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Men at higher risk of fractures from falls than women: study | health news


A recent study titled “A Meta-Analysis of Previous Falls and Subsequent Fracture Risk in Cooperative Studies” found a correlation between self-reported falls and increased fracture risk, as well as a slightly higher fracture risk in men than in women. Published in Osteoporosis International, this international meta-analysis of data collected from 46 prospective cohorts involving more than 900,000 individuals also suggested that previous falls are a factor to be included in patient histories used by fracture risk assessment tools such as Fracture (Fracture Risk Assessment). should ) tool to calculate a person’s probability of having a fracture in the next decade. FRAX is the most commonly used assessment to predict fracture risk.

“FRAX was developed using longitudinal data from a worldwide study. Although previous falls have long been recognized as an important risk factor for fracture, until now, they were not factored into the FRAX algorithm,” said Douglas P. Kiel, MD, says. MPH, director of the Musculoskeletal Research Center and senior scientist at the Hinda and Arthur Marcus Institute for Aging Research, a nonprofit, Harvard Medical School-affiliated institution at Hebrew Senior Life. “In this newly updated FRAX dataset, previous falls were included as a risk factor and were found to increase fracture risk. These results underscore that falls are an important contributor to fractures in both men and women, but interestingly, slightly more so in men.”

Key findings of the meta-analysis included:

Increased fracture risk: Those with a history of falls within the past year were found to have a significantly higher risk of any clinical fracture, osteoporotic fracture, major osteoporotic fracture, and hip fracture. One or more previous falls was significantly associated with increased risk of death in both women and men.

Gender disparity: The relationship between previous falls and fracture risk has been shown to vary by gender, with men exhibiting higher predictive value than women.

Independent risk factors: Fracture risk associated with previous falls was largely independent of bone mineral density, emphasizing the independent significance of falls as a risk factor. A previous fall in the past year confers a significantly increased risk of any clinical fracture, osteoporotic fracture, and hip fracture with risk varying from 36 percent to 59 percent depending on fracture outcome and gender.

These results emphasize the importance of incorporating retrospective findings into the FRAX algorithm,” added Dr. Kiel. Integrating this information into tools like FRAX can increase their predictive accuracy and ultimately allow healthcare providers to more accurately predict fracture risk and improve patient prevention accordingly. Strategies help create results

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