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Prediction of hip and hand fractures in older persons with or without a diagnosis of periodontitis
Kristianstad University, School of Health and Society. (Oral hälsa)ORCID iD: 0000-0002-3620-5978
Blekinge Institute of Technology, Karlskrona.
Department of Periodontology, University of Bern.
Kristianstad University, School of Health and Society. (Oral hälsa)ORCID iD: 0000-0003-0992-2362
2011 (English)In: Bone, ISSN 8756-3282, E-ISSN 1873-2763, Vol. 48, no 3, 552-556 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
2011. Vol. 48, no 3, 552-556 p.
Keyword [en]
Osteoporosis, Fracture, Periodontitis, Risk, Older, bone-mineral density, x-ray absorptiometry, risk-factors, reference-population, elderly-women, osteoporosis, prevalence, care, densitometry, radiographs
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-8794ISI: 000288773800016PubMedID: 20951243OAI: oai:DiVA.org:hkr-8794DiVA: diva2:462339
Available from: 2011-12-07 Created: 2011-12-06 Last updated: 2014-09-18Bibliographically approved

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