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Forearm bone mineral density and incidence of hip fractures in Swedish urban and rural men 1987-2002

Rosengren, Bjorn E., Ahlborg, Henrik G., Gardsell, Per, Sernbo, Ingemar, Nilsson, Jan-Ake, Daly, Robin M. and Karlsson, Magnus K. 2012, Forearm bone mineral density and incidence of hip fractures in Swedish urban and rural men 1987-2002, Scandinavian journal of public health, vol. 40, no. 1, pp. 102-108.

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Title Forearm bone mineral density and incidence of hip fractures in Swedish urban and rural men 1987-2002
Author(s) Rosengren, Bjorn E.
Ahlborg, Henrik G.
Gardsell, Per
Sernbo, Ingemar
Nilsson, Jan-Ake
Daly, Robin M.
Karlsson, Magnus K.
Journal name Scandinavian journal of public health
Volume number 40
Issue number 1
Start page 102
End page 108
Publisher Sage Publications
Place of publication London, England
Publication date 2012-02
ISSN 1651-1905
1403-4948
Keyword(s) elderly
falls
fracture incidence
fragility fractures
male
osteoporosis
risk factors
rural
trends
urban
Summary Background: It is not known whether the recently described break in the trend in hip fracture incidence in many settings applies in both women and men, depends on changes in bone mineral density (BMD) or changes in other risk factors, or whether it is apparent in both urban and rural settings. Methods: We evaluated changes in annual hip fracture incidence from 1987 to 2002 in Swedish men aged ≥60 years in one urban (n=25,491) and one rural population (n=16,432) and also secular differences in BMD, measured by single-photon absorptiometry at the distal radius and multiple other risk factors for hip fracture in a population-based sub-sample of the urban and the rural men aged 60–80 years in 1988/89 (n=202 vs. 121) and in 1998/99 (n=79 vs. 69). Results: No statistically significant changes in the annual age-adjusted hip fracture incidence per 10,000 were apparent from 1987 to 2002 in urban (0.38 per year, 95% CI-0.12 to 0.88) or rural men (-0.05 per year, 95% CI -0.63 to 0.53). BMD was similar in 1988/89 and 1998/99 when examining both urban (-19.6 mg/cm2, 95% CI -42.6 to 3.5) and rural (-23.0 mg/cm2, 95% CI -52.1 to 6.1) men. Conclusions: Since no secular change in age-adjusted hip fracture incidence was found during the study period, a levelling off in hip fracture incidence is present also in Swedish men. Because BMD on a group level was similar in 1988/89 and 1998/99, changes in other risk factors ought to be either of minor importance or counteracted by changes in different risk factors.
Language eng
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920116 Skeletal System and Disorders (incl. Arthritis)
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2011, the Nordic Societies of Public Health
Persistent URL http://hdl.handle.net/10536/DRO/DU:30043019

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