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    When, Where and How Osteoporosis-Associated Fractures Occur: An Analysis from the Global Longitudinal Study of Osteoporosis in Women (GLOW)

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    Authors
    Costa, Aline G.
    Wyman, Allison
    Siris, Ethel S.
    Watts, Nelson B.
    Silverman, Stuart
    Roux, Christian
    Rossini, Maurizio
    Pfeilschifter, Johannes
    Nieves, Jeri W.
    Netelenbos, J. Coen
    March, Lyn
    LaCroix, Andrea Z.
    Hooven, Frederick H.
    Greenspan, Susan L.
    Gehlbach, Stephen H.
    Diez-Perez, Adolfo
    Cooper, Cyrus
    Compston, Juliet E.
    Chapurlat, Roland D.
    Boonen, Steven
    Anderson, Frederick A. Jr.
    Adachi, Jonathan D.
    Adami, Silvano
    Show allShow less
    UMass Chan Affiliations
    Center for Outcomes Research
    Document Type
    Journal Article
    Publication Date
    2013-12-11
    Keywords
    Osteoporosis
    Fractures
    Postmenopause
    Epidemiology
    Health Services Research
    Musculoskeletal Diseases
    Women's Health
    
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    Show full item record
    Abstract
    Objective: To examine when, where and how fractures occur in postmenopausal women. Methods: We analyzed data from the Global Longitudinal Study of Osteoporosis in Women (GLOW), including women aged ≥55 years from the United States of America, Canada, Australia and seven European countries. Women completed questionnaires including fracture data at baseline and years 1, 2 and 3. Results: Among 60,393 postmenopausal women, 4122 incident fractures were reported (86% non-hip, non-vertebral [NHNV], 8% presumably clinical vertebral and 6% hip). Hip fractures were more likely to occur in spring, with little seasonal variation for NHNV or spine fractures. Hip fractures occurred equally inside or outside the home, whereas 65% of NHNV fractures occurred outside and 61% of vertebral fractures occurred inside the home. Falls preceded 68–86% of NHNV and 68–83% of hip fractures among women aged ≤64 to ≥85 years, increasing with age. About 45% of vertebral fractures were associated with falls in all age groups except those ≥85 years, when only 24% occurred after falling. Conclusion: In this multi-national cohort, fractures occurred throughout the year, with only hip fracture having a seasonal variation, with a higher proportion in spring. Hip fractures occurred equally within and outside the home, spine fractures more often in the home, and NHNV fractures outside the home. Falls were a proximate cause of most hip and NHNV fractures. Postmenopausal women at risk for fracture need counseling about reducing potentially modifiable fracture risk factors, particularly falls both inside and outside the home and during all seasons of the year.
    Source
    Costa AG, Wyman A, Siris ES, Watts NB, Silverman S, et al. (2013) When, Where and How Osteoporosis-Associated Fractures Occur: An Analysis from the Global Longitudinal Study of Osteoporosis in Women (GLOW). PLoS ONE 8(12): e83306. doi:10.1371/journal.pone.0083306. Link to article on publisher's site
    DOI
    10.1371/journal.pone.0083306
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/27151
    Rights
    Copyright 2013 Costa et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
    ae974a485f413a2113503eed53cd6c53
    10.1371/journal.pone.0083306
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