Risk factors for hip fracture in elderly persons

Objective: The aim of this observational study, promoted by the Health Authorities of the Regione Veneto (Italy), is to assess the prevalence of the most relevant environmental and individual risk factors in subjects with a recent hip fracture. Methods: Patients aged more than 60 years of both gende...
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Autor*in:	P. Olivi [verfasserIn] S. Giannini [verfasserIn] S. Sella [verfasserIn] R. Lovato [verfasserIn] M.C. Spenevello [verfasserIn] S. Pancheri [verfasserIn] C. Benini [verfasserIn] C. Zambarda [verfasserIn] O. Viapiana [verfasserIn] V. Braga [verfasserIn] A. Mattarei [verfasserIn] M. Rossini [verfasserIn] F. Lavini [verfasserIn] G.M. Giulini [verfasserIn] E. Fracassi [verfasserIn] D. Gatti [verfasserIn] S. Adami [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch ; Italienisch

Erschienen:	2011

Übergeordnetes Werk:	In: Reumatismo - PAGEPress Publications, 2012, 62(2011), 4, Seite 273-282
Übergeordnetes Werk:	volume:62 ; year:2011 ; number:4 ; pages:273-282

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.4081/reumatismo.2010.273

Katalog-ID:	DOAJ032893019

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allfields	10.4081/reumatismo.2010.273 doi (DE-627)DOAJ032893019 (DE-599)DOAJ49c2607b3b084e6c867d2913a867bc3e DE-627 ger DE-627 rakwb eng ita RC31-1245 P. Olivi verfasserin aut Risk factors for hip fracture in elderly persons 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: The aim of this observational study, promoted by the Health Authorities of the Regione Veneto (Italy), is to assess the prevalence of the most relevant environmental and individual risk factors in subjects with a recent hip fracture. Methods: Patients aged more than 60 years of both genders with a recent hip fracture not associated with malignancies, were administered questionnaires on dietary habits, sun exposure, and disability score. A complete family, pharmacological and pathology history was collected together with information on previous falls, details of the fracture index, and anthropometric data. In all subjects, blood was taken for the measurement of serum 25 hydroxy-vitamin D (25OHD). Results: The study included 704 patients (573 women and 131 men). Mean age was 81±8 years (range 60-102). Severe pre-fracture disability was a common feature (58%) associated with multiple co-morbidities (84%), more frequently cardio- vascular and neurological diseases, and specific medications. In a large proportion (86%) of the patients, environmental or individual risk factors for falling were found. Vitamin D insufficiency (serum 25OHD levels <75 nmol/l) was quite common (70%), particularly in the regional Health Districts were strategies for preventing vitamin D deficiency were not implemented (91%). Only a small proportion (17%) of the study population had been evaluated and treated for osteoporosis. Conclusions: In senile patients with a recent hip fracture, pre-existing disability, multiple co-morbidities, high risk of falling and inadequate intake of calcium and vitamin D is relatively common. Community and case-finding interventions aimed at selecting subjects at high risk of osteoporosis, preventing vitamin D and dietary calcium deficiency, and increasing awareness on the environmental risks of falling are highly warranted. Medicine R Internal medicine S. Giannini verfasserin aut S. Sella verfasserin aut R. Lovato verfasserin aut M.C. Spenevello verfasserin aut S. Pancheri verfasserin aut C. Benini verfasserin aut C. Zambarda verfasserin aut O. Viapiana verfasserin aut V. Braga verfasserin aut A. Mattarei verfasserin aut M. Rossini verfasserin aut F. Lavini verfasserin aut G.M. Giulini verfasserin aut E. Fracassi verfasserin aut D. Gatti verfasserin aut S. Adami verfasserin aut In Reumatismo PAGEPress Publications, 2012 62(2011), 4, Seite 273-282 (DE-627)355986361 (DE-600)2091202-X 22402683 nnns volume:62 year:2011 number:4 pages:273-282 https://doi.org/10.4081/reumatismo.2010.273 kostenfrei https://doaj.org/article/49c2607b3b084e6c867d2913a867bc3e kostenfrei http://www.reumatismo.org/index.php/reuma/article/view/493 kostenfrei https://doaj.org/toc/0048-7449 Journal toc kostenfrei https://doaj.org/toc/2240-2683 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 62 2011 4 273-282
