Frequency and Associated Factors of Bone Fractures in Russians: The Ural Eye and Medical Study

With information about frequency of bone fractures in Russia mostly missing, we assessed the frequency of previous bone fractures in a Russian population. The population-based study Ural Eye and Medical Study included 5899 (80.5%) out of 7328 eligible individuals (mean age: 59.0 ± 10.7 years; range:...

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Published in:Scientific reports Vol. 8; no. 1; pp. 7483 - 9
Main Authors: Bikbov, Mukharram M., Fayzrakhmanov, Rinat R., Kazakbaeva, Gyulli M., Zainullin, Rinat M., Salavatova, Venera F., Gilmanshin, Timur R., Arslangareeva, Inga I., Nikitin, Nikolai A., Panda-Jonas, Songhomitra, Mukhamadieva, Svetlana R., Yakupova, Dilya F., Khikmatullin, Renat I., Aminev, Said K., Nuriev, Ildar F., Zaynetdinov, Artur F., Uzianbaeva, Yulia V., Jonas, Jost B.
Format: Journal Article
Language:English
Published: London Nature Publishing Group UK 10.05.2018
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ISSN:2045-2322, 2045-2322
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Summary:With information about frequency of bone fractures in Russia mostly missing, we assessed the frequency of previous bone fractures in a Russian population. The population-based study Ural Eye and Medical Study included 5899 (80.5%) out of 7328 eligible individuals (mean age: 59.0 ± 10.7 years; range: 40–94 years). The history of previous bone fractures was assessed in a standardized interview for 5397 (91.5%) individuals. Mean frequency of any previous bone fracture was 1650/5397 (30.6%; 95% confidence interval (CI): 29, 3, 31.8). In multivariate analysis, higher frequency of bone fractures was associated with male sex ( P  < 0.001; odds ratio (OR): 1.67; 95% CI: 1.41, 2.00), urban region ( P  < 0.001; OR: 1.45; 95% CI: 1.23, 1.72), higher prevalence of vigorous activity during leisure ( P  < 0.001; OR: 1.42; 95% CI: 1.20, 1.68), current smoking ( P  = 0.001; OR: 1.46; 95% CI: 1.16, 1.82) and higher prevalence of cardiovascular disease ( P  = 0.007; OR: 1.29; 95% CI: 1.07, 1.56), low blood pressure episodes with hospital admission ( P  = 0.001; OR: 2.08; 95% CI: 1.37, 3.16), tumbling ( P  < 0.001; OR: 2.58; 95% CI: 1.37, 3.16) and thoracic spine pain ( P  < 0.001; OR: 1.43; 95% CI: 1.18, 1.73). In women, menopause ( P  < 0.001; OR: 2.17; 95% CI: 1.47, 3.22) was additionally associated. The most common single-bone fractures involved leg and knee (229/5397; 4.2%), hand in general (n = 169; 3.1%) or hand wrist only (n = 97; 1.8%), arm (n = 94; 1.7%) and ankle (n = 67; 1.2%). Severe fractures included spine (n = 35; 0.6%), os sacrum (n = 10; 0.2%), skull (n = 6; 0.1%), pelvis (n = 5; 0.1%) and hip (n = 22; 0.4%). Most frequent combined fractures included as most important part the leg (n = 90; 1.7%), spine (n = 18; 0.3%), and hip (n = 18; 0.3). These data give hints on the epidemiology of bone fractures in Russia.
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ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-018-25928-1