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Prediction of hip and hand fractures in older persons with or without a diagnosis of periodontitis
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- Persson, G. Rutger (author)
- Högskolan Kristianstad,Sektionen för hälsa och samhälle,Oral hälsa
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- Berglund, Johan (author)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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- Persson, Rigmor E. (author)
- Department of Periodontology, University of Bern
- show more...
- Persson, Rutger (author)
- Persson, Ringmor (author)
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- (creator_code:org_t)
- Elsevier, 2011
- 2011
- English.
- In: Bone. - : Elsevier. - 8756-3282 .- 1873-2763. ; 48:3, s. 552-556
- Journal article (peer-reviewed)
Abstract
Subject headings
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- Purpose: In a prospective study, we assessed if a diagnosis of osteoporosis and periodontitis could predict hip and hand fractures in older persons. Materials and methods: Bone density was assessed by a Densitometer. Periodontitis was defined by evidence of alveolar bone loss. Results: 788 Caucasians (52.4% women, overall mean age: 76 years, S.D. +/- 9.0, range: 62 to 96) were enrolled and 7.4% had a hip/hand fracture in 3 years. Calcaneus PIXI T-values < - 1.6 identified osteoporosis in 28.2% of the older persons predicting a hip/hand fracture with an odds ratio of 3.3:1 (95% CI: 1.9, 5.7, p < 0.001). Older persons with osteoporosis had more severe periodontitis (p < 0.01). Periodontitis defined by >= 30% of sites with >= 5 mm distance between the cemento-enamel junction (CEJ) and bone level (ABL) was found in 18.7% of the older persons predicting a hip/hand fracture with an odds ratio of 1.8:1 (95% CI: 1.0, 3.3, p < 0.05). Adjusted for age, the odds ratio of a hip/hand fracture in older persons with osteoporosis (PIXI T-value <-2.5) and periodontitis was 12.2:1 (95% CI: 3.5, 42.3, p < 0.001). Conclusions: Older persons with osteoporosis and periodontitis have an increased risk for hip/hand fractures.
Subject headings
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopedics (hsv//eng)
Keyword
- Osteoporosis
- Fracture
- Periodontitis
- Risk
- Older
- bone-mineral density
- x-ray absorptiometry
- risk-factors
- reference-population
- elderly-women
- osteoporosis
- prevalence
- care
- densitometry
- radiographs
- Osteoporosis
Publication and Content Type
- ref (subject category)
- art (subject category)
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