Endocrinology

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Low-energy distal radius fractures in middle-aged and elderly women--seasonal variations, prevalence of osteoporosis, and associates with fractures
Osteoporosis International, 09/29/09

Oyen G et al. – Environmental factor, as well as osteoporosis are associated with distal radius fractures in middle-aged and elderly women. Osteoporosis is also frequently found in outdoor patients, thus, all female distal radius fracture patients ≥ 50 years should be referred for osteoporosis assessment.

• In 2-year period, 263 women ≥ 50 years suffered a low-energy distal radius fracture in geographic catchment area
• 214 women who met for osteoporosis assessment age-matched with 191 controls
• BMD was assessed by dual energy X-ray absorptiometry at femoral neck, total hip, and lumbar spine
• Demographic and clinical data collected

• Prevalence of indoor fractures showed no seasonal variance
• Prevalence of outdoor fractures highest in winter
• Prevalence of osteoporosis among patients with indoor fractures higher (58.5%) than outdoor fractures without (38.6%) and with snow/ice (36.0%)
• Prevalence of osteoporosis higher in fracture patients (42.5%) than controls (24.1%) this was also found in the youngest age group 50–59 years (22.2% vs 1.8%)
• In conditional logistic regression analyses osteoporosis, current use of glucocorticoids, and living alone independently associated with distal radius fractures

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