@article{ref1,
title="Risk factors and quality of life for the occurrence of hip fracture in postmenopausal women",
journal="Biomedical journal",
year="2018",
author="Chen, Fang-Ping and Fu, Tsai-Sheng and Lin, Yu-Ching and Fan, Chih-Ming",
volume="41",
number="3",
pages="202-208",
abstract="BACKGROUND: To identify the risk factors and changes of quality of life in the first occurrence of hip fracture in Taiwanese postmenopausal women. <br><br>METHODS: In this case-control study, we enrolled 100 postmenopausal women with accidental first-incident hip fracture and 100 women without hip fracture. The control group was matched to the study group according to age. Evaluation consisted of a questionnaire, an interview to both assess quality of life via a 36-item Short Form Health Survey and document risk factors, a physical examination to record height and body weight, and bone mineral density (BMD) of the hip and spine using dual-energy X-ray absorptiometry (DXA). <br><br>RESULTS: The mean age of the patients was 77.9 years old. Compared with the controls, the patients with first-incident hip fracture had a lower level of education, increased body height, higher parity, no experience of estrogen therapy, prior history of diabetes mellitus and rheumatoid arthritis, walking aid use, less weight-bearing exercise, and steroid use. Total hip BMD was a stronger predictor than BMD at different sites. Quality of life was significantly higher in the control group at the baseline and 4-month follow-up. <br><br>CONCLUSIONS: Quality of life was related to the first-incident hip fracture. The increased risk of falls, lower level of education, and total hip BMD are the strongest predictors of first-incident hip fracture in Asian elderly postmenopausal women.<br><br>Copyright © 2018 Chang Gung University. Published by Elsevier B.V. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="2319-4170",
doi="10.1016/j.bj.2018.04.001",
url="http://dx.doi.org/10.1016/j.bj.2018.04.001"
}