| Full text | |
| Author(s): |
Lopes, Jaqueline B.
[1]
;
Figueiredo, Camille P.
[1]
;
Caparbo, Valeria F.
[1]
;
Takayama, Liliam
[1]
;
Menezes, Paulo R.
[2]
;
Scazufca, Marcia
[3]
;
Pereira, Rosa M. R.
[1]
Total Authors: 7
|
| Affiliation: | [1] Bone Metab Lab, Div Rheumatol, Sao Paulo - Brazil
[2] Univ Sao Paulo, Fac Med, Dept Prevent Med, BR-01246903 Sao Paulo - Brazil
[3] Univ Sao Paulo, Fac Med, Dept Psychiat, BR-01246903 Sao Paulo - Brazil
Total Affiliations: 3
|
| Document type: | Journal article |
| Source: | JOURNAL OF CLINICAL DENSITOMETRY; v. 14, n. 3, p. 359-366, JUL-SEP 2011. |
| Web of Science Citations: | 9 |
| Abstract | |
The risk of osteoporotic fractures is known to vary among populations. There are no studies analyzing concomitantly clinical, densitometric, and lab risk factors in miscigenated community-dwelling population of Brazil. A total of 1007 elderly subjects (600 women and 407 men) from Sao Paulo, were evaluated using a questionnaire that included risk factors for osteoporotic fractures. Bone mineral density (BMD) was measured by dual-energy X-ray absorptiometry at the hip and lumbar spine. Laboratory blood tests were also obtained. The prevalence of osteoporotic fractures was 13.2% (133 subjects), and the main fracture sites were distal forearm (6.0%), humerus (2.3%), femur (1.3%), and ribs (1.1%). Women had a higher prevalence (17.5%; 95% confidence interval {[}CI]: 14.6-20.6) than men (6.9%; 95% CI: 4.4-9.3) (p < 0.001). After adjusting for significant variables, logistic regression revealed that female gender (odds ratio {[}OR] = 2.7; 95% CI; 1.6-4.5; p < 0.001), current smoking (OR = 1.9; 95% CI: 1.2-3.3; p = 0.013), and the femoral neck T-score (OR = 0.7; 95% CI: 0.5-0.9; p = 0.001) remain significant risk factors for osteoporotic fractures in the community-dwelling elderly. Our findings identified that female gender, current smoking, and low hip BMD are independent risk factors for osteoporotic fractures. (AU) | |
| FAPESP's process: | 03/09313-0 - Prevalence of osteoporosis, vertebral and non-vertebral fractures in a female population aged 65 or older in the Butantã area |
| Grantee: | Rosa Maria Rodrigues Pereira |
| Support Opportunities: | Regular Research Grants |
| FAPESP's process: | 04/12694-8 - Incidence of dementia and cognitive decline in low-income elderly in São Paulo: a cohort study |
| Grantee: | Isabela Judith Martins Bensenor |
| Support Opportunities: | Regular Research Grants |