Academic Journal
Personal non-commercial use only
| العنوان: | Personal non-commercial use only |
|---|---|
| المؤلفون: | Maria Thomas-John, Mary B Codd, Sialaja Manne, Nelson B Watts, Anne-Barbara Mongey, MD M Thomas-John |
| المساهمون: | The Pennsylvania State University CiteSeerX Archives |
| المصدر: | http://www.jrheum.org/content/jrheum/36/9/1947.full.pdf. |
| المجموعة: | CiteSeerX |
| الوصف: | Objective. Osteoporotic fractures are associated with significant morbidity and mortality particularly among older men. However, there is little information regarding risk factors among this population. The aims of our study were to determine risk factors for osteoporosis and fragility fractures and the predictive value of bone mineral density (BMD) measurements for development of fragility fractures in a cohort of elderly Caucasian and African American men. Methods. We evaluated 257 men aged 70 years or older for risk factors for osteoporosis and fragility fractures using a detailed questionnaire and BMD assessment. Exclusion criteria included conditions known to cause osteoporosis such as hypogonadism and chronic steroid use, current treatment with bisphosphonates, bilateral hip arthroplasties, and inability to ambulate independently. Results. Age, weight, weight loss, androgen deprivation treatment, duration of use of dairy products, exercise, and fracture within 10 years prior to study entry were associated with osteoporosis (p ≤ 0.05). Fragility fractures were associated with duration of use of dairy products, androgen deprivation treatment, osteoporosis, and history of fracture within 10 years prior to BMD assessment (p ≤ 0.05). There were some differences in risk factors between the Caucasian and African American populations, suggesting that risk factors may vary between ethnic groups. Conclusion. Although men with osteoporosis had a higher rate of fractures, the majority of fractures occurred in men with T-scores > -2.5 standard deviations below the mean, suggesting that factors other than BMD are also important in determining risk. Osteoporosis has long been considered a disease primarily affecting women, and hence, osteoporosis in men is a relatively under-studied area. However, men sustain approximately 30% of all hip fractures and have a 2-fold excess mortality within the immediate post-fracture period 1,2 . Up to 50% of men who sustain hip fractures require institutionalized care, with ... |
| نوع الوثيقة: | text |
| وصف الملف: | application/pdf |
| اللغة: | English |
| Relation: | http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.1087.3118; http://www.jrheum.org/content/jrheum/36/9/1947.full.pdf |
| الاتاحة: | http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.1087.3118 http://www.jrheum.org/content/jrheum/36/9/1947.full.pdf |
| Rights: | Metadata may be used without restrictions as long as the oai identifier remains attached to it. |
| رقم الانضمام: | edsbas.663780BA |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |