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Incidence of Low‐energy Upper Extremity Fractures and the Risk Factors in Chinese People 50 years or Older

OBJECTIVE: To investigate the incidence of low‐energy upper extremity fractures and identify the associated risk factors in Chinese people aged 50 years or older. METHODS: This study was a part of the Chinese National Fracture Survey, which was performed between January and May 2015 and aimed to inv...

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Autores principales: Zhang, Xiao‐juan, Zhu, Yan‐bin, Liu, Song, Chen, Wei, Liu, Bo, Zhang, Fei, Lv, Hong‐zhi, Ji, Chen‐ni, Zhang, Xiao‐lin, Zhang, Ying‐ze
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6594479/
https://www.ncbi.nlm.nih.gov/pubmed/30932355
http://dx.doi.org/10.1111/os.12448
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author Zhang, Xiao‐juan
Zhu, Yan‐bin
Liu, Song
Chen, Wei
Liu, Bo
Zhang, Fei
Lv, Hong‐zhi
Ji, Chen‐ni
Zhang, Xiao‐lin
Zhang, Ying‐ze
author_facet Zhang, Xiao‐juan
Zhu, Yan‐bin
Liu, Song
Chen, Wei
Liu, Bo
Zhang, Fei
Lv, Hong‐zhi
Ji, Chen‐ni
Zhang, Xiao‐lin
Zhang, Ying‐ze
author_sort Zhang, Xiao‐juan
collection PubMed
description OBJECTIVE: To investigate the incidence of low‐energy upper extremity fractures and identify the associated risk factors in Chinese people aged 50 years or older. METHODS: This study was a part of the Chinese National Fracture Survey, which was performed between January and May 2015 and aimed to investigate the epidemiology of traumatic fractures in China in 2014. The China National Fracture Study (CNFS) was registered with the Chinese Clinical Trial Registry (number ChiCTR‐EPR‐15005878). A stratified multistage cluster randomized sampling method was used to recruit subjects and the survey was conducted through a questionnaire. The relevant results have been published elsewhere. In the current study, 154 099 Chinese men and women aged 50 years or older were included for data collection and analysis. Low‐energy fractures were defined as fractures that were caused by simple falls from standing height. Individuals who had low‐energy upper extremity fractures were included in the case group and the remainder were included in the control group. Univariate and multivariate logistics regression analysis models were constructed to investigate the independent risk factors, after adjustment for confounding variables. RESULTS: In total, 184 patients sustained low‐energy upper extremity fractures in 2014, indicating that the overall incidence was 119.4/100 000 persons, with 57.4 and 180.9/100 000 person‐years in men and women. Approximately 80% of fractures occurred at home and on the common road (other than high way). In men, alcohol consumption (OR, 2.12; 95%CI, 1.11–4.06), residence at ≥2nd floor without an elevator (OR, 2.86; 95%CI, 1.16–7.06), sleep duration<7 h/day (OR, 2.77; 95%CI, 1.42–5.37), and history of past fractures (OR, 3.10; 95%CI, 1.21–7.93) were identified as significant risk factors. In women, obesity (BMI ≥ 28.0) (OR, 1.86; 95%CI, 1.31–2.66), living in the central region in China (OR, 1.53; 95%CI, 1.01–2.31), living at a higher latitude (40°–49.9°N) (OR, 1.79; 95%CI, 1.02–3.14), alcohol consumption (OR, 2.40; 95%CI, 1.58–3.63), more births (OR, 1.45; 95%CI, 1.15–1.83), sleep duration <7 h/day (OR, 2.21; 95%CI, 1.53–3.20), and history of past fracture (OR, 2.70; 95%CI, 1.52–4.80) were identified as significant risk factors. CONCLUSION: Based on these results, health policies that focus on decreasing alcohol consumption and encouraging individuals to improve their quality and duration of sleep should be implemented in China. The significance of moving to a ground floor or to a building equipped with an elevator for men, and maintaining a healthy body weight for women should be emphasized to prevent upper extremity fractures.