spelling	10.4081/reumatismo.2010.273 doi (DE-627)DOAJ032893019 (DE-599)DOAJ49c2607b3b084e6c867d2913a867bc3e DE-627 ger DE-627 rakwb eng ita RC31-1245 P. Olivi verfasserin aut Risk factors for hip fracture in elderly persons 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: The aim of this observational study, promoted by the Health Authorities of the Regione Veneto (Italy), is to assess the prevalence of the most relevant environmental and individual risk factors in subjects with a recent hip fracture. Methods: Patients aged more than 60 years of both genders with a recent hip fracture not associated with malignancies, were administered questionnaires on dietary habits, sun exposure, and disability score. A complete family, pharmacological and pathology history was collected together with information on previous falls, details of the fracture index, and anthropometric data. In all subjects, blood was taken for the measurement of serum 25 hydroxy-vitamin D (25OHD). Results: The study included 704 patients (573 women and 131 men). Mean age was 81±8 years (range 60-102). Severe pre-fracture disability was a common feature (58%) associated with multiple co-morbidities (84%), more frequently cardio- vascular and neurological diseases, and specific medications. In a large proportion (86%) of the patients, environmental or individual risk factors for falling were found. Vitamin D insufficiency (serum 25OHD levels <75 nmol/l) was quite common (70%), particularly in the regional Health Districts were strategies for preventing vitamin D deficiency were not implemented (91%). Only a small proportion (17%) of the study population had been evaluated and treated for osteoporosis. Conclusions: In senile patients with a recent hip fracture, pre-existing disability, multiple co-morbidities, high risk of falling and inadequate intake of calcium and vitamin D is relatively common. Community and case-finding interventions aimed at selecting subjects at high risk of osteoporosis, preventing vitamin D and dietary calcium deficiency, and increasing awareness on the environmental risks of falling are highly warranted. Medicine R Internal medicine S. Giannini verfasserin aut S. Sella verfasserin aut R. Lovato verfasserin aut M.C. Spenevello verfasserin aut S. Pancheri verfasserin aut C. Benini verfasserin aut C. Zambarda verfasserin aut O. Viapiana verfasserin aut V. Braga verfasserin aut A. Mattarei verfasserin aut M. Rossini verfasserin aut F. Lavini verfasserin aut G.M. Giulini verfasserin aut E. Fracassi verfasserin aut D. Gatti verfasserin aut S. Adami verfasserin aut In Reumatismo PAGEPress Publications, 2012 62(2011), 4, Seite 273-282 (DE-627)355986361 (DE-600)2091202-X 22402683 nnns volume:62 year:2011 number:4 pages:273-282 https://doi.org/10.4081/reumatismo.2010.273 kostenfrei https://doaj.org/article/49c2607b3b084e6c867d2913a867bc3e kostenfrei http://www.reumatismo.org/index.php/reuma/article/view/493 kostenfrei https://doaj.org/toc/0048-7449 Journal toc kostenfrei https://doaj.org/toc/2240-2683 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 62 2011 4 273-282
allfields_unstemmed	10.4081/reumatismo.2010.273 doi (DE-627)DOAJ032893019 (DE-599)DOAJ49c2607b3b084e6c867d2913a867bc3e DE-627 ger DE-627 rakwb eng ita RC31-1245 P. Olivi verfasserin aut Risk factors for hip fracture in elderly persons 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: The aim of this observational study, promoted by the Health Authorities of the Regione Veneto (Italy), is to assess the prevalence of the most relevant environmental and individual risk factors in subjects with a recent hip fracture. Methods: Patients aged more than 60 years of both genders with a recent hip fracture not associated with malignancies, were administered questionnaires on dietary habits, sun exposure, and disability score. A complete family, pharmacological and pathology history was collected together with information on previous falls, details of the fracture index, and anthropometric data. In all subjects, blood was taken for the measurement of serum 25 hydroxy-vitamin D (25OHD). Results: The study included 704 patients (573 women and 131 men). Mean age was 81±8 years (range 60-102). Severe pre-fracture disability was a common feature (58%) associated with multiple co-morbidities (84%), more frequently cardio- vascular and neurological diseases, and specific medications. In a large proportion (86%) of the patients, environmental or individual risk factors for falling were found. Vitamin D insufficiency (serum 25OHD levels <75 nmol/l) was quite common (70%), particularly in the regional Health Districts were strategies for preventing vitamin D deficiency were not implemented (91%). Only a small proportion (17%) of the study population had been evaluated and treated for osteoporosis. Conclusions: In senile patients with a recent hip fracture, pre-existing disability, multiple co-morbidities, high risk of falling and inadequate intake of calcium and vitamin D is relatively common. Community and case-finding interventions aimed at selecting subjects at high risk of osteoporosis, preventing vitamin D and dietary calcium deficiency, and increasing awareness on the environmental risks of falling are highly warranted. Medicine R Internal medicine S. Giannini verfasserin aut S. Sella verfasserin aut R. Lovato verfasserin aut M.C. Spenevello verfasserin aut S. Pancheri verfasserin aut C. Benini verfasserin aut C. Zambarda verfasserin aut O. Viapiana verfasserin aut V. Braga verfasserin aut A. Mattarei verfasserin aut M. Rossini verfasserin aut F. Lavini verfasserin aut G.M. Giulini verfasserin aut E. Fracassi verfasserin aut D. Gatti verfasserin aut S. Adami verfasserin aut In Reumatismo PAGEPress Publications, 2012 62(2011), 4, Seite 273-282 (DE-627)355986361 (DE-600)2091202-X 22402683 nnns volume:62 year:2011 number:4 pages:273-282 https://doi.org/10.4081/reumatismo.2010.273 kostenfrei https://doaj.org/article/49c2607b3b084e6c867d2913a867bc3e kostenfrei http://www.reumatismo.org/index.php/reuma/article/view/493 kostenfrei https://doaj.org/toc/0048-7449 Journal toc kostenfrei https://doaj.org/toc/2240-2683 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 62 2011 4 273-282
