Hip Fracture in Women without Osteoporosis (original) (raw)
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1Bone and Mineral Research Unit, Department of Medicine (S.A.W., L.M.M., E.S.O), Portland, Oregon 97239
*Address all correspondence and requests for reprints to: Stacey Wainwright, M.D., Oregon Health and Science University, 3181 S.W. Sam Jackson Park Road, Mail Code CR113, Portland, Oregon 97239.
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1Bone and Mineral Research Unit, Department of Medicine (S.A.W., L.M.M., E.S.O), Portland, Oregon 97239
2Department of Public Health and Preventive Medicine (L.M.M.), Oregon Health and Science University, Portland, Oregon 97239
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3Department of Medicine and Division of Epidemiology, University of Minnesota (K.E.E.), Minneapolis, Minnesota 55454
4Section of General Internal Medicine, Minneapolis Veterans Affairs Medical Center (K.E.E.), Minneapolis, Minnesota 55417
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5Departments of Epidemiology (J.A.C.) and Orthopedic Surgery (M.T.V.), University of Pittsburgh, Pittsburgh, Pennsylvania 15260
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7Kaiser Permanente Center for Health Research Northwest/Hawaii Division (T.A.H.), Portland, Oregon 97227
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8Departments of Medicine and Epidemiology and Preventive Medicine, University of Maryland School of Medicine, and Medical Service, Maryland VA Health Care System (M.C.H.), Baltimore, Maryland 21201
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7Kaiser Permanente Center for Health Research Northwest/Hawaii Division (T.A.H.), Portland, Oregon 97227
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6Department of Epidemiology and Biostatistics; University of California at San Francisco (D.M.B.), San Francisco, California 94105
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1Bone and Mineral Research Unit, Department of Medicine (S.A.W., L.M.M., E.S.O), Portland, Oregon 97239
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Accepted:
15 February 2005
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Stacey A. Wainwright, Lynn M. Marshall, Kristine E. Ensrud, Jane A. Cauley, Dennis M. Black, Teresa A. Hillier, Marc C. Hochberg, Molly T. Vogt, Eric S. Orwoll, Hip Fracture in Women without Osteoporosis, The Journal of Clinical Endocrinology & Metabolism, Volume 90, Issue 5, 1 May 2005, Pages 2787–2793, https://doi.org/10.1210/jc.2004-1568
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The proportion of fractures that occur in women without osteoporosis has not been fully described, and the characteristics of nonosteoporotic women who fracture are not well understood. We measured total hip bone mineral density (BMD) and baseline characteristics including physical activity, falls, and strength for 8065 women aged 65 yr or older participating in the Study of Osteoporotic Fractures and then followed these women for hip fracture for up to 5 yr after BMD measurement.
Among all participants, 17% had osteoporosis (total hip BMD T-score ≤ −2.5). Of the 243 women with incident hip fracture, 54% were not osteoporotic at start of follow-up. Nonosteoporotic women who fractured were less likely than osteoporotic women with fracture to have baseline characteristics associated with frailty. Nevertheless, among nonosteoporotic participants, several characteristics increased fracture risk, including advancing age, lack of exercise in the last year, reduced visual contrast sensitivity, falls in the last year, prevalent vertebral fracture, and lower total hip BMD.
These findings call attention to the many older women who suffer hip fracture but do not have particularly low antecedent BMD measures and help begin to identify risk factors associated with higher bone density levels.
Copyright © 2005 by The Endocrine Society
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