Osteoporotic Fractures in the Brazilian Community-Dwelling Elderly: Prevalence and Risk Factors

Journal of Clinical Densitometry

Volumn 14, Issue 3, 2011, Pages 359-366

  Lopes, Jaqueline B ^a   Figueiredo, Camille P ^a   Caparbo, Valeria F ^a   Takayama, Liliam ^a   Menezes, Paulo R ^b   Scazufca, Marcia ^b   Pereira, Rosa M R ^a  

^a Bone Metabolism Laboratory   (Brazil)

^b UNIVERSITY OF SÃO PAULO   (Brazil)

Author keywords

Aging; Bone mineral density; Falls; Hip; Smoking

Indexed keywords

AGED; ARTICLE; BONE DENSITY; BRAZIL; COMMUNITY LIVING; DUAL ENERGY X RAY ABSORPTIOMETRY; FALLING; FEMALE; FEMUR FRACTURE; FOREARM FRACTURE; FRAGILITY FRACTURE; GENDER; HIP; HUMAN; HUMERUS FRACTURE; LUMBAR SPINE; MAJOR CLINICAL STUDY; MALE; PREVALENCE; PRIORITY JOURNAL; QUESTIONNAIRE; RIB FRACTURE; RISK FACTOR; SMOKING;

ABSORPTIOMETRY, PHOTON; AGED; AGED, 80 AND OVER; ANTHROPOMETRY; BONE DENSITY; BRAZIL; FEMALE; FEMUR NECK; HIP JOINT; HUMANS; LUMBAR VERTEBRAE; MALE; OSTEOPOROTIC FRACTURES; PREVALENCE; RISK FACTORS; SMOKING;

EID: 79960930851     PISSN: 10946950     EISSN: 15590747     Source Type: Journal    
DOI: 10.1016/j.jocd.2011.04.006     Document Type: Article

References (45)

