Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2003-2-10
pubmed:abstractText
The aim of this analysis was to determine the influence of lifestyle, anthropometric and reproductive factors on the subsequent risk of incident vertebral fracture in men and women aged 50-79 years. Subjects were recruited from population registers from 28 centers across Europe. At baseline, they completed an interviewer-administered questionnaire and had lateral thoraco-lumbar spine radiographs performed. Repeat spinal radiographs were performed a mean of 3.8 years later. Incident vertebral fractures were defined morphometrically and also qualitatively by an experienced radiologist. Poisson regression was used to determine the influence of the baseline risk factor variables on the occurrence of incident vertebral fracture. A total of 3173 men (mean age 63.1 years) and 3402 women (mean age 62.2 years) contributed data to the analysis. In total there were 193 incident morphometric and 224 qualitative fractures. In women, an age at menarche 16 years or older was associated with an increased risk of vertebral fracture (RR = 1.80; 95%CI 1.24, 2.63), whilst use of hormonal replacement was protective (RR = 0.58; 95%CI 0.34, 0.99). None of the lifestyle factors studied including smoking, alcohol intake, physical activity or milk consumption showed any consistent associations with incident vertebral fracture. In men and women, increasing body weight and body mass index were associated with a reduced risk of vertebral fracture though, apart from body mass index in men, the confidence intervals embraced unity. For most variables the strengths of the associations observed were similar using the qualitative and morphometric approaches to fracture definition. In conclusion our data suggest that modification of other lifestyle risk factors is unlikely to have a major impact on the population occurrence of vertebral fractures. The important biological mechanisms underlying vertebral fracture risk need to be explored using new investigational strategies.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0937-941X
pubmed:author
pubmed-author:ArmbrechtGG, pubmed-author:BanzerDD, pubmed-author:BenevolenskayaL ILI, pubmed-author:BhallaAA, pubmed-author:Bruges ArmasJJ, pubmed-author:CannataJ BJB, pubmed-author:CooperCC, pubmed-author:DequekerJJ, pubmed-author:DiazM NMN, pubmed-author:EastellRR, pubmed-author:European Prospective Osteoporosis Study (EPOS), pubmed-author:FelschBB, pubmed-author:FelsenbergDD, pubmed-author:FinnJ DJD, pubmed-author:GennariCC, pubmed-author:GowinWW, pubmed-author:HavelkaSS, pubmed-author:HoszowskiKK, pubmed-author:IsmailA AAA, pubmed-author:JajicII, pubmed-author:JanotaTT, pubmed-author:JohnellOO, pubmed-author:KanisJ AJA, pubmed-author:KraftPP, pubmed-author:Lopez VazAA, pubmed-author:LorencRR, pubmed-author:LunnKK, pubmed-author:LyritisGG, pubmed-author:MasarykPP, pubmed-author:MatthisCC, pubmed-author:MiazgowskiTT, pubmed-author:O'NeillT WTW, pubmed-author:PolsH A PHA, pubmed-author:PoorGG, pubmed-author:RaspeH HHH, pubmed-author:ReeveJJ, pubmed-author:ReidD MDM, pubmed-author:ReisingerWW, pubmed-author:RoyD KDK, pubmed-author:Scheidt-NaveCC, pubmed-author:SilmanA JAJ, pubmed-author:StepanJ JJJ, pubmed-author:ToddC JCJ, pubmed-author:WeberKK, pubmed-author:WoolfA DAD, pubmed-author:YershovaO BOB
pubmed:issnType
Print
pubmed:volume
14
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
19-26
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:12577181-Age Distribution, pubmed-meshheading:12577181-Aged, pubmed-meshheading:12577181-Anthropometry, pubmed-meshheading:12577181-Body Mass Index, pubmed-meshheading:12577181-Europe, pubmed-meshheading:12577181-Female, pubmed-meshheading:12577181-Follow-Up Studies, pubmed-meshheading:12577181-Humans, pubmed-meshheading:12577181-Incidence, pubmed-meshheading:12577181-Life Style, pubmed-meshheading:12577181-Male, pubmed-meshheading:12577181-Middle Aged, pubmed-meshheading:12577181-Osteoporosis, pubmed-meshheading:12577181-Osteoporosis, Postmenopausal, pubmed-meshheading:12577181-Prospective Studies, pubmed-meshheading:12577181-Reproductive History, pubmed-meshheading:12577181-Risk Factors, pubmed-meshheading:12577181-Sex Distribution, pubmed-meshheading:12577181-Spinal Fractures
pubmed:year
2003
pubmed:articleTitle
Determinants of incident vertebral fracture in men and women: results from the European Prospective Osteoporosis Study (EPOS).
pubmed:affiliation
ARC Epidemiology Unit, University of Manchester, Manchester, UK.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Multicenter Study