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Archives of Osteoporosis
Published in: Archives of Osteoporosis 1/2016

01-12-2016 | Original Article

Forearm fractures in Central Norway, 1999–2012: incidence, time trends, and seasonal variation

Authors: Mari Hoff, Ingrid Ask Torvik, Berit Schei

Published in: Archives of Osteoporosis | Issue 1/2016

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Abstract

Summary

The incidence of forearm fractures for men and women ≥40 years in Central Norway was high during the period 1999–2012. A decline in fractures was observed only among women over 50 years. A seasonal variation with highest incidence in the winter months was found among women.

Purpose

The aim of this study was to examine the incidence of forearm fractures in Central Norway in men and women 40 years and older from 1999 to 2012 and assess time trends as well as seasonal variations.

Methods

Data is from the fracture registry in Nord-Trøndelag, including all forearm fractures in persons ≥40 sustained from 1999 to 2012. Annual incidence of forearm fractures were calculated and tested for trends. Variations in the occurrence of fractures were explored by comparing proportion of fractures by month and seasons.

Results

The study population consisted of 4003 subjects (77.1 % women). The total number of fractures were 4240. There was an increase in fractures for women with increasing age, steepest, a three-fold increase between age group 40–50 and the age group 50–60. Among men, this pattern was not observed as incidences did not change with increasing age. The age-standardized incidence rate for all fractures among women ≥50 ranged from 82 fractures per 1000 (95 % CI 71–94) to 100 (88–114) and among men from 19 (14–27) to 31 (24–39).
Restricting the analysis to the first fracture sustained during the observed period, women ≥50 years showed a reduction in fractures of 1.30 % per year (95 % CI 0.01 %: 2.56 %,) and 12.18 % per 10 years (3.61 %: 19.98 %). For all women, there was a trend towards a decline of 0.73 % per year (−2.29 %: 0.85 %), although not significant. For men, there was a trend towards an increase in fractures of 1.66 % per year (−0.11 %: 3.45 %). The occurrence of fractures among women varied by season of the year, with higher fracture rates in the winter months.

