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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2020, Number 6

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Acta Ortop Mex 2020; 34 (6)

Characterization and risk of fracture in Chile's adult population. A new look at ENS 2009-2010

Donoso R, Margozzini P, Roman J

Language: Spanish
References: 24
Page: 346-353
PDF size: 212.56 Kb.


ABSTRACT

Introduction: Fractures are relevant injuries in the lives of individuals both for the cost of treatment and for the burden on working life. The information in our country about this pathology is scarce, so we set out to review epidemiological data available in the national health survey. Material and methods: The prevalence of fracture life was calculated for the entire sample and for adults over 55 years of age, with different logistic regression models estimated by sex for the likelihood of a fracture in life. Results: The prevalence of fracture life is 18%, with 25.1% for adults over 55 years of age, with higher prevalence observed in men than in women (22.5% and 13.8% respectively). In the male sex it was associated with fractures: age, smoking, physical activity, alcohol consumption, and BMI, while in the female sex it was associated: age, polypharmacy, marital status, and physical activity. Conclusion: An association was found between the occurrence of fractures and multiple known risk factors for chronic diseases, highlighting the relevance of fractures in the population. New evidence aimed at studying this phenomenon becomes imperative given the progressive ageing of the Chilean population.


REFERENCES

  1. Haagsma JA, Graetz N, Bolliger I, Naghavi M, Higashi H, Mullany EC, et al. The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. Inj Prev. 2016; 22(1): 3-18.

  2. Bedregal P, Margozzini P, González C. Informe final estudio de carga de enfermedad y carga atribuible [Internet]. 2007. Disponible en: https://medicina.uc.cl/wp-content/uploads/2018/08/Informe_final_estudio_carga_2007.pdf

  3. Contreras L, Kirschbaum A, Pumarino H. Epidemiologia de las fracturas en Chile. Rev Med Chil. 1991; 119: 92-8.

  4. Ministerio de Salud. Base de datos de egresos hospitalarios de Chile. 2012.

  5. Scholes S, Panesar S, Shelton NJ, Francis RM, Mirza S, Mindell JS, et al. Epidemiology of lifetime fracture prevalence in England: a population study of adults aged 55 years and over. Age Ageing. 2014; 43(2): 234-40.

  6. Kanis JA, Johansson H, Johnell O, Oden A, De Laet C, Eisman JA, et al. Alcohol intake as a risk factor for fracture. Osteoporos Int. 2005; 16(7): 737-42.

  7. Fiatarone MA, Marks EC, Ryan ND, Meredith CN, Lipsitz LA, Evans WJ. High-intensity strength training in nonagenarians. Effects on skeletal muscle. JAMA. 1990; 263 (22): 3029-34.

  8. Wong H, Heuberger R, Logomarsino J, Hewlings S. Associations between alcohol use, polypharmacy and falls in older adults. Nurs Older People. 2016; 28(1): 30-6.

  9. Oyen J, Gram Gjesdal C, Nygard OK, Lie SA, Meyer HE, Apalset EM, et al. Smoking and body fat mass in relation to bone mineral density and hip fracture: the Hordaland Health Study. PLoS One. 2014; 9(3): e92882. Erratum in: PLoS One. 2014; 9(6): e101335.

  10. van Staa TP, Dennison EM, Leufkens HG, Cooper C. Epidemiology of fractures in England and Wales. Bone. 2001; 29(6): 517-22.

  11. Cumming RG, Nevitt MC, Cummings SR. Epidemiology of hip fractures. Epidemiol Rev. 1997; 19(2): 244-57.

  12. Buhr AJ, Cooke AM. Fracture patterns. Lancet. 1959; 1(7072): 531-6.

  13. Wong PC. Fracture epidemiology in a mixed southeastern Asian community (Singapore). Clin Orthop Relat Res. 1966; 45: 55-61.

  14. Donaldson LJ, Reckless IP, Scholes S, Mindell JS, Shelton NJ. The epidemiology of fractures in England. J Epidemiol Community Health. 2008; 62(2): 174-80.

  15. Dong XS, Wang X, Largay JA. Occupational and non-occupational factors associated with work-related injuries among construction workers in the USA. Int J Occup Environ Health. 2015; 21(2): 142-50.

  16. Kim SK, Kim H, Lee K, Kang HT, Oh SS, Ko SB. The Relationship between Injury and Socioeconomic Status in Reference to the Fourth Korean National Health and Nutrition Examination Survey. Ann Occup Environ Med. 2014; 26(1): 1.

  17. Montano D. Upper body and lower limbs musculoskeletal symptoms and health inequalities in Europe: an analysis of cross-sectional data. BMC Musculoskelet Disord. 2014; 15: 285.

  18. Friedman HS, Martin LR, Tucker JS, Criqui MH, Kern ML, Reynolds CA. Stability of physical activity across the lifespan. J Health Psychol. 2008; 13(8): 1092-104.

  19. Francis RM. Falls and fractures. Age Ageing. 2001; 30 Suppl 4: 25-8.

  20. González G. Vitamin D status among healthy postmenopausal women in South America. Dermatoendocrinol. 2013; 5(1): 117-20.

  21. Schweitzer D, Amenábar PP, Botello E, López M, Saavedra Y, Klaber I. Prevalencia de insuficiencia y deficiencia de vitamina D en adultos mayores con fractura de cadera en Chile. Rev Med Chil [Internet]. 2016; 144(2): 175-80. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000200005&lng=en&nrm=iso&tlng=en

  22. Scott D, Daly RM, Sanders KM, Ebeling PR. Fall and fracture risk in sarcopenia and dynapenia with and without obesity: the role of lifestyle interventions. Curr Osteoporos Rep. 2015; 13(4): 235-44.

  23. Siqueira FV, Facchini LA, Hallal PC. The burden of fractures in Brazil: a population-based study. Bone. 2005; 37(2): 261-6.

  24. Ismail AA, O'Neill TW, Cockerill W, Finn JD, Cannata JB, Hoszowski K, et al. Validity of self-report of fractures: results from a prospective study in men and women across Europe. EPOS Study Group. European Prospective Osteoporosis Study Group. Osteoporos Int. 2000; 11(3): 248-54.



EVIDENCE LEVEL

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