Factors associated to femoral fractures in a cohort study with elderly women

Authors

DOI:

https://doi.org/10.33448/rsd-v10i10.18439

Keywords:

Femoral Fractures; Aged; Postmenopause.

Abstract

Introduction: Femoral fractures in elderly women usually are associated to high morbid-mortability. The purpose of this study was to identify factors associated to femoral fractures in the elderly women (≥ 60 years). Methods: It was a cohort study with elderly women who underwent surgical procedures between 2000 and 2015. We used a socio-demographic/clinical data collection instrument and the European Vertebral Osteoporosis Study Group (EVOS). Data were analyzed by descriptive statistics, Student t-test and Chi-square test with a significance level of p <0.05. The study was approved by the institution’s Ethics Committee for Research with Human Subjects. Results: Eighteen women were included in analysis. The mean(±SEM) age at fracture time was 74.43±2.35 years.  median[95%CI] age of menopause of 48.00[41.48–51.74] years, mean(±SEM) menopause time of 33.65±3.43 Fracture due to fall (77.8%). Most of of the interviewed women did not use of medication for treatment of osteoporosis. Conclusion: These results suggest the vulnerability of the participants to new fractures, indicating the need for greater attention to the health-illness-care process.

References

American Menopause Society. Management of osteoporosis in postmenopausal women: 2010 position statement of The North American Menopause Society. Menopause. 2010 jan‑fev [acesso em 23 abr 2017];17(1):23‑24.

Barron, R.L., Oster, G., Grauer, A., Crittenden, D.B., & Weycker, D. (2020). Determinants of imminent fracture risk in postmenopausal women with osteoporosis. Osteoporos Int.; 31(11): 2103–2111. http://dx.doi.org/ 10.1007/s00198-020-05294-3

Bernabei, R., Martone, A.M., Ortolani, E., Landi, F., & Marzetti, E. (2014). Screening, diagnosis and treatment of osteoporosis: a brief review. Clin Cases Miner Bone Metab.;11(3):201–7.

Brauer, C.A., Coca-Perraillon, M., Cutler, D. M., & Rosen, A. B. (2009). Incidence and mortality of hip fractures in the United States. JAMA.;302(14):1573–1579.

Choi, M. H., Yang, J. H., Seo, J. S., & Yoon-Ji, K. (2021). Prevalence and diagnosis experience of osteoporosis in postmenopausal women over 50: Focusing on socioeconomic factors. Plos one; 16(3):e0248020. http://dx.doi.org/ 10.1371/journal.pone.0248020

De Carvalho, A.M., De Carvalho, A.M., & Linard, C.F.B.M., Carneiro, C. (2020). Osteoporose – uma doença a ser prevenida em todas as fases da vida. Research, Society and Development. 2020; 9(10): e9049108425. http://dx.doi.org/ 10.33448/rsd-v9i10.8425

Fistarol, M., Rezende, C. R., Figueiredo Campos, A. L., Kakehasi, A. M., & Geber, S. (2019). Time since menopause, but not age, is associated with increased risk of osteoporosis. Climacteric; 22(5): 523-526. http://dx.doi.org/ 10.1080/13697137.2019.1634046

Gonelli, S., Caffarelli, C., Iolascon, G., Bertoldo, F., Mauro, G.L., Patti, A. et al. (2017). Prescription of anti-osteoporosis medications after hospitalization for hip fracture: a multicentre Italian survey. Aging Clin Exp Res.; 29(5):1031-1037. http://dx.doi.org/10.1007/s40520-016-0681-8

Hyassat, D., Alyan, T., Jaddou, H., & Ajlouni, K. M. (2017). Prevalence and risk factors of osteoporosis among Jordanian postmenopausal women attending the National Center for Diabetes, Endocrinology and Genetics in Jordan. BioResearch Open Access; 6(1): 85-93. https://doi.org/ 10.1089/biores.2016.0045

Johansson, H., Kanis, J.A., Odén, A., McCloskey, E., Chapurlat, R.D., & Christiansen, C. et al. (2014). A meta-analysis of the association of fracture risk and body mass index in women. Journal of Bone and Mineral Research; 29(1): 223–233. https://doi.org/10.1002/jbmr.2017

Lorentzon, M. Treating osteoporosis to prevent fractures: current concepts and future developments. (2019). Journal of Internal Medicine; 285: 381-394. https://doi.org/ 10.1111/joim.12873

Marconi, M.A., & Lakatos, E. M. (2021). Fundamentos de Metodologia Científica. (9 ed.) Atlas, 2021.

Radominski, S.C., Bernardo, W., De Paula, A.P., Albergaria, Ben-Hur, Moreira, C., Fernandes, C.E. et al. (2017). Brazilian guidelines for the diagnosis and treatment of postmenopausal osteoporosis. Rev Bras Reumatol, 57(2): 452-466. http://dx.doi.org/10.1016/j.rbre.2017.07.001

Soares, D. S., De Mello, L. M., Silva, A. S., & Nunes, A. A. (2015). Análise dos fatores associados a quedas com fratura de fêmur em idosos: um estudo caso-controle. Rev. Bras. Geriatr. Gerontol; 18(2):239-248. http://dx.doi.org/ 10.1590/1809-9823.2015.14022

Stolnicki, B., & Oliveira, L.D. (2016). Para que a primeira fratura seja a última. Rev. bras. Ortop, 51(2): 121-125. https://doi.org/10.1016/j.rboe.2016.01.005

Tian, Limin., Yang, Ruifei., Wei, Lianhua., Liu, Jing., Yang, Yan., Shao, Feifei., Ma, Wenjuan., Li, Tingting., Wang, Yu., & Guo, Tiankang. (2017). Prevalence of osteoporosis and related lifestyle and metabolic factors of postmenopausal women and elderly men A cross-sectional study in Gansu province, Northwestern of China. Medicine (Baltimore); 96(43): e8294. http://dx.doi.org/10.1097/MD.0000000000008294

Yoo, J. E., Shin, D. W., Han, K., Kim, D., Yoon, J. W, & Lee, D-Y. (2021). Association of Female Reproductive Factors With Incidence of Fracture Among Postmenopausal Women in Korea. JAMA Network Open.;4(1):e2030405. http://dx.doi.org/ 10.1001/jamanetworkopen.2020.30405

Zerbini, C. A. F. (2019). FRAX Modelo Brasil: um texto clínico explicativo sobre limiares para intervenção terapêutica. Diagn Tratamento.;24(2):41-9.

Published

07/08/2021

How to Cite

SANTOS, M. da S. .; FERREIRA, C. F.; FERREIRA, F. V. .; DALL’AGNO, M. L. .; WENDER, M. C. O. . Factors associated to femoral fractures in a cohort study with elderly women. Research, Society and Development, [S. l.], v. 10, n. 10, p. e145101018439, 2021. DOI: 10.33448/rsd-v10i10.18439. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18439. Acesso em: 14 nov. 2024.

Issue

Section

Health Sciences