Smoking predicts incident fractures in elderly men: Mr OS Sweden

Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research
Hans JutbergerDan Mellström

Abstract

The aim of this study was to investigate the association between smoking and bone mineral density (BMD) and radiographically verified prevalent vertebral fractures and incident fractures in elderly men. At baseline 3003 men aged 69 to 80 years of age from the Swedish Mr Os Study completed a standard questionnaire concerning smoking habits and had BMD of the hip and spine measured using dual-energy X-ray absorptiometry (DXA); 1412 men had an X-ray of the thoracic- and lumbar spine. Radiologic registers were used to confirm reported new fractures after the baseline visit. At baseline, 8.4% were current smokers. Current smokers had a 6.2% lower BMD at the total hip and a 5.4% lower BMD at the lumbar spine (p < .001). Current smoking remained independently inversely associated with BMD at the hip and lumbar spine after adjusting for age, height, weight, calcium intake, physical activity, and centers as covariates. Prevalent vertebral fractures among current smokers were increased in unadjusted analyses [odds ratio (OR) = 1.90, 95% confidence interval (CI) 1.26-2.87] and after adjustment for lumbar BMD (OR = 1.67, 95% CI 1.09-2.55). Smokers had a high risk for two or more prevalent vertebral fractures (OR = 3.18, 95% CI 1.88-5.36). ...Continue Reading

Citations

May 12, 2010·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·H P DimaiF Borgström
May 26, 2010·Clinics in Geriatric Medicine·James M Jackman, J Tracy Watson
Jul 14, 2012·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Christy M KingLawrence A Ford
Aug 17, 2018·Journal of Environmental and Public Health·Ahmad M Al-BashairehSaunjoo Yoon

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