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. Attached Files Name Description MIMEType Size Downloads 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. orcid.org/0000-0002-9897-1598 Karlsson, Magnus K. Journal name Scandinavian journal of public health Volume number 40 Issue number 1 Start page 102 End page 108 Total pages 7 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 Grant ID NHMRC 425849 Copyright notice ©2011, the Nordic Societies of Public Health Persistent URL http://hdl.handle.net/10536/DRO/DU:30043019 Document type: Journal Article Collections: School of Exercise and Nutrition Sciences Centre for Physical Activity and Nutrition Research   Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Wed, 07 Mar 2012, 12:22:14 EST Thu, 08 Mar 2012, 13:55:49 EST Thu, 08 Mar 2012, 15:07:10 EST Thu, 08 Mar 2012, 15:09:51 EST Wed, 17 Oct 2012, 09:42:50 EST Mon, 17 Jun 2013, 17:30:19 EST Mon, 12 May 2014, 15:19:24 EST Filtered Full Citation counts:   Cited 8 times in TR Web of Science Cited 8 times in Scopus Search Google Scholar Access Statistics: 207 Abstract Views, 1 File Downloads  -  Detailed Statistics Created: Wed, 07 Mar 2012, 12:22:04 EST by Jane Moschetti

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