000061303 001__ 61303
000061303 005__ 20230421130005.0
000061303 0247_ $$2doi$$a10.1016/j.maturitas.2016.12.009
000061303 0248_ $$2sideral$$a97878
000061303 037__ $$aART-2017-97878
000061303 041__ $$aeng
000061303 100__ $$0(orcid)0000-0002-1252-2397$$aLobo, E.$$uUniversidad de Zaragoza
000061303 245__ $$aGender differences in the incidence of and risk factors for hip fracture: A 16-year longitudinal study in a southern European population
000061303 260__ $$c2017
000061303 5060_ $$aAccess copy available to the general public$$fUnrestricted
000061303 5203_ $$aObjectives To analyze independently in men and women the incidence rate of and risk factors for hip fracture in a southern European population. Illiteracy, dementia, clinically significant depression and disability were factors to receive special emphasis. Study design A community sample of 4803 individuals aged over 55 years was assessed in a two-phase case-finding study in Zaragoza, Spain, and was followed up for 16 years. Medical history and psychiatric history were collected with standardized instruments, including the History and Aetiology Schedule, the Geriatric Mental State (GMS) scale, and a Risk Factors Questionnaire. Operational criteria were used to define covariates, including diagnostic criteria for both dementia and depression. The statistical analysis included calculations of incidence rate, IR; women/men incidence rate ratio (IRR); and Hazard Ratios (HR) in multivariate Cox proportional hazards regression models. Main outcome measures Cases of hip fracture (International Classification of Diseases, WHO) identified in the treating hospitals, validated by blinded researchers. Results Hip fractures were more frequent among women than men (IRR = 3.1). Illiteracy (HR = 1.55) and depression (HR = 1.44) increased the risk in women, and smoking (HR = 2.13) and disability in basic activities of daily living (HR = 3.14) increased the risk in men. Dementia was associated with an increased risk in an univariate analysis, but the association disappeared (power = 85% in men, 95% in women) when disability was included in the multivariate models. Conclusions The IR of hip fractures was three times higher among women. Illiteracy and clinically significant depression among women and active smoking and disability (HR = 3.14) among men independently increased the risk, but dementia did not.
000061303 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/PI10-01132$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/98-0103$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/97-1321E$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/94-1562$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/01-0255$$9info:eu-repo/grantAgreement/ES/DGA/B35
000061303 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000061303 590__ $$a3.315$$b2017
000061303 591__ $$aOBSTETRICS & GYNECOLOGY$$b12 / 81 = 0.148$$c2017$$dQ1$$eT1
000061303 591__ $$aGERIATRICS & GERONTOLOGY$$b18 / 53 = 0.34$$c2017$$dQ2$$eT2
000061303 592__ $$a1.061$$b2017
000061303 593__ $$aObstetrics and Gynecology$$c2017$$dQ1
000061303 593__ $$aBiochemistry, Genetics and Molecular Biology (miscellaneous)$$c2017$$dQ1
000061303 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000061303 700__ $$0(orcid)0000-0001-6836-1222$$aMarcos, G.$$uUniversidad de Zaragoza
000061303 700__ $$0(orcid)0000-0002-7297-6104$$aSantabárbara, J.$$uUniversidad de Zaragoza
000061303 700__ $$aSalvador-Rosés, H.
000061303 700__ $$aLobo-Escolar, L.
000061303 700__ $$0(orcid)0000-0003-2284-7862$$aDe la Camara, C.$$uUniversidad de Zaragoza
000061303 700__ $$aAso, A.
000061303 700__ $$0(orcid)0000-0003-3025-8048$$aLobo-Escolar, A.$$uUniversidad de Zaragoza
000061303 700__ $$0(orcid)0000-0002-6427-6845$$aSaz, P.$$uUniversidad de Zaragoza
000061303 700__ $$aVentura, T.$$uUniversidad de Zaragoza
000061303 700__ $$0(orcid)0000-0002-4677-8809$$aQuintanilla, M.A.$$uUniversidad de Zaragoza
000061303 700__ $$0(orcid)0000-0002-7781-9773$$aDía, J.L.$$uUniversidad de Zaragoza
000061303 700__ $$0(orcid)0000-0002-5122-7542$$aCampayo, A.
000061303 700__ $$0(orcid)0000-0002-3360-7015$$aLópez-Antón, R.$$uUniversidad de Zaragoza
000061303 700__ $$0(orcid)0000-0001-9822-6312$$aGracia-García, P.$$uUniversidad de Zaragoza
000061303 700__ $$0(orcid)0000-0003-4013-1315$$aRoy, F.
000061303 700__ $$aMontañés, J.A.
000061303 700__ $$aAznar, S.
000061303 700__ $$0(orcid)0000-0002-9098-655X$$aLobo, A.$$uUniversidad de Zaragoza
000061303 7102_ $$14009$$2730$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Básica
000061303 7102_ $$11003$$2027$$aUniversidad de Zaragoza$$bDpto. Anatom.Histolog.Humanas$$cArea Anatom.Embriol.Humana
000061303 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría
000061303 7102_ $$15004$$2X$$aUniversidad de Zaragoza$$bDpto. Ingeniería Mecánica$$cProy. investigacion HJA
000061303 7102_ $$11008$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Med.Pr.,Sal.Públ.$$cÁrea Medic.Prevent.Salud Públ.
000061303 773__ $$g97 (2017), 38-43$$pMaturitas$$tMaturitas$$x0378-5122
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000061303 951__ $$a2023-04-21-12:39:00
000061303 980__ $$aARTICLE