |
| Pages | pp 479-485 |
| Keywords | Fractures ; At risk ; Osteoporosis ; Falls ; Literature reviews. |
| Annotation | Risk factors for hip fracture have been reviewed based on case-control and prospective follow-up studies. Falls with impact to the hip, the capacity of energy absorption in soft tissue, and bone strength are all closely linked to the risk of hip fracture. Consistently documented factors are age, sex, race, low bone mass, low body weight, oestrogen deficiency and earlier fracture. Other risk factors are: tendency to fall; disability and immobilisation; low physical activity; use of psychotropic, anxiolytic or hypnotic drugs; use of corticosteroid; low calcium intake; osteomalacia; thyreotoxicosis; cigarette smoking; chronic alcoholism; diabetes mellitus; insufficient sunlight exposure; and a protective effect from thiazide diuretics. Evidence is lacking from risk factors such as heredity, nutrition and medical conditions. No information is available on the combined effects of different risk factors. Risk estimation should focus on the risk of falls, the capacity of energy absorption, and bone strength. Recent studies suggest that prevention of hip fractures is realistic, even in older people, and in the osteoporotic population taking vitamin D and calcium supplements or wearing hip protectors. (RH). |
| Accession Number | CPA-980107203 A |
| Classmark | CUF: CA3: CLO: OLF: 64A * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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