allfieldsGer	10.4081/reumatismo.2010.273 doi (DE-627)DOAJ032893019 (DE-599)DOAJ49c2607b3b084e6c867d2913a867bc3e DE-627 ger DE-627 rakwb eng ita RC31-1245 P. Olivi verfasserin aut Risk factors for hip fracture in elderly persons 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: The aim of this observational study, promoted by the Health Authorities of the Regione Veneto (Italy), is to assess the prevalence of the most relevant environmental and individual risk factors in subjects with a recent hip fracture. Methods: Patients aged more than 60 years of both genders with a recent hip fracture not associated with malignancies, were administered questionnaires on dietary habits, sun exposure, and disability score. A complete family, pharmacological and pathology history was collected together with information on previous falls, details of the fracture index, and anthropometric data. In all subjects, blood was taken for the measurement of serum 25 hydroxy-vitamin D (25OHD). Results: The study included 704 patients (573 women and 131 men). Mean age was 81±8 years (range 60-102). Severe pre-fracture disability was a common feature (58%) associated with multiple co-morbidities (84%), more frequently cardio- vascular and neurological diseases, and specific medications. In a large proportion (86%) of the patients, environmental or individual risk factors for falling were found. Vitamin D insufficiency (serum 25OHD levels <75 nmol/l) was quite common (70%), particularly in the regional Health Districts were strategies for preventing vitamin D deficiency were not implemented (91%). Only a small proportion (17%) of the study population had been evaluated and treated for osteoporosis. Conclusions: In senile patients with a recent hip fracture, pre-existing disability, multiple co-morbidities, high risk of falling and inadequate intake of calcium and vitamin D is relatively common. Community and case-finding interventions aimed at selecting subjects at high risk of osteoporosis, preventing vitamin D and dietary calcium deficiency, and increasing awareness on the environmental risks of falling are highly warranted. Medicine R Internal medicine S. Giannini verfasserin aut S. Sella verfasserin aut R. Lovato verfasserin aut M.C. Spenevello verfasserin aut S. Pancheri verfasserin aut C. Benini verfasserin aut C. Zambarda verfasserin aut O. Viapiana verfasserin aut V. Braga verfasserin aut A. Mattarei verfasserin aut M. Rossini verfasserin aut F. Lavini verfasserin aut G.M. Giulini verfasserin aut E. Fracassi verfasserin aut D. Gatti verfasserin aut S. Adami verfasserin aut In Reumatismo PAGEPress Publications, 2012 62(2011), 4, Seite 273-282 (DE-627)355986361 (DE-600)2091202-X 22402683 nnns volume:62 year:2011 number:4 pages:273-282 https://doi.org/10.4081/reumatismo.2010.273 kostenfrei https://doaj.org/article/49c2607b3b084e6c867d2913a867bc3e kostenfrei http://www.reumatismo.org/index.php/reuma/article/view/493 kostenfrei https://doaj.org/toc/0048-7449 Journal toc kostenfrei https://doaj.org/toc/2240-2683 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 62 2011 4 273-282
allfieldsSound	10.4081/reumatismo.2010.273 doi (DE-627)DOAJ032893019 (DE-599)DOAJ49c2607b3b084e6c867d2913a867bc3e DE-627 ger DE-627 rakwb eng ita RC31-1245 P. Olivi verfasserin aut Risk factors for hip fracture in elderly persons 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: The aim of this observational study, promoted by the Health Authorities of the Regione Veneto (Italy), is to assess the prevalence of the most relevant environmental and individual risk factors in subjects with a recent hip fracture. Methods: Patients aged more than 60 years of both genders with a recent hip fracture not associated with malignancies, were administered questionnaires on dietary habits, sun exposure, and disability score. A complete family, pharmacological and pathology history was collected together with information on previous falls, details of the fracture index, and anthropometric data. In all subjects, blood was taken for the measurement of serum 25 hydroxy-vitamin D (25OHD). Results: The study included 704 patients (573 women and 131 men). Mean age was 81±8 years (range 60-102). Severe pre-fracture disability was a common feature (58%) associated with multiple co-morbidities (84%), more frequently cardio- vascular and neurological diseases, and specific medications. In a large proportion (86%) of the patients, environmental or individual risk factors for falling were found. Vitamin D insufficiency (serum 25OHD levels <75 nmol/l) was quite common (70%), particularly in the regional Health Districts were strategies for preventing vitamin D deficiency were not