Conclusions

The incidence rate of forearm fractures in Central Norway was high. However, a small decline in the incidence of the first fracture among women older than 50 years was observed. Fractures were more often sustained during winter months among women.
Literature
1.
Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17(12):1726–1733CrossRefPubMed
2.
Abrahamsen B, Jorgensen NR, Schwarz P (2015) Epidemiology of forearm fractures in adults in Denmark: national age- and gender-specific incidence rates, ratio of forearm to hip fractures, and extent of surgical fracture repair in inpatients and outpatients. Osteoporos Int 26(1):67–76CrossRefPubMed
3.
Cuddihy MT, Gabriel SE, Crowson CS, O’Fallon WM, Melton LJ 3rd (1999) Forearm fractures as predictors of subsequent osteoporotic fractures. Osteoporos Int 9(6):469–475CrossRefPubMed
4.
Freedman KB, Kaplan FS, Bilker WB, Strom BL, Lowe RA (2000) Treatment of osteoporosis: are physicians missing an opportunity? J Bone Joint Surg Am Vol 82-A(8):1063–1070CrossRef
5.
Cuddihy MT, Gabriel SE, Crowson CS, Atkinson EJ, Tabini C, O’Fallon WM, Melton LJ 3rd (2002) Osteoporosis intervention following distal forearm fractures: a missed opportunity? Arch Intern Med 162(4):421–426CrossRefPubMed
6.
Consensus development conference: diagnosis, prophylaxis, and treatment of osteoporosis (1993). Am J Med. 94 (6):646–650
7.
Kanis JA, Melton LJ, 3rd, Christiansen C, Johnston CC, Khaltaev N (1994) The diagnosis of osteoporosis. 9 (8):1137–1141.
8.
Kanis JA, McCloskey EV, Johansson H, Cooper C, Rizzoli R, Reginster JY (2013) European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int 24(1):23–57CrossRefPubMed
9.
Omsland TK, Holvik K, Meyer HE, Center JR, Emaus N, Tell GS, Schei B, Tverdal A, Gjesdal CG, Grimnes G, Forsmo S, Eisman JA, Sogaard AJ (2012) Hip fractures in Norway 1999–2008: time trends in total incidence and second hip fracture rates: a NOREPOS study. Eur J Epidemiol 27(10):807–814CrossRefPubMed
10.
Abrahamsen B, Vestergaard P (2010) Declining incidence of hip fractures and the extent of use of anti-osteoporotic therapy in Denmark 1997–2006. Osteoporos Int 21(3):373–380CrossRefPubMed
11.
Cooper C, Cole ZA, Holroyd CR, Earl SC, Harvey NC, Dennison EM, Melton LJ, Cummings SR, Kanis JA (2011) Secular trends in the incidence of hip and other osteoporotic fractures. Osteoporos Int 22(5):1277–1288CrossRefPubMedPubMedCentral
12.
Fraser LA, Leslie WD, Targownik LE, Papaioannou A, Adachi JD (2013) The effect of proton pump inhibitors on fracture risk: report from the Canadian Multicenter Osteoporosis Study. Osteoporos Int 24(4):1161–1168CrossRefPubMed
13.
14.
Hartholt KA, Oudshoorn C, Zielinski SM, Burgers PT, Panneman MJ, van Beeck EF, Patka P, van der Cammen TJ (2011) The epidemic of hip fractures: are we on the right track? PLoS One 6(7):e22227CrossRefPubMedPubMedCentral
15.
16.
Maravic M, Taupin P, Landais P, Roux C (2011) Change in hip fracture incidence over the last 6 years in France. Osteoporos Int 22(3):797–801CrossRefPubMed
17.
Wilcke MK, Hammarberg H, Adolphson PY (2013) Epidemiology and changed surgical treatment methods for fractures of the distal radius: a registry analysis of 42,583 patients in Stockholm County, Sweden, 2004–2010. Acta Orthop 84(3):292–296CrossRefPubMedPubMedCentral
18.
de Putter CE, Selles RW, Polinder S, Hartholt KA, Looman CW, Panneman MJ, Verhaar JA, Hovius SE, van Beeck EF (2013) Epidemiology and health-care utilisation of wrist fractures in older adults in The Netherlands, 1997–2009. Injury 44(4):421–426CrossRefPubMed
19.
Dimai HP, Svedbom A, Fahrleitner-Pammer A, Resch H, Muschitz C, Thaler H, Szivak M, Amrein K, Borgstrom F (2014) Epidemiology of distal forearm fractures in Austria between 1989 and 2010. Osteoporos Int 25(9):2297–2306CrossRefPubMed
20.
21.
Tsai CH, Muo CH, Fong YC, Lo WY, Chen YJ, Hsu HC, Sung FC (2011) A population-based study on trend in incidence of distal radial fractures in adults in Taiwan in 2000–2007. Osteoporos Int 22(11):2809–2815CrossRefPubMed
22.
Lofthus CM, Frihagen F, Meyer HE, Nordsletten L, Melhuus K, Falch JA (2008) Epidemiology of distal forearm fractures in Oslo, Norway. Osteoporos Int 19(6):781–786CrossRefPubMed
23.
Gronskag AB, Forsmo S, Romundstad P, Langhammer A, Schei B (2010) Incidence and seasonal variation in hip fracture incidence among elderly women in Norway. The HUNT Study. Bone 46(5):1294–1298CrossRefPubMed
24.
Jacobsen SJ, Sargent DJ, Atkinson EJ, O’Fallon WM, Melton LJ 3rd (1999) Contribution of weather to the seasonality of distal forearm fractures: a population-based study in Rochester, Minnesota. Osteoporos Int 9(3):254–259CrossRefPubMed
25.
Lofthus CM, Osnes EK, Falch JA, Kaastad TS, Kristiansen IS, Nordsletten L, Stensvold I, Meyer HE (2001) Epidemiology of hip fractures in Oslo, Norway. Bone 29(5):413–418CrossRefPubMed
26.
Oyen J, Rohde GE, Hochberg M, Johnsen V, Haugeberg G (2010) Low-energy distal radius fractures in middle-aged and elderly women-seasonal variations, prevalence of osteoporosis, and associates with fractures. Osteoporos Int 7:1247–1255CrossRef
27.
28.
29.
Diamantopoulos AP, Rohde G, Johnsrud I, Skoie IM, Hochberg M, Haugeberg G (2012) The epidemiology of low- and high-energy distal radius fracture in middle-aged and elderly men and women in Southern Norway. PLoS One 7(8):e43367CrossRefPubMedPubMedCentral
30.
Omsland TK, Ahmed LA, Gronskag A, Schei B, Emaus N, Langhammer A, Joakimsen RM, Jorgensen L, Sogaard AJ, Gjesdal CG, Meyer HE (2011) More forearm fractures among urban than rural women: the NOREPOS study based on the Tromso study and the HUNT study. J Bone Miner Res 26(4):850–856CrossRefPubMed
31.
Meyer HE, Berntsen GK, Sogaard AJ, Langhammer A, Schei B, Fonnebo V, Forsmo S, Tell GS (2004) Higher bone mineral density in rural compared with urban dwellers: the NOREPOS study. Am J Epidemiol 160(11):1039–1046CrossRefPubMed
32.
Devold HM, Doung GM, Tverdal A, Furu K, Meyer HE, Falch JA, Sogaard AJ (2010) Prescription of anti-osteoporosis drugs during 2004-2007-a nationwide register study in Norway. Eur J Clin Pharmacol 66(3):299–306CrossRefPubMed
33.
Ceglia L (2008) Vitamin D and skeletal muscle tissue and function. Mol Asp Med 29(6):407–414CrossRef
34.
Larose TL, Chen Y, Camargo CA Jr, Langhammer A, Romundstad P, Mai XM (2014) Factors associated with vitamin D deficiency in a Norwegian population: the HUNT Study. J Epidemiol Community Health 68(2):165–170CrossRefPubMed
35.
Warriner AH, Patkar NM, Yun H, Delzell E (2011) Minor, major, low-trauma, and high-trauma fractures: what are the subsequent fracture risks and how do they vary? Curr Osteoporos Rep 9(3):122–128CrossRefPubMed
36.
Taylor AJ, Gary LC, Arora T, Becker DJ, Curtis JR, Kilgore ML, Morrisey MA, Saag KG, Matthews R, Yun H, Smith W, Delzell E (2011) Clinical and demographic factors associated with fractures among older Americans. Osteoporos Int 22(4):1263–1274CrossRefPubMed
37.
Warriner AH, Patkar NM, Curtis JR, Delzell E, Gary L, Kilgore M, Saag K (2011) Which fractures are most attributable to osteoporosis? J Clin Epidemiol 64(1):46–53CrossRefPubMedPubMedCentral
38.
Metadata
Title
Forearm fractures in Central Norway, 1999–2012: incidence, time trends, and seasonal variation
Authors
Mari Hoff
Ingrid Ask Torvik
Berit Schei
Publication date
01-12-2016
Publisher
Springer London
Published in
Archives of Osteoporosis / Issue 1/2016
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-016-0257-4

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