More forearm fractures among urban than rural women: The NOREPOS study based on the Tromsø study and the HUNT study
Abstract Higher rates of hip fracture and all fractures combined have been observed in urban compared with rural areas, but whether there are urban‐rural differences in distal forearm fracture rates is less studied. The aim of this longitudinal study was to compare the incidence of forearm fracture...
Published in: | Journal of Bone and Mineral Research |
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Online Access: | http://dx.doi.org/10.1002/jbmr.280 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fjbmr.280 http://onlinelibrary.wiley.com/wol1/doi/10.1002/jbmr.280/fullpdf |
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crwiley:10.1002/jbmr.280 2023-12-03T10:31:17+01:00 More forearm fractures among urban than rural women: The NOREPOS study based on the Tromsø study and the HUNT study Omsland, Tone K Ahmed, Luai Awad Grønskag, Anna Schei, Berit Emaus, Nina Langhammer, Arnulf Joakimsen, Ragnar M Jørgensen, Lone Søgaard, Anne Johanne Gjesdal, Clara G Meyer, Haakon E 2011 http://dx.doi.org/10.1002/jbmr.280 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fjbmr.280 http://onlinelibrary.wiley.com/wol1/doi/10.1002/jbmr.280/fullpdf en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Journal of Bone and Mineral Research volume 26, issue 4, page 850-856 ISSN 0884-0431 1523-4681 Orthopedics and Sports Medicine Endocrinology, Diabetes and Metabolism journal-article 2011 crwiley https://doi.org/10.1002/jbmr.280 2023-11-09T13:42:17Z Abstract Higher rates of hip fracture and all fractures combined have been observed in urban compared with rural areas, but whether there are urban‐rural differences in distal forearm fracture rates is less studied. The aim of this longitudinal study was to compare the incidence of forearm fracture in postmenopausal women in urban and rural areas in Norway and to investigate risk factors that could explain potential fracture differences. The study included data from 11,209 women aged 65 years or more who participated in two large health studies, the Tromsø Health Study in 1994–1995 and the Nord‐Trøndelag Health Study in 1995–1997. Forearm bone mineral density (BMD) was measured by single‐energy X‐ray absorptiometry in a subsample of women ( n = 7333) at baseline. All women were followed with respect to hospital‐verified forearm fractures (median follow‐up 6.3 years). A total of 9249 and 1960 women lived in areas classified as rural and urban, respectively. Urban women had an increased forearm fracture risk [relative risk (RR) = 1.29, 95% confidence interval (CI) 1.09–1.52] compared with women in rural areas. Rural women had higher body mass index (BMI) than urban women, and the RR was moderately reduced to 1.21 (95% CI 1.02–1.43) after BMI adjustments. Rural women had the highest BMD. In the subgroup with measured BMD, adjustments for BMD changed the urban versus rural RR from 1.21 (95% CI 0.96–1.52) to 1.05 (95% CI 0.83–1.32), suggesting that BMD is an important explanatory factor. In conclusion, higher rates of forearm fractures was found in urban compared with rural women. © 2011 American Society for Bone and Mineral Research. Article in Journal/Newspaper Tromsø Wiley Online Library (via Crossref) Norway Tromsø Journal of Bone and Mineral Research 26 4 850 856 |
institution |
Open Polar |
collection |
Wiley Online Library (via Crossref) |
op_collection_id |
crwiley |
language |
English |
topic |
Orthopedics and Sports Medicine Endocrinology, Diabetes and Metabolism |
spellingShingle |
Orthopedics and Sports Medicine Endocrinology, Diabetes and Metabolism Omsland, Tone K Ahmed, Luai Awad Grønskag, Anna Schei, Berit Emaus, Nina Langhammer, Arnulf Joakimsen, Ragnar M Jørgensen, Lone Søgaard, Anne Johanne Gjesdal, Clara G Meyer, Haakon E More forearm fractures among urban than rural women: The NOREPOS study based on the Tromsø study and the HUNT study |
topic_facet |
Orthopedics and Sports Medicine Endocrinology, Diabetes and Metabolism |
description |
Abstract Higher rates of hip fracture and all fractures combined have been observed in urban compared with rural areas, but whether there are urban‐rural differences in distal forearm fracture rates is less studied. The aim of this longitudinal study was to compare the incidence of forearm fracture in postmenopausal women in urban and rural areas in Norway and to investigate risk factors that could explain potential fracture differences. The study included data from 11,209 women aged 65 years or more who participated in two large health studies, the Tromsø Health Study in 1994–1995 and the Nord‐Trøndelag Health Study in 1995–1997. Forearm bone mineral density (BMD) was measured by single‐energy X‐ray absorptiometry in a subsample of women ( n = 7333) at baseline. All women were followed with respect to hospital‐verified forearm fractures (median follow‐up 6.3 years). A total of 9249 and 1960 women lived in areas classified as rural and urban, respectively. Urban women had an increased forearm fracture risk [relative risk (RR) = 1.29, 95% confidence interval (CI) 1.09–1.52] compared with women in rural areas. Rural women had higher body mass index (BMI) than urban women, and the RR was moderately reduced to 1.21 (95% CI 1.02–1.43) after BMI adjustments. Rural women had the highest BMD. In the subgroup with measured BMD, adjustments for BMD changed the urban versus rural RR from 1.21 (95% CI 0.96–1.52) to 1.05 (95% CI 0.83–1.32), suggesting that BMD is an important explanatory factor. In conclusion, higher rates of forearm fractures was found in urban compared with rural women. © 2011 American Society for Bone and Mineral Research. |
format |
Article in Journal/Newspaper |
author |
Omsland, Tone K Ahmed, Luai Awad Grønskag, Anna Schei, Berit Emaus, Nina Langhammer, Arnulf Joakimsen, Ragnar M Jørgensen, Lone Søgaard, Anne Johanne Gjesdal, Clara G Meyer, Haakon E |
author_facet |
Omsland, Tone K Ahmed, Luai Awad Grønskag, Anna Schei, Berit Emaus, Nina Langhammer, Arnulf Joakimsen, Ragnar M Jørgensen, Lone Søgaard, Anne Johanne Gjesdal, Clara G Meyer, Haakon E |
author_sort |
Omsland, Tone K |
title |
More forearm fractures among urban than rural women: The NOREPOS study based on the Tromsø study and the HUNT study |
title_short |
More forearm fractures among urban than rural women: The NOREPOS study based on the Tromsø study and the HUNT study |
title_full |
More forearm fractures among urban than rural women: The NOREPOS study based on the Tromsø study and the HUNT study |
title_fullStr |
More forearm fractures among urban than rural women: The NOREPOS study based on the Tromsø study and the HUNT study |
title_full_unstemmed |
More forearm fractures among urban than rural women: The NOREPOS study based on the Tromsø study and the HUNT study |
title_sort |
more forearm fractures among urban than rural women: the norepos study based on the tromsø study and the hunt study |
publisher |
Wiley |
publishDate |
2011 |
url |
http://dx.doi.org/10.1002/jbmr.280 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fjbmr.280 http://onlinelibrary.wiley.com/wol1/doi/10.1002/jbmr.280/fullpdf |
geographic |
Norway Tromsø |
geographic_facet |
Norway Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_source |
Journal of Bone and Mineral Research volume 26, issue 4, page 850-856 ISSN 0884-0431 1523-4681 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1002/jbmr.280 |
container_title |
Journal of Bone and Mineral Research |
container_volume |
26 |
container_issue |
4 |
container_start_page |
850 |
op_container_end_page |
856 |
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1784257506658222080 |