implemented (91%). Only a small proportion (17%) of the study population had been evaluated and treated for osteoporosis. Conclusions: In senile patients with a recent hip fracture, pre-existing disability, multiple co-morbidities, high risk of falling and inadequate intake of calcium and vitamin D is relatively common. Community and case-finding interventions aimed at selecting subjects at high risk of osteoporosis, preventing vitamin D and dietary calcium deficiency, and increasing awareness on the environmental risks of falling are highly warranted. Medicine R Internal medicine S. Giannini verfasserin aut S. Sella verfasserin aut R. Lovato verfasserin aut M.C. Spenevello verfasserin aut S. Pancheri verfasserin aut C. Benini verfasserin aut C. Zambarda verfasserin aut O. Viapiana verfasserin aut V. Braga verfasserin aut A. Mattarei verfasserin aut M. Rossini verfasserin aut F. Lavini verfasserin aut G.M. Giulini verfasserin aut E. Fracassi verfasserin aut D. Gatti verfasserin aut S. Adami verfasserin aut In Reumatismo PAGEPress Publications, 2012 62(2011), 4, Seite 273-282 (DE-627)355986361 (DE-600)2091202-X 22402683 nnns volume:62 year:2011 number:4 pages:273-282 https://doi.org/10.4081/reumatismo.2010.273 kostenfrei https://doaj.org/article/49c2607b3b084e6c867d2913a867bc3e kostenfrei http://www.reumatismo.org/index.php/reuma/article/view/493 kostenfrei https://doaj.org/toc/0048-7449 Journal toc kostenfrei https://doaj.org/toc/2240-2683 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 62 2011 4 273-282
language	English Italian
source	In Reumatismo 62(2011), 4, Seite 273-282 volume:62 year:2011 number:4 pages:273-282
sourceStr	In Reumatismo 62(2011), 4, Seite 273-282 volume:62 year:2011 number:4 pages:273-282
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Medicine R Internal medicine
isfreeaccess_bool	true
container_title	Reumatismo
authorswithroles_txt_mv	P. Olivi @@aut@@ S. Giannini @@aut@@ S. Sella @@aut@@ R. Lovato @@aut@@ M.C. Spenevello @@aut@@ S. Pancheri @@aut@@ C. Benini @@aut@@ C. Zambarda @@aut@@ O. Viapiana @@aut@@ V. Braga @@aut@@ A. Mattarei @@aut@@ M. Rossini @@aut@@ F. Lavini @@aut@@ G.M. Giulini @@aut@@ E. Fracassi @@aut@@ D. Gatti @@aut@@ S. Adami @@aut@@
publishDateDaySort_date	2011-01-01T00:00:00Z
hierarchy_top_id	355986361
id	DOAJ032893019
language_de	englisch italienisch
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callnumber-first	R - Medicine
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topic_title	RC31-1245 Risk factors for hip fracture in elderly persons
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title	Risk factors for hip fracture in elderly persons
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title_full	Risk factors for hip fracture in elderly persons
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author_browse	P. Olivi S. Giannini S. Sella R. Lovato M.C. Spenevello S. Pancheri C. Benini C. Zambarda O. Viapiana V. Braga A. Mattarei M. Rossini F. Lavini G.M. Giulini E. Fracassi D. Gatti S. Adami
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title_sort	risk factors for hip fracture in elderly persons
callnumber	RC31-1245
title_auth	Risk factors for hip fracture in elderly persons
abstract	Objective: The aim of this observational study, promoted by the Health Authorities of the Regione Veneto (Italy), is to assess the prevalence of the most relevant environmental and individual risk factors in subjects with a recent hip fracture. Methods: Patients aged more than 60 years of both genders with a recent hip fracture not associated with malignancies, were administered questionnaires on dietary habits, sun exposure, and disability score. A complete family, pharmacological and pathology history was collected together with information on previous falls, details of the fracture index, and anthropometric data. In all subjects, blood was taken for the measurement of serum 25 hydroxy-vitamin D (25OHD). Results: The study included 704 patients (573 women and 131 men). Mean age was 81±8 years (range 60-102). Severe pre-fracture disability was a common feature (58%) associated with multiple co-morbidities (84%), more frequently cardio- vascular and neurological diseases, and specific medications. In a large proportion (86%) of the patients, environmental or individual risk factors for falling were found. Vitamin D insufficiency (serum 25OHD levels <75 nmol/l) was quite common (70%), particularly in the regional Health Districts were strategies for preventing vitamin D deficiency were not implemented (91%). Only a small proportion (17%) of the study population had been evaluated and treated for osteoporosis. Conclusions: In senile patients with a recent hip fracture, pre-existing disability, multiple co-morbidities, high risk of falling and inadequate intake of calcium and vitamin D is relatively common. Community and case-finding interventions aimed at selecting subjects at high risk of osteoporosis, preventing vitamin D and dietary calcium deficiency, and increasing awareness on the environmental risks of falling are highly warranted.
