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Published in: Osteoporosis International 12/2009

01-12-2009 | Original Article

Weight loss and distal forearm fractures in postmenopausal women

The Nord-Trøndelag health study, Norway

Authors: T. K. Omsland, B. Schei, A. B. Grønskag, A. Langhammer, L. Forsén, C. G. Gjesdal, H. E. Meyer

Published in: Osteoporosis International | Issue 12/2009

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Abstract

Summary

Weight loss is a risk factor for hip fractures, but few studies have evaluated the effect of weight loss on distal forearm fracture risk. In this longitudinal study including 7,871 postmenopausal women, weight loss of 5% or more was associated with an increased risk of distal forearm fractures.

Introduction

Weight loss is an established risk factor for hip fractures, but little is known about weight loss and distal forearm fractures risk.

Methods

The study included 7,871 women aged 65 years or more in the Nord-Trøndelag health study (HUNT) in 1994–1995 (HUNT II) who also had their height and weight measured in 1984–1986 (HUNT I). Forearm bone mineral density (BMD) by single energy x-ray absorptiometry was available for 5,688 women (HUNT II). Fractures sustained after HUNT II were registered during an average of 5.8 years.

Results

A total of 536 women sustained a distal forearm fracture. After adjustments for age and body mass index (BMI) at HUNT I, women who lost ≥5% of their weight between HUNT I and HUNT II had a relative risk of fractures of 1.33 (95% confidence interval: 1.09, 1.62) compared with the rest of the women. The higher risk of forearm fracture among women with weight loss was at least partially explained by their lower forearm BMD.

