Effects of changes in regular physical activity status on hip fracture: A nationwide population-based cohort study in Korea

Objective Hip fracture incidence is increasing with rapid aging of the population and regular physical activity (RPA) is an important modifiable protective factor for fracture. However, the association between the risk of hip fractures and changes in RPA status in the general population remains unknown. Thus, we explore the association between the risk of hip fracture and changes in RPA status. Methods We studied 4,984,144 individuals without fractures within a year whose data were registered in the Korean National Health Insurance Service database. Baseline physical activity level was assessed using a standardized self-reported questionnaire during two consecutive national health screening surveys performed in Korea from 2009 to 2012. The risk of hip fracture between 2013 and 2016 according to change in RPA was prospectively analyzed. Participants were divided into those who were always inactive, became inactive, became active, and were always active. Results Compared to participants who were always inactive, those who became inactive exhibited a 0.12/1,000 person-years (PY) reduction in hip fracture incidence rate (IR) [aHR: 0.865; 95% confidence interval (CI): 0.824–0.908]. Participants who became active, and those who were always active, exhibited a 0.24/1,000 PY reduction in IR (aHR: 0.827; 95% CI: 0.787–0.870) and a 0.39/1,000 PY reduction in IR (aHR: 0.691; 95% CI: 0.646–0.740), respectively. Conclusion Changes in RPA status were associated with the risk of hip fracture; consistent RPA was related to the maximum benefit for risk reduction in the general population.

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P1409HIP FRACTURE TRENDS IN SWEDISH GENERAL POPULATION AND DIALYSIS PATIENTS

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfaa142.p1409 ◽

2020 ◽

Vol 35 (Supplement_3) ◽

Author(s):

Ken Iseri ◽

Juan Jesus Carrero ◽

Marie Evans ◽

Li Felländer-Tsai ◽

Hans Berg ◽

...

Keyword(s):

Hip Fracture ◽

General Population ◽

Incidence Rate ◽

Recent Decade ◽

Population Based ◽

Fracture Incidence ◽

National Database ◽

Dialysis Patients ◽

Annual Percent Change ◽

Hip Fracture Incidence

Abstract Background and Aims Hip fracture incidence rate is higher in dialysis patients than in general population. We investigated and compared temporal changes in age-standardized hip fracture incidence rate (ASRhip fracture) 2007-2016 in men and women in the dialysis population and in the general population. Method We used the population-based Swedish national database of fractures and the Swedish Renal Registry of ESRD patients to retrieve data on ASRhip fracture in the general population and among dialysis patients. The average annual percent change of the hip fracture incidence trend was evaluated by join-point regression analysis according to gender in the two databases. Results ASRhip fracture was about three times higher in Swedish dialysis patients as compared to the Swedish general population. In dialysis patients, rates have steadily declined during the recent decade when assessed in both sexes combined, and when analysed in women and men separately. A similar trend was also seen in the general population; however, the rate of decline was steeper in dialysis patients than in the general population. The most recent data on ASRhip fracture (for 2016) show that ASRhip fracture was similar among female and male dialysis patients whereas ASRhip fracture in the general population was higher in women than in men. Conclusion Hip fracture incidence is declining in the general population and even more so in dialysis patients. In contrast to the general population where hip fracture incidence in 2016 is higher among women than in men, there was no such difference between the two sexes among dialysis patients.

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Trend of hip fracture incidence in Germany 1995–2004: a population-based study

Osteoporosis International ◽

10.1007/s00198-007-0534-6 ◽

2007 ◽

Vol 19 (8) ◽

pp. 1139-1145 ◽

Cited By ~ 136

Author(s):

A. Icks ◽

B. Haastert ◽

M. Wildner ◽

C. Becker ◽

G. Meyer

Keyword(s):

Hip Fracture ◽

Population Based ◽

Fracture Incidence ◽

Population Based Study ◽

Hip Fracture Incidence

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Hip fracture incidence among the old and very old: a population-based study of 745,435 cases.

American Journal of Public Health ◽

10.2105/ajph.80.7.871 ◽

1990 ◽

Vol 80 (7) ◽

pp. 871-873 ◽

Cited By ~ 148

Author(s):

S J Jacobsen ◽

J Goldberg ◽

T P Miles ◽

J A Brody ◽

W Stiers ◽

...

Keyword(s):

Hip Fracture ◽

Population Based ◽

Fracture Incidence ◽

Population Based Study ◽

Very Old ◽

Hip Fracture Incidence

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Epidemiology of osteoporotic fracture in Kazakhstan and development of a country specific FRAX model

Archives of Osteoporosis ◽

10.1007/s11657-020-0701-3 ◽

2020 ◽

Vol 15 (1) ◽

Cited By ~ 4

Author(s):

S. Issayeva ◽

O. Lesnyak ◽

A. Zakroyeva ◽

B. Issayeva ◽

D. Dilmanova ◽

...

Keyword(s):

Hip Fracture ◽

Hip Fractures ◽

Osteoporotic Fractures ◽

Population Based ◽

Trauma Centre ◽

Fracture Incidence ◽

Hip Fracture Incidence ◽

The Republic ◽

Country Specific ◽

Population Based Survey

Abstract Summary Retrospective and prospective population-based survey in a region of the Republic of Kazakhstan determined the incidence of fractures at the hip, proximal humerus and distal forearm. The hip fracture rates were used to create a FRAX® model to enhance fracture risk assessment in Kazakhstan. Objective This paper describes the epidemiology of osteoporotic fractures in the Republic of Kazakhstan that was used to develop a country specific FRAX® tool for fracture prediction. Methods We carried out a retrospective population-based survey in Taldykorgan in the Republic of Kazakhstan representing approximately 1% of the country’s population. Hip, forearm and humerus fractures were identified retrospectively in 2015 and 2016 from hospital registers and the trauma centre. Hip fractures were prospectively identified in 2017 from the same sources and additionally from primary care data. Age- and sex-specific incidence of hip fracture and national mortality rates were incorporated into a FRAX model for Kazakhstan. Fracture probabilities were compared with those from neighbouring countries having FRAX models. Results The difference in hip fracture incidence between the retrospective and prospective survey indicated that approximately 25% of hip fracture cases did not come to hospital attention. The incidence of hip fracture applied nationally suggested that the estimated number of hip fractures nationwide in persons over the age of 50 years for 2015 was 11,690 and is predicted to increase by 140% to 28,000 in 2050. Hip fracture incidence was a good predictor of forearm and humeral fractures in men but not in women. Conclusion The FRAX model should enhance accuracy of determining fracture probability among the Kazakh population and help guide decisions about treatment.

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