abstractGer	Objective: The aim of this observational study, promoted by the Health Authorities of the Regione Veneto (Italy), is to assess the prevalence of the most relevant environmental and individual risk factors in subjects with a recent hip fracture. Methods: Patients aged more than 60 years of both genders with a recent hip fracture not associated with malignancies, were administered questionnaires on dietary habits, sun exposure, and disability score. A complete family, pharmacological and pathology history was collected together with information on previous falls, details of the fracture index, and anthropometric data. In all subjects, blood was taken for the measurement of serum 25 hydroxy-vitamin D (25OHD). Results: The study included 704 patients (573 women and 131 men). Mean age was 81±8 years (range 60-102). Severe pre-fracture disability was a common feature (58%) associated with multiple co-morbidities (84%), more frequently cardio- vascular and neurological diseases, and specific medications. In a large proportion (86%) of the patients, environmental or individual risk factors for falling were found. Vitamin D insufficiency (serum 25OHD levels <75 nmol/l) was quite common (70%), particularly in the regional Health Districts were strategies for preventing vitamin D deficiency were not implemented (91%). Only a small proportion (17%) of the study population had been evaluated and treated for osteoporosis. Conclusions: In senile patients with a recent hip fracture, pre-existing disability, multiple co-morbidities, high risk of falling and inadequate intake of calcium and vitamin D is relatively common. Community and case-finding interventions aimed at selecting subjects at high risk of osteoporosis, preventing vitamin D and dietary calcium deficiency, and increasing awareness on the environmental risks of falling are highly warranted.
abstract_unstemmed	Objective: The aim of this observational study, promoted by the Health Authorities of the Regione Veneto (Italy), is to assess the prevalence of the most relevant environmental and individual risk factors in subjects with a recent hip fracture. Methods: Patients aged more than 60 years of both genders with a recent hip fracture not associated with malignancies, were administered questionnaires on dietary habits, sun exposure, and disability score. A complete family, pharmacological and pathology history was collected together with information on previous falls, details of the fracture index, and anthropometric data. In all subjects, blood was taken for the measurement of serum 25 hydroxy-vitamin D (25OHD). Results: The study included 704 patients (573 women and 131 men). Mean age was 81±8 years (range 60-102). Severe pre-fracture disability was a common feature (58%) associated with multiple co-morbidities (84%), more frequently cardio- vascular and neurological diseases, and specific medications. In a large proportion (86%) of the patients, environmental or individual risk factors for falling were found. Vitamin D insufficiency (serum 25OHD levels <75 nmol/l) was quite common (70%), particularly in the regional Health Districts were strategies for preventing vitamin D deficiency were not implemented (91%). Only a small proportion (17%) of the study population had been evaluated and treated for osteoporosis. Conclusions: In senile patients with a recent hip fracture, pre-existing disability, multiple co-morbidities, high risk of falling and inadequate intake of calcium and vitamin D is relatively common. Community and case-finding interventions aimed at selecting subjects at high risk of osteoporosis, preventing vitamin D and dietary calcium deficiency, and increasing awareness on the environmental risks of falling are highly warranted.
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title_short	Risk factors for hip fracture in elderly persons
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author2	S. Giannini S. Sella R. Lovato M.C. Spenevello S. Pancheri C. Benini C. Zambarda O. Viapiana V. Braga A. Mattarei M. Rossini F. Lavini G.M. Giulini E. Fracassi D. Gatti S. Adami
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