Conclusion

Weight loss of 5% or more was associated with a 33% increased risk of distal forearm fractures.
Literature
1.
go back to reference Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17:1726–1733CrossRefPubMed Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17:1726–1733CrossRefPubMed
2.
go back to reference Barrett-Connor E, Sajjan SG, Siris ES et al (2008) Wrist fracture as a predictor of future fractures in younger versus older postmenopausal women: results from the National Osteoporosis Risk Assessment (NORA). Osteoporos Int 19:607–613CrossRefPubMed Barrett-Connor E, Sajjan SG, Siris ES et al (2008) Wrist fracture as a predictor of future fractures in younger versus older postmenopausal women: results from the National Osteoporosis Risk Assessment (NORA). Osteoporos Int 19:607–613CrossRefPubMed
3.
go back to reference Hemenway D, Azrael DR, Rimm EB et al (1994) Risk factors for wrist fracture: effect of age, cigarettes, alcohol, body height, relative weight, and handedness on the risk for distal forearm fractures in men. Am J Epidemiol 140:361–367PubMed Hemenway D, Azrael DR, Rimm EB et al (1994) Risk factors for wrist fracture: effect of age, cigarettes, alcohol, body height, relative weight, and handedness on the risk for distal forearm fractures in men. Am J Epidemiol 140:361–367PubMed
4.
go back to reference Mallmin H, Ljunghall S, Persson I et al (1994) Risk factors for fractures of the distal forearm: a population-based case-control study. Osteoporos Int 4:298–304CrossRefPubMed Mallmin H, Ljunghall S, Persson I et al (1994) Risk factors for fractures of the distal forearm: a population-based case-control study. Osteoporos Int 4:298–304CrossRefPubMed
5.
go back to reference Kelsey JL, Browner WS, Seeley DG et al (1992) Risk factors for fractures of the distal forearm and proximal humerus. The Study of Osteoporotic Fractures Research Group. Am J Epidemiol 135:477–489PubMed Kelsey JL, Browner WS, Seeley DG et al (1992) Risk factors for fractures of the distal forearm and proximal humerus. The Study of Osteoporotic Fractures Research Group. Am J Epidemiol 135:477–489PubMed
6.
go back to reference Vogt MT, Cauley JA, Tomaino MM et al (2002) Distal radius fractures in older women: a 10-year follow-up study of descriptive characteristics and risk factors. The study of osteoporotic fractures. J Am Geriatr Soc 50:97–103CrossRefPubMed Vogt MT, Cauley JA, Tomaino MM et al (2002) Distal radius fractures in older women: a 10-year follow-up study of descriptive characteristics and risk factors. The study of osteoporotic fractures. J Am Geriatr Soc 50:97–103CrossRefPubMed
7.
go back to reference Silman AJ (2003) Risk factors for Colles’ fracture in men and women: results from the European Prospective Osteoporosis Study. Osteoporos Int 14:213–218PubMed Silman AJ (2003) Risk factors for Colles’ fracture in men and women: results from the European Prospective Osteoporosis Study. Osteoporos Int 14:213–218PubMed
8.
go back to reference Ensrud KE, Lipschutz RC, Cauley JA et al (1997) Body size and hip fracture risk in older women: a prospective study. Study of Osteoporotic Fractures Research Group. Am J Med 103:274–280CrossRefPubMed Ensrud KE, Lipschutz RC, Cauley JA et al (1997) Body size and hip fracture risk in older women: a prospective study. Study of Osteoporotic Fractures Research Group. Am J Med 103:274–280CrossRefPubMed
9.
go back to reference Meyer HE, Tverdal A, Falch JA (1993) Risk factors for hip fracture in middle-aged Norwegian women and men. Am J Epidemiol 137:1203–1211PubMed Meyer HE, Tverdal A, Falch JA (1993) Risk factors for hip fracture in middle-aged Norwegian women and men. Am J Epidemiol 137:1203–1211PubMed
10.
go back to reference Meyer HE, Tverdal A, Selmer R (1998) Weight variability, weight change and the incidence of hip fracture: a prospective study of 39,000 middle-aged Norwegians. Osteoporos Int 8:373–378CrossRefPubMed Meyer HE, Tverdal A, Selmer R (1998) Weight variability, weight change and the incidence of hip fracture: a prospective study of 39,000 middle-aged Norwegians. Osteoporos Int 8:373–378CrossRefPubMed
11.
