Prediction of hip and hand fractures in older persons with or without a diagnosis of periodontitis

LIBRIS-ID:oai:lup.lub.lu.se:5e70421b-17e3-4652-9477-6755673d8837
https://lup.lub.lu.se/record/1926121URI
https://doi.org/10.1016/j.bone.2010.09.237DOI
oai:researchportal.hkr.se/admin:publications/ced46e50-7ee7-4d5e-9c55-e8fad4af27faURI
https://urn.kb.se/resolve?urn=urn:nbn:se:bth-7624URI

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. (C) 2010 Elsevier Inc. All rights reserved.

Berglund, JohanLund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups,Blekinge Institute of Technology(Swepub:bth)jbu (author)
Persson, Rigmor E.University of Bern (author)
Renvert, StefanKristianstad University,Oral hälsa(Swepub:bth)sre (author)
Oral hälsaAllmänmedicin och samhällsmedicin (creator_code:org_t)

By the author/editor: Persson, G. Rutg ...; Berglund, Johan; Persson, Rigmor ...; Renvert, Stefan

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Orthopaedics

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Dentistry

By the university: Lund University; Kristianstad University College; Blekinge Institute of Technology

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