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01-12-2018 | Original Article

Weather conditions and their effect on seasonality of incident osteoporotic hip fracture

Authors: Ramón Mazzucchelli, Natalia Crespí-Villarías, Elia Pérez-Fernández, María Luz Durbán Reguera, Olalla Guzón Illescas, Javier Quirós, Alberto García-Vadillo, Loreto Carmona, Gil Rodriguez-Caravaca, Angel Gil de Miguel

Published in: Archives of Osteoporosis | Issue 1/2018

Abstract

Summary

Our aim was to analyze the seasonality and the effect of weather conditions on the incidence of osteoporotic hip fracture in a Southern European region.

Introduction

The objective of this work is to evaluate seasonality and the effect of weather conditions on the incidence of osteoporotic hip fracture in a Southern European region.

Methods

This retrospective cohort study included all patients admitted to Alcorcón Foundation University Hospital with a diagnosis of osteoporotic hip fracture between the years 1999 and 2015. In a time series analysis, we examined the association between hip fracture incidence and different weather conditions and seasonality using general additive models (with Poisson distribution). The incidence rate ratio (IRR) crude and adjusted by season was estimated for all parameters. Hip incidence was further analyzed by sex and age (below or over 75) subgroups.

Results

Four thousand two hundred seventy-one patients with an osteoporotic hip fracture were included (79% females, mean age 83.8). Season fracture rate was significantly higher in fall and winter (67.06 and 64.41 fractures/season) compared to summer and spring (59.71 and 60.06; p < 0,001). Hip fracture incidence was 15% greater in autumn and winter than in spring and summer. Fog [IRR 1.15 (95% CI: 1.003–1.33)], atmospheric pressure (per 100 mb) [IRR 1.05 (95% CI: 1.004–1.114)], and frost [IRR 1.15 (95% CI: 1.03–1.30)] were significantly associated with increased hip fracture. Haze [IRR 1.10 (95% CI: 0.99–1.23)] showed a trend without statistical significance. Daily average temperature (per 5 °C) [IRR 0.98 (95% CI: 0.957–0.996)], rain (per 10 ml) [IRR 0.99 (95% CI: 0.981–1.0)], wind speed [IRR = 0.952, (95% CI: 0.907–0.998)], and daily ultraviolet radiation (per 100 joules) [IRR 0.998 (95% CI: 0.996–1.0)] were negatively associated with fracture. After adjusting by season and trend, all these associations disappear.

Conclusions

In this Southern region, hip fracture incidence exhibits a seasonal pattern different from those communicated in Northern regions. There is short-term association with different weather conditions that partly explain this seasonal pattern.

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Title: Weather conditions and their effect on seasonality of incident osteoporotic hip fracture
Authors: Ramón Mazzucchelli
Natalia Crespí-Villarías
Elia Pérez-Fernández
María Luz Durbán Reguera
Olalla Guzón Illescas
Javier Quirós
Alberto García-Vadillo
Loreto Carmona
Gil Rodriguez-Caravaca
Angel Gil de Miguel
Publication date: 01-12-2018
Publisher: Springer London
Published in: Archives of Osteoporosis / Issue 1/2018
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-018-0438-4

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Weather conditions and their effect on seasonality of incident osteoporotic hip fracture

Abstract

Summary

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Summary

Introduction

Methods

Results

Conclusions

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