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Early menopause and weight loss are significant factors associated with risk of future fracture in middle-aged women
BACKGROUND: To identify factors related to reproductive history and weight change associated with first incident fracture in middle-aged women. METHODS: In total, 18,326 women from the Malmö Diet and Cancer study were included in this prospective population-based cohort study. Participants were incl...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9380294/ https://www.ncbi.nlm.nih.gov/pubmed/35974320 http://dx.doi.org/10.1186/s12891-022-05744-5 |
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author | Moberg, Louise Hamrefors, Viktor Fedorowski, Artur Rogmark, Cecilia |
author_facet | Moberg, Louise Hamrefors, Viktor Fedorowski, Artur Rogmark, Cecilia |
author_sort | Moberg, Louise |
collection | PubMed |
description | BACKGROUND: To identify factors related to reproductive history and weight change associated with first incident fracture in middle-aged women. METHODS: In total, 18,326 women from the Malmö Diet and Cancer study were included in this prospective population-based cohort study. Participants were included 1991–1996 and followed to 2016. Using data from the National Patient Registry, linked with every participants’ unique personal identification number, any first fracture affecting spine, thoracic cage, upper and lower extremities was identified. The association of baseline factors with incident fracture risk was analyzed using Cox regression models. RESULTS: For participating women, median age 56.0 years, the multivariable Cox regression analysis observed that early menopause (40–44 years) (hazard ratio (HR) 1.14, 95% confidence interval (CI) 1.03–1.27) but not premature menopause < 40 years (HR 1.06, 95% CI 0.91–1.24) was associated with future fracture risk. Self-reported weight loss since age 20 was also associated with future fracture risk (HR 1.39, 95% CI 1.17–1.65) whereas a daily alcohol consumption in the third quartile (5.36–11.42 g/day) compared to the lowest quartile (0–0.80 g/day) was associated with decreased future fracture risk (HR 0.88, 95% CI 0.81–0.96). The multivariable Cox regression analysis also observed that increasing age and weight at baseline, current smoking, a positive history of previous fracture and family history of fractures were associated with increased fracture risk whereas an increasing BMI was associated with a decreased fracture risk. No association to parity or period of lactation was observed nor ever-use of oral contraceptives and menopausal hormone therapy. CONCLUSION: This study shows that early menopause between 40 to 45 years and self-reported weight loss since age of 20 are relevant factors associated with increased fracture risk in middle-aged women. These factors were independent of traditional predictors of fracture risk among women and may be considered in preventive initiatives. TRIAL REGISTRATION: Clinicaltrials.gov with identifier: NCT04151732, since Nov 5th 2018. |
format | Online Article Text |
id | pubmed-9380294 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-93802942022-08-17 Early menopause and weight loss are significant factors associated with risk of future fracture in middle-aged women Moberg, Louise Hamrefors, Viktor Fedorowski, Artur Rogmark, Cecilia BMC Musculoskelet Disord Research BACKGROUND: To identify factors related to reproductive history and weight change associated with first incident fracture in middle-aged women. METHODS: In total, 18,326 women from the Malmö Diet and Cancer study were included in this prospective population-based cohort study. Participants were included 1991–1996 and followed to 2016. Using data from the National Patient Registry, linked with every participants’ unique personal identification number, any first fracture affecting spine, thoracic cage, upper and lower extremities was identified. The association of baseline factors with incident fracture risk was analyzed using Cox regression models. RESULTS: For participating women, median age 56.0 years, the multivariable Cox regression analysis observed that early menopause (40–44 years) (hazard ratio (HR) 1.14, 95% confidence interval (CI) 1.03–1.27) but not premature menopause < 40 years (HR 1.06, 95% CI 0.91–1.24) was associated with future fracture risk. Self-reported weight loss since age 20 was also associated with future fracture risk (HR 1.39, 95% CI 1.17–1.65) whereas a daily alcohol consumption in the third quartile (5.36–11.42 g/day) compared to the lowest quartile (0–0.80 g/day) was associated with decreased future fracture risk (HR 0.88, 95% CI 0.81–0.96). The multivariable Cox regression analysis also observed that increasing age and weight at baseline, current smoking, a positive history of previous fracture and family history of fractures were associated with increased fracture risk whereas an increasing BMI was associated with a decreased fracture risk. No association to parity or period of lactation was observed nor ever-use of oral contraceptives and menopausal hormone therapy. CONCLUSION: This study shows that early menopause between 40 to 45 years and self-reported weight loss since age of 20 are relevant factors associated with increased fracture risk in middle-aged women. These factors were independent of traditional predictors of fracture risk among women and may be considered in preventive initiatives. TRIAL REGISTRATION: Clinicaltrials.gov with identifier: NCT04151732, since Nov 5th 2018. BioMed Central 2022-08-16 /pmc/articles/PMC9380294/ /pubmed/35974320 http://dx.doi.org/10.1186/s12891-022-05744-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Moberg, Louise Hamrefors, Viktor Fedorowski, Artur Rogmark, Cecilia Early menopause and weight loss are significant factors associated with risk of future fracture in middle-aged women |
title | Early menopause and weight loss are significant factors associated with risk of future fracture in middle-aged women |
title_full | Early menopause and weight loss are significant factors associated with risk of future fracture in middle-aged women |
title_fullStr | Early menopause and weight loss are significant factors associated with risk of future fracture in middle-aged women |
title_full_unstemmed | Early menopause and weight loss are significant factors associated with risk of future fracture in middle-aged women |
title_short | Early menopause and weight loss are significant factors associated with risk of future fracture in middle-aged women |
title_sort | early menopause and weight loss are significant factors associated with risk of future fracture in middle-aged women |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9380294/ https://www.ncbi.nlm.nih.gov/pubmed/35974320 http://dx.doi.org/10.1186/s12891-022-05744-5 |
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