go back to reference Ensrud KE, Ewing SK, Stone KL et al (2003) Intentional and unintentional weight loss increase bone loss and hip fracture risk in older women. J Am Geriatr Soc 51:1740–1747CrossRefPubMed Ensrud KE, Ewing SK, Stone KL et al (2003) Intentional and unintentional weight loss increase bone loss and hip fracture risk in older women. J Am Geriatr Soc 51:1740–1747CrossRefPubMed
12.
go back to reference Langlois JA, Harris T, Looker AC et al (1996) Weight change between age 50 years and old age is associated with risk of hip fracture in white women aged 67 years and older. Arch Intern Med 156:989–994CrossRefPubMed Langlois JA, Harris T, Looker AC et al (1996) Weight change between age 50 years and old age is associated with risk of hip fracture in white women aged 67 years and older. Arch Intern Med 156:989–994CrossRefPubMed
13.
go back to reference Ensrud KE, Cauley J, Lipschutz R et al (1997) Weight change and fractures in older women. Study of Osteoporotic Fractures Research Group. Arch Intern Med 157:857–863CrossRefPubMed Ensrud KE, Cauley J, Lipschutz R et al (1997) Weight change and fractures in older women. Study of Osteoporotic Fractures Research Group. Arch Intern Med 157:857–863CrossRefPubMed
14.
go back to reference Gunnes M, Lehmann EH, Mellstrom D et al (1996) The relationship between anthropometric measurements and fractures in women. Bone 19:407–413CrossRefPubMed Gunnes M, Lehmann EH, Mellstrom D et al (1996) The relationship between anthropometric measurements and fractures in women. Bone 19:407–413CrossRefPubMed
15.
go back to reference Margolis KL, Ensrud KE, Schreiner PJ et al (2000) Body size and risk for clinical fractures in older women. Study of Osteoporotic Fractures Research Group. Ann Intern Med 133:123–127PubMed Margolis KL, Ensrud KE, Schreiner PJ et al (2000) Body size and risk for clinical fractures in older women. Study of Osteoporotic Fractures Research Group. Ann Intern Med 133:123–127PubMed
16.
go back to reference Marshall D, Johnell O, Wedel H (1996) Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. BMJ 312:1254–1259PubMed Marshall D, Johnell O, Wedel H (1996) Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. BMJ 312:1254–1259PubMed
17.
go back to reference Forsmo S, Aaen J, Schei B et al (2006) What is the influence of weight change on forearm bone mineral density in peri- and postmenopausal women? The health study of Nord-Trøndelag, Norway. Am J Epidemiol 164:890–897CrossRefPubMed Forsmo S, Aaen J, Schei B et al (2006) What is the influence of weight change on forearm bone mineral density in peri- and postmenopausal women? The health study of Nord-Trøndelag, Norway. Am J Epidemiol 164:890–897CrossRefPubMed
18.
go back to reference Hannan MT, Felson DT, Dawson-Hughes B et al (2000) Risk factors for longitudinal bone loss in elderly men and women: the Framingham Osteoporosis Study. J Bone Miner Res 15:710–720CrossRefPubMed Hannan MT, Felson DT, Dawson-Hughes B et al (2000) Risk factors for longitudinal bone loss in elderly men and women: the Framingham Osteoporosis Study. J Bone Miner Res 15:710–720CrossRefPubMed
19.
go back to reference Macdonald HM, New SA, Campbell MK et al (2005) Influence of weight and weight change on bone loss in perimenopausal and early postmenopausal Scottish women. Osteoporos Int 16:163–171CrossRefPubMed Macdonald HM, New SA, Campbell MK et al (2005) Influence of weight and weight change on bone loss in perimenopausal and early postmenopausal Scottish women. Osteoporos Int 16:163–171CrossRefPubMed
20.
go back to reference Holmen J, Midthjell K, Krüger Ø et al (2003) The Nord-Trøndelag health study 1995–97 (HUNT 2): objectives, contents, methods and participation. Nor J Epidemiol 13:13–32 Holmen J, Midthjell K, Krüger Ø et al (2003) The Nord-Trøndelag health study 1995–97 (HUNT 2): objectives, contents, methods and participation. Nor J Epidemiol 13:13–32
21.
go back to reference Waugh EJ, Lam MA, Hawker GA et al (2008) Risk factors for low bone mass in healthy 40–60 year old women: a systematic review of the literature. Osteoporos Int 20:1–21CrossRefPubMed Waugh EJ, Lam MA, Hawker GA et al (2008) Risk factors for low bone mass in healthy 40–60 year old women: a systematic review of the literature. Osteoporos Int 20:1–21CrossRefPubMed
22.
