Relationship between the FRAX® score and falls in community-dwelling middle-aged and elderly people.
10.1016/j.afos.2016.10.004
- Author:
Ling Chun OU
1
;
Yin Fan CHANG
;
Chin Sung CHANG
;
Ting Hsing CHAO
;
Ruey Mo LIN
;
Zih Jie SUN
;
Chih Hsing WU
Author Information
1. Department of Family Medicine, Antai Medical Cooperation Tien Sheng Memorial Hospital, PingTung, Taiwan.
- Publication Type:Original Article
- Keywords:
FRAX;
Falls;
Diabetes mellitus (DM);
Community;
Fracture
- MeSH:
Accidental Falls*;
Aged*;
Bone Density;
Cross-Sectional Studies;
Diabetes Mellitus;
Female;
Hip;
Humans;
Life Style;
Male;
Risk Factors;
Social Class;
Taiwan
- From:Osteoporosis and Sarcopenia
2016;2(4):221-227
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: Falls is a risk factor for fracture. The FRAX® predicts fractures. Whether the FRAX® is associated with fall in both gender is inconclusive. The aim of our study is to evaluate the association between FRAX scores and falls. METHODS: The cross-sectional study set from 2009 to 2010 included 1200 community-dwelling people who were systematically sampled in central Taiwan. The 1200 participants (men: 524; women: 676; ≥40 years old) completed questionnaires about socioeconomic status; lifestyle; medical and fall history were completed. FRAX scores with and without bone mineral density (BMD) were calculated by using the Taiwan calculator. RESULTS: A total of 19.8% participants fell down. Binary regression models showed that diabetes mellitus history (OR: 1.61; 95% CI: 1.03–2.52), the FRAX without BMD in a continuous major score (OR: 1.06; 95% CI: 1.03–1.09), continuous hip score (OR: 1.11; 95% CI: 1.05–1.16), categorical major score ≥ 10% (OR: 1.81; 95% CI: 1.25–2.61), and categorical hip score ≥ 3% (OR: 1.80; 95% CI: 1.30–2.50) were independent risk factors for falls. FRAX with BMD in a continuous major score (OR: 1.04; 95% CI: 1.02–1.06), continuous hip score (OR: 1.06; 95% CI: 1.02–1.09), categorical major score ≥ 10% (OR: 1.52; 95% CI: 1.09–2.12), and categorical hip score ≥ 3% (OR: 1.53; 95% CI: 1.13–2.09) were also independent risk factors. CONCLUSIONS: We concluded that FRAX® scores with and without BMD were unanimously correlated with falls in community-dwelling middle-aged and elderly males and females.
