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Osteoporosis International

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01-01-2014 | Original Article

Epidemiology of fractures in Iceland and secular trends in major osteoporotic fractures 1989–2008

Authors: K. Siggeirsdottir, T. Aspelund, B. Y. Jonsson, B. Mogensen, E. F. Gudmundsson, V. Gudnason, G. Sigurdsson

Published in: Osteoporosis International | Issue 1/2014

Abstract

Summary

The incidence of the most common fracture types in Iceland is reported based on individual data from the Reykjavik Study 1967–2008. Time trend is reported for the major osteoporotic fractures (MOS) 1989–2008.

Introduction

This study aims to assess the incidence of all fractures in Iceland, with emphasis on the rate of hip fractures, and compare the incidence with other populations as well as examine the secular changes.

Methods

Individuals from the prospective population-based cohort Reykjavik Study were examined between 1967 and 2008 (follow-up 26.5 years), which consisted of 9,116 men and 9,756 women born in 1907–1935, with age range 31–81 years. First fracture incidence was estimated using life table methods with age as the timescale.

Results

Fracture rate increased proportionally with age between the sexes for vertebral and proximal humerus but disproportionally for hip and distal forearm fractures. The ratio of first fracture incidence between the sexes varied considerably by site: 2.65 for hip fractures and the highest for distal forearm fractures at 4.83. By the age of 75, 36.7 % of women and 21 % of men had sustained a fracture, taking into account competing risk of death. The incidence of hip fractures was similar to results previously published from USA, Sweden, Norway, and Scotland. The incidence of MOS fractures in both sexes decreased over the last decade, except hip fractures in men, which remained unchanged, as reflected in the women/men ratio for the hip, which changed from 2.6 to 1.7.

Conclusion

This study adds information to scarce knowledge on the relative fracture incidence of different fractures. The incidence of MOS fractures increased in the latter part of the last century in both sexes and declined during the last decade, less dramatically for men. This information is important for planning health resources.

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Title: Epidemiology of fractures in Iceland and secular trends in major osteoporotic fractures 1989–2008
Authors: K. Siggeirsdottir
T. Aspelund
B. Y. Jonsson
B. Mogensen
E. F. Gudmundsson
V. Gudnason
G. Sigurdsson
Publication date: 01-01-2014
Publisher: Springer London
Published in: Osteoporosis International / Issue 1/2014
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-013-2422-6

At a glance: The STEP trials

Springer Medicine

Epidemiology of fractures in Iceland and secular trends in major osteoporotic fractures 1989–2008

Abstract

Summary

Introduction

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Summary

Introduction

Methods

Results

Conclusion

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