go back to reference Meyer HE, Sogaard AJ, Falch JA et al (2008) Weight change over three decades and the risk of osteoporosis in men: the Norwegian Epidemiological Osteoporosis Studies (NOREPOS). Am J Epidemiol 168:454–460CrossRefPubMed Meyer HE, Sogaard AJ, Falch JA et al (2008) Weight change over three decades and the risk of osteoporosis in men: the Norwegian Epidemiological Osteoporosis Studies (NOREPOS). Am J Epidemiol 168:454–460CrossRefPubMed
23.
go back to reference Langhammer A, Norjavaara E, de Verdier MG et al (2004) Use of inhaled corticosteroids and bone mineral density in a population based study: the Nord-Trøndelag health study (the HUNT study). Pharmacoepidemiol Drug Saf 13:569–579CrossRefPubMed Langhammer A, Norjavaara E, de Verdier MG et al (2004) Use of inhaled corticosteroids and bone mineral density in a population based study: the Nord-Trøndelag health study (the HUNT study). Pharmacoepidemiol Drug Saf 13:569–579CrossRefPubMed
24.
go back to reference Langhammer A, Johnsen R, Gulsvik A et al (2003) Sex differences in lung vulnerability to tobacco smoking. Eur Respir J 21:1017–1023CrossRefPubMed Langhammer A, Johnsen R, Gulsvik A et al (2003) Sex differences in lung vulnerability to tobacco smoking. Eur Respir J 21:1017–1023CrossRefPubMed
25.
go back to reference Langhammer A, Johnsen R, Gulsvik A et al (2001) Forced spirometry reference values for Norwegian adults: the bronchial obstruction in Nord-Trondelag study. Eur Respir J 18:770–779CrossRefPubMed Langhammer A, Johnsen R, Gulsvik A et al (2001) Forced spirometry reference values for Norwegian adults: the bronchial obstruction in Nord-Trondelag study. Eur Respir J 18:770–779CrossRefPubMed
26.
go back to reference Forsmo S, Langhammer A, Forsen L et al (2005) Forearm bone mineral density in an unselected population of 2,779 men and women—the HUNT study, Norway. Osteoporos Int 16:562–567CrossRefPubMed Forsmo S, Langhammer A, Forsen L et al (2005) Forearm bone mineral density in an unselected population of 2,779 men and women—the HUNT study, Norway. Osteoporos Int 16:562–567CrossRefPubMed
27.
go back to reference Cox DR (1972) Regression models and life-tables. J Roy Stat Soc Ser B 34:187–220 Cox DR (1972) Regression models and life-tables. J Roy Stat Soc Ser B 34:187–220
28.
go back to reference De Laet C, Kanis JA, Oden A et al (2005) Body mass index as a predictor of fracture risk: a meta-analysis. Osteoporos Int 16:1330–1338CrossRefPubMed De Laet C, Kanis JA, Oden A et al (2005) Body mass index as a predictor of fracture risk: a meta-analysis. Osteoporos Int 16:1330–1338CrossRefPubMed
30.
go back to reference Forsen L, Berntsen GK, Meyer HE et al (2008) Differences in precision in bone mineral density measured by SXA and DXA: the NOREPOS study. Eur J Epidemiol 23:615–624CrossRefPubMed Forsen L, Berntsen GK, Meyer HE et al (2008) Differences in precision in bone mineral density measured by SXA and DXA: the NOREPOS study. Eur J Epidemiol 23:615–624CrossRefPubMed
31.
go back to reference Sogaard AJ, Meyer HE, Tonstad S et al (2008) Weight cycling and risk of forearm fractures: a 28-year follow-up of men in the Oslo study. Am J Epidemiol 167:1005–1013CrossRefPubMed Sogaard AJ, Meyer HE, Tonstad S et al (2008) Weight cycling and risk of forearm fractures: a 28-year follow-up of men in the Oslo study. Am J Epidemiol 167:1005–1013CrossRefPubMed
32.
go back to reference Langhammer A, Johnsen R, Holmen J et al (2000) Cigarette smoking gives more respiratory symptoms among women than among men. The Nord-Trøndelag health study (HUNT). J Epidemiol Community Health 54:917–922CrossRefPubMed Langhammer A, Johnsen R, Holmen J et al (2000) Cigarette smoking gives more respiratory symptoms among women than among men. The Nord-Trøndelag health study (HUNT). J Epidemiol Community Health 54:917–922CrossRefPubMed
Metadata
Title
Weight loss and distal forearm fractures in postmenopausal women
The Nord-Trøndelag health study, Norway
Authors
T. K. Omsland
B. Schei
A. B. Grønskag
A. Langhammer
L. Forsén
C. G. Gjesdal
H. E. Meyer
Publication date
01-12-2009
Publisher
Springer-Verlag
Published in
Osteoporosis International / Issue 12/2009
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-009-0894-1

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