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Prediction of hip and hand fractures in older persons with or without a diagnosis of periodontitis
Högskolan Kristianstad, Sektionen för hälsa och samhälle. (Oral hälsa)ORCID-id: 0000-0002-3620-5978
Blekinge Institute of Technology, Karlskrona.
Department of Periodontology, University of Bern.
Högskolan Kristianstad, Sektionen för hälsa och samhälle. (Oral hälsa)ORCID-id: 0000-0003-0992-2362
2011 (engelsk)Inngår i: Bone, ISSN 8756-3282, E-ISSN 1873-2763, Vol. 48, nr 3, 552-556 s.Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

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.

sted, utgiver, år, opplag, sider
2011. Vol. 48, nr 3, 552-556 s.
Emneord [en]
Osteoporosis, Fracture, Periodontitis, Risk, Older, bone-mineral density, x-ray absorptiometry, risk-factors, reference-population, elderly-women, osteoporosis, prevalence, care, densitometry, radiographs
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URN: urn:nbn:se:hkr:diva-8794ISI: 000288773800016PubMedID: 20951243OAI: oai:DiVA.org:hkr-8794DiVA: diva2:462339
Tilgjengelig fra: 2011-12-07 Laget: 2011-12-06 Sist oppdatert: 2017-12-08bibliografisk kontrollert

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