1. Cummings S.R., Melton L.J. Epidemiology and outcomes of osteoporotic fractures. Lancet 2002, 359:1761-1767.
2. Brazilian Institute of Geography and Statistics. 2003 Brazilian Institute of Geography and Statistics Social Indicators: 2003. Brazilian Institute of Geography and Statistics, Rio de Janeiro, Brazil.
3. Burge R., Dawson-Hughes B., Solomon D.H., et al. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res 2007, 22:465-475.
4. Cooper C. The crippling consequences of fractures and their impact on quality of life. Am J Med 1997, 103:12S-17S.
5. Bliuc D., Nguyen N.D., Milch V.E., et al. Mortality risk associated with low-trauma osteoporotic fracture and subsequent fracture in men and women. JAMA 2009, 30:513-521.
6. Johnell O., Kanis J. Epidemiology of osteoporotic fractures. Osteoporos Int 2005, 16(Suppl 2):S3-S7.
7. Dargent-Molina P., Douchin M.N., Cormier C., et al. Use of clinical risk factors in elderly women with low bone mineral density to identify women at higher risk of hip fracture: the EPIDOS prospective study. Osteoporos Int 2002, 13:593-599.
8. Physician's guide to prevention and treatment of osteoporosis 2003, National Osteoporosis Foundation (NOF), National Osteoporosis Foundation, Washington, DC. 2nd ed.
9. Kanis J.A., Johnell O., Oden A., et al. FRAX and the assessment of fracture probability in men and women from the UK. Osteoporos Int 2008, 19:385-397.
10. Clinician's guide to prevention and treatment of osteoporosis 2008, National Osteoporosis Foundation, National Osteoporosis Foundation, Washington, DC.
11. Compston J., Cooper A., Cooper C., et al. Guidelines for the diagnosis and management of osteoporosis in postmenopausal women and men from the age of 50 years in the UK. Maturitas 2009, 62:105-108.
12. Ramalho A.C., Lazaretti-Castro M., Hauache O., et al. Osteoporotic fractures of proximal femur: clinical and epidemiological features in a population of the city of São Paulo. Sao Paulo Med J 2001, 119:48-53.
13. Castro da Rocha F.A., Ribeiro A.R. Low incidence of hip fractures in an equatorial area. Osteoporos Int 2003, 14:496-499.
14. Komatsu R.S., Ramos L.R., Szejnfeld V.L. Incidence of proximal femur fractures in Marilia, Brazil. J Nutr Health Aging 2004, 8:362-367.
15. Silveira V.A., Medeiros M.M., Coelho-Filho J.M., et al. Hip fracture incidence in an urban area in Northeast Brazil. Cad Saude Publica 2005, 21:907-912.
16. Siqueira F.V., Facchini L.A., Hallal P.C. The burden of fractures in Brazil: a population-based study. Bone 2005, 37:261-266.
17. Pinheiro M.M., Ciconelli R.M., Martini L.A., Ferraz M.B. Clinical risk factors for osteoporotic fractures in Brazilian women and men: the Brazilian Osteoporosis Study (BRAZOS). Osteoporos Int 2009, 20:399-408.
18. Pinheiro M.M., dos Reis Neto E.T., Machado F.S., et al. Risk factors for osteoporotic fractures and low bone density in pre and postmenopausal women: the SAo Paulo Osteoporosis Study (SAPOS). Rev Saude Publica 2010, 44:479-485.
19. Lopes J.B., Danilevicius C.F., Takayama L., et al. Prevalence and risk factors of radiographic vertebral fracture in Brazilian community-dwelling elderly. Osteoporos Int 2011, 22(2):711-719.
20. O'Neill T.W., Cooper C., Cannata J.B., et al. Reproducibility of a questionnaire on risk factors for osteoporosis in a multicentre prevalence survey: the European Vertebral Osteoporosis Study. Int J Epidemiol 1994, 23:559-565.
21. Seeley D.G., Browner W.S., Nevitt M.C., et al. Which fractures are associated with low appendicular bone mass in elderly women? The Study of Osteoporotic Fractures Research Group. Ann Intern Med 1991, 115:837-842.
22. Schwartz A.V., Villa M.L., Prill M., et al. Falls in older Mexican-American women. J Am Geriatr Soc 1999, 47:1371-1378.
23. Fitti J.E., Kovar M. The Supplement on Aging to the 1984 National Health Interview Survey. Vital Health Stat 1987, 1:1-115.
24. Fuchs S.C., Guimarães S.M., Sortica C. Reliability of race assessment based on the race of the ascendants: a cross-sectional study. BMC Public Health 2002, 2:1-5.
25. Diabetes Care 1997, 20:1183-1197. Expert Committee on the Diagnosis and Classification of Diabetes Mellitus.
26. Chobanian A.V., Bakris G.L., Black H.R., et al. The Seventh Report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. JAMA 2003, 289:2560-2572.
27. Lewiecki E.M., Gordon C.M., Baim S., et al. International Society for Clinical Densitometry 2007 Adult and Pediatric Official Positions. Bone 2008, 43:1115-1121.
28. Shepherd J.A., Lu Y., Wilson K., et al. Cross-calibration and minimum precision standards for dual-energy X-ray absorptiometry: the 2005 ISCD Official Positions. J Clin Densitom 2006, 9:31-36.
29. Censo 2000 2006, Brazilian Institute of Geography and Statistics - IBGE, Instituto Brasileiro de Geografia e Estatística, Brazil, Available at:, Accessed: March 20. 2010. http://www.ibge.gov.br/censo.
30. Estudos & Pesquisas. Informação Sociodemográfica e Socioeconômica 9 2000, Brazilian Institute of Geography and Statistics - IBGE. 2002 Perfil dos Idosos Responsáveis pelos Domicílios no Brasil, IBGE, Rio de Janeiro, Brazil.
31. O'Neill T.W., Cooper C., Finn J.D., et al. Incidence of distal forearm fracture in British men and women. Osteoporos Int 2001, 12:555-558.
32. Gullberg B., Johnell O., Kanis J.A. World-wide projections for hip fracture. Osteoporos Int 1997, 7:407-413.
33. Graafmans W.C., Ooms M.E., Bezemer P.D., et al. Different risk profiles for hip fractures and distal forearm fractures: a prospective study. Osteoporos Int 1996, 6:427-431.
34. Kanis J.A., Johnell O., Oden A., et al. Smoking and fracture risk: a meta-analysis. Osteoporos Int 2005, 16:155-162.
35. Law M.R., Hackshaw A.K. A meta-analysis of cigarette smoking, bone mineral density and risk of hip fracture; recognition of a major effect. Br Med J 1997, 315:841-846.
36. Huopio J., Kroger H., Honkanen R., et al. Risk factors for perimenopausal fractures: a prospective study. Osteoporos Int 2000, 11:219-227.
37. Nevitt M.C., Johnell O., Black D.M., et al. Bone mineral density predicts non-spine fractures in very elderly women. Study of Osteoporotic Fractures Research Group. Osteoporos Int 1994, 4:325-331.
38. Schuit S.C., van der Klift M., Weel A.E., et al. Fracture incidence and association with bone mineral density in elderly men and women: the Rotterdam Study. Bone 2004, 34:195-202.
39. Schneider D.L., Bettencourt R., Barrett-Connor E. Clinical utility of spine bone density in elderly women. J Clin Densitom 2006, 9:255-260.
40. Baron J.A., Karagas M., Barrett J., et al. Basic epidemiology of fractures of the upper and lower limb among Americans over 65 years of age. Epidemiology 1996, 7:612-618.
41. De Laet C., Kanis J.A., Odén A., et al. Body mass index as a predictor of fracture risk: a meta-analysis. Osteoporos Int 2005, 16:1330-1338.
42. Nevitt M.C., Cummings S.R. Type of fall and risk of hip and wrist fractures: the study of osteoporotic fractures. J Am Geriatr Soc 1993, 41:1226-1234.
43. Dennison E., Cole Z., Cooper C. Diagnosis and epidemiology of osteoporosis. Curr Opin Rheumatol 2005, 17:456-461.
44. Kanis J., Borgstrom F., De Laet C., et al. Assessment of fracture risk. Osteoporos Int 2005, 16:581-589.
45. Kanis J.A., Johansson H., Johnell O., et al. Alcohol intake as a risk factor for fracture. Osteoporos Int 2005, 16:737-742.