Physical activity and risk factors for hip fractures in Thai women

Physical activity and risk factors for hip fractures in Thai women

Hip fractures are among the most important causes of ill health and death among elderly people. Several potentially modifiable risk factors have been reported. Most claimed physical activity as a promising, inexpensive preventive measure for hip fracture. However, knowledge about risk factors for hi...

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Bibliographic Details
Published in:Osteoporosis international Vol. 12; no. 3; pp. 244 - 248
Main Authors: BOONYARATAVEJ, N, SURIYAWONGPAISAL, P, TAKKINSATIEN, A, WANVARIE, S, RAJATANAVIN, R, APIYASAWAT, P
Format: Journal Article
Language:English
Published: London Springer 01-03-2001
Springer Nature B.V
Subjects:
Activities of Daily Living
Aged
Alcohol
Biological and medical sciences
Breastfeeding & lactation
Case-Control Studies
Confounding (Statistics)
Exercise
Exercise - physiology
Female
Fractures
Gait
Hip Fractures - etiology
Hip joint
Hospitals
Housework
Humans
Injuries of the limb. Injuries of the spine
Medical sciences
Medicine
Middle Aged
Older people
Orthopedics
Osteoporosis
Questionnaires
Risk Factors
Thailand
Traumas. Diseases due to physical agents
Thailand
Bangkok Thailand
Human
Physical exercise
Diseases of the osteoarticular system
Lower limb
Fracture
Case control study
Trauma
Hip
Correlation analysis
Risk factor
Bone
Elderly
Life style
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Summary:Hip fractures are among the most important causes of ill health and death among elderly people. Several potentially modifiable risk factors have been reported. Most claimed physical activity as a promising, inexpensive preventive measure for hip fracture. However, knowledge about risk factors for hip fracture in Asian populations is very limited. We therefore conducted a case-control study to assess the relationships between physical activity and risk of hip fractures in Thai women. From 14 hospitals in Thailand, 229 cases with a radiologically confirmed first hip fracture were enrolled. Two hundred and twenty-four controls were randomly recruited from the same neighborhood and were matched to the cases by age within a 5 year range. Information on physical activity as well as other potential confounders was obtained through personal interviews. Multivariate logistic regression revealed that past physical activity was protective in both very active and active women (OR = 0.67, 95% CI = 0.40-1.12 for moderately active women and OR = 0.20, 95% CI = 0.10-0.38 for very active women; p value for trend < 0.01). Recent physical activity reduced the risk to about two-thirds (OR = 0.33, 95% CI = 0.19-0.60 and OR = 0.35, 95% CI = 0.18-0.69 for moderately and very active women respectively). In addition, breastfeeding was identified to be a protective factor (OR = 0.87, 95% CI = 0.80-0.94). In contrast, the following risk factors were identified: current use of antihistamine (OR = 13.96, 95% CI = 1.38-141.13) or traditional medicine (OR = 7.66, 95% CI = 2.71-21.63), underlying cerebrovascular diseases (OR = 6.53, 95% CI = 2.10-20.34), history of fracture (OR = 4.04, 95% CI = 1.26-12.99), parental Chinese racial background (OR = 2.52, 95% CI = 1.49-4.23), alcohol consumption (OR = 2.30, 95% CI = 1.04-5.09).
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ISSN:0937-941X
1433-2965
DOI:10.1007/s001980170136