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Prediction of hip and hand fractures in older persons with or without a diagnosis of periodontitis
Responsible organisation
2011 (English)In: Bone, ISSN 8756-3282, E-ISSN 1873-2763, Vol. 48, no 3, 552-556 p.Article in journal (Refereed) Published
Abstract [en]

PURPOSE: In a prospective study, we assessed if a diagnosis of osteoporosis and periodontitis could predict hip and hand fractures in older persons. MATERIALS AND METHODS: Bone density was assessed by a Densitometer. Periodontitis was defined by evidence of alveolar bone loss. RESULTS: 788 Caucasians (52.4% women, overall mean age: 76years, S.D.±9.0, range: 62 to 96) were enrolled and 7.4% had a hip/hand fracture in 3years. Calcaneus PIXI T-values<-1.6 identified osteoporosis in 28.2% of the older persons predicting a hip/hand fracture with an odds ratio of 3.3:1 (95% CI: 1.9, 5.7, p<0.001). Older persons with osteoporosis had more severe periodontitis (p<0.01). Periodontitis defined by ≥30% of sites with ≥5mm distance between the cemento-enamel junction (CEJ) and bone level (ABL) was found in 18.7% of the older persons predicting a hip/hand fracture with an odds ratio of 1.8:1 (95% CI: 1.0, 3.3, p<0.05). Adjusted for age, the odds ratio of a hip/hand fracture in older persons with osteoporosis (PIXI T-value<-2.5) and periodontitis was 12.2:1 (95% CI: 3.5, 42.3, p<0.001). CONCLUSIONS: Older persons with osteoporosis and periodontitis have an increased risk for hip/hand fractures.

Place, publisher, year, edition, pages
Elsevier , 2011. Vol. 48, no 3, 552-556 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:bth-7624DOI: 10.1016/j.bone.2010.09.237ISI: 000288773800016Local ID: oai:bth.se:forskinfoD18CC285398E1866C125780E002C19D2OAI: oai:DiVA.org:bth-7624DiVA: diva2:835268
Available from: 2012-09-18 Created: 2011-01-04 Last updated: 2015-06-30Bibliographically approved

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Berglund, JohanRenvert, Stefan
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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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More styles
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  • de-DE
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