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spelling pubmed-65944792019-09-10 Incidence of Low‐energy Upper Extremity Fractures and the Risk Factors in Chinese People 50 years or Older Zhang, Xiao‐juan Zhu, Yan‐bin Liu, Song Chen, Wei Liu, Bo Zhang, Fei Lv, Hong‐zhi Ji, Chen‐ni Zhang, Xiao‐lin Zhang, Ying‐ze Orthop Surg Scientific Articles OBJECTIVE: To investigate the incidence of low‐energy upper extremity fractures and identify the associated risk factors in Chinese people aged 50 years or older. METHODS: This study was a part of the Chinese National Fracture Survey, which was performed between January and May 2015 and aimed to investigate the epidemiology of traumatic fractures in China in 2014. The China National Fracture Study (CNFS) was registered with the Chinese Clinical Trial Registry (number ChiCTR‐EPR‐15005878). A stratified multistage cluster randomized sampling method was used to recruit subjects and the survey was conducted through a questionnaire. The relevant results have been published elsewhere. In the current study, 154 099 Chinese men and women aged 50 years or older were included for data collection and analysis. Low‐energy fractures were defined as fractures that were caused by simple falls from standing height. Individuals who had low‐energy upper extremity fractures were included in the case group and the remainder were included in the control group. Univariate and multivariate logistics regression analysis models were constructed to investigate the independent risk factors, after adjustment for confounding variables. RESULTS: In total, 184 patients sustained low‐energy upper extremity fractures in 2014, indicating that the overall incidence was 119.4/100 000 persons, with 57.4 and 180.9/100 000 person‐years in men and women. Approximately 80% of fractures occurred at home and on the common road (other than high way). In men, alcohol consumption (OR, 2.12; 95%CI, 1.11–4.06), residence at ≥2nd floor without an elevator (OR, 2.86; 95%CI, 1.16–7.06), sleep duration<7 h/day (OR, 2.77; 95%CI, 1.42–5.37), and history of past fractures (OR, 3.10; 95%CI, 1.21–7.93) were identified as significant risk factors. In women, obesity (BMI ≥ 28.0) (OR, 1.86; 95%CI, 1.31–2.66), living in the central region in China (OR, 1.53; 95%CI, 1.01–2.31), living at a higher latitude (40°–49.9°N) (OR, 1.79; 95%CI, 1.02–3.14), alcohol consumption (OR, 2.40; 95%CI, 1.58–3.63), more births (OR, 1.45; 95%CI, 1.15–1.83), sleep duration <7 h/day (OR, 2.21; 95%CI, 1.53–3.20), and history of past fracture (OR, 2.70; 95%CI, 1.52–4.80) were identified as significant risk factors. CONCLUSION: Based on these results, health policies that focus on decreasing alcohol consumption and encouraging individuals to improve their quality and duration of sleep should be implemented in China. The significance of moving to a ground floor or to a building equipped with an elevator for men, and maintaining a healthy body weight for women should be emphasized to prevent upper extremity fractures. John Wiley & Sons Australia, Ltd 2019-04-01 /pmc/articles/PMC6594479/ /pubmed/30932355 http://dx.doi.org/10.1111/os.12448 Text en © 2019 The Authors. Orthopaedic Surgery published by Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Scientific Articles
Zhang, Xiao‐juan
Zhu, Yan‐bin
Liu, Song
Chen, Wei
Liu, Bo
Zhang, Fei
Lv, Hong‐zhi
Ji, Chen‐ni
Zhang, Xiao‐lin
Zhang, Ying‐ze
Incidence of Low‐energy Upper Extremity Fractures and the Risk Factors in Chinese People 50 years or Older
title Incidence of Low‐energy Upper Extremity Fractures and the Risk Factors in Chinese People 50 years or Older
title_full Incidence of Low‐energy Upper Extremity Fractures and the Risk Factors in Chinese People 50 years or Older
title_fullStr Incidence of Low‐energy Upper Extremity Fractures and the Risk Factors in Chinese People 50 years or Older
title_full_unstemmed Incidence of Low‐energy Upper Extremity Fractures and the Risk Factors in Chinese People 50 years or Older
title_short Incidence of Low‐energy Upper Extremity Fractures and the Risk Factors in Chinese People 50 years or Older
title_sort incidence of low‐energy upper extremity fractures and the risk factors in chinese people 50 years or older
topic Scientific Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6594479/
https://www.ncbi.nlm.nih.gov/pubmed/30932355
http://dx.doi.org/10.1111/os.12448
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