Body Anthropometry and the Risk of Hip and Wrist Fractures in Men: Results from a Prospective Study

Department of Nutrition, Harvard School of Public Health, Boston, MA, USA.
Obesity research (Impact Factor: 4.95). 01/1998; 6(1):12-9. DOI: 10.1002/j.1550-8528.1998.tb00309.x
Source: PubMed

ABSTRACT Available epidemiological information on the associations between body anthropometry and the incidence of fractures in men is limited. We therefore prospectively investigated the association between body anthropometry and the incidence of hip and wrist fractures from low and moderate trauma among 43,053 men who were 40 years to 75 years of age in 1986 when they first enrolled in the Health Professionals Follow-Up Study. After 8 years of follow-up, 201 wrist fracture cases and 56 hip fracture cases were reported. Greater height was associated with significant elevations in both hip and wrist fractures, whereas nonsignificant inverse associations were observed with weight and body mass index. Men in the highest quintile of waist circumference had a relative risk (RR) of 2.57 (95% confidence interval [CI] 0.64 to 10.3) for hip fracture and 2.05 (95% CI 1.06 to 3.96) for wrist fracture when compared with men in the lowest quintile. Waist-to-hip ratio was also positively related to fracture incidence; comparing highest with lowest quintile, the RRs were 3.92 (95% CI 1.07 to 14.3) for hip fracture and 1.50 (95% CI 0.85 to 2.66) for wrist fracture. These anthropometric indicators, in particular waist-to-hip ratio, may be useful for the prediction of hip fracture in adult men.

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    • "The interaction between low body mass, low muscle mass and muscular weakness leading to failure of protective responses, could also be expected to heighten the risk of incurring a hip fracture, regardless of femoral bone density status (Meunier, 1997). However, although many people who fracture their hips could be classified as being thin, and high body weight has been deemed protective (Farahmand et al., 2000), in accord with Cumming and Klineberg (1994b) and Maffulli et al. (1999) that one risk factor for hip fracture could be excessive body weight, or an elevated waist-to-hip ratio (Owusa et al., 1998) we recently noted that among 35 elderly community-dwelling elders hospitalized with acute hip fractures and a mean age of 76.2 ± 7.6 years, 51.4% were overweight or obese, and only 2.9% were underweight, as indicated by their body mass index. Dretakis and Christadoulou (1983) too, noted similar rates of overweight and underweight hip fracture cases among their 373 patients. "
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    • "More important, the overall effects are not linearly related to the increased inertia. It has been reported that waist circumference, hip circumference , and waist-to-hip ratio are all positively related to fracture incidence [5] and presumably to an increased risk of falling. Obese children suffer more from traumatic accidents to anterior teeth than nonobese children [37], also suggesting that obesity imposes additional constraints on the postural control system. "
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