Characteristics of Fallers Who Fracture at the Foot, Distal Forearm, Proximal Humerus, Pelvis, and Shaft of the Tibia/Fibula Compared with Fallers Who Do Not Fracture

Theresa H Keegan, Jennifer L. Kelsey, Abby C. King, Charles P. Quesenberry, Stephen Sidney

Research output: Contribution to journalArticle

66 Citations (Scopus)

Abstract

This case-control study examined the relation of circumstances of falls and characteristics of fallers with risk of fractures at five sites among persons 45 years of age or older from five Kaiser Permanente Medical Centers in Northern California from 1996 to 2001. Included were distal forearm (n = 1,016), foot (n = 574), proximal humerus (n = 467), pelvis (n = 150), and shaft of the tibia/fibula (n = 141) cases who fell at the time of their fracture, and controls (n = 512) who reported falling in the year before the interview but did not fracture. Interviewers collected information by using a standardized questionnaire. Medium-/high-heeled shoes and shoes with a narrow heel increased the risk of all fractures, and slip-on shoes (adjusted odds ratio = 2.3, 95% confidence interval: 1.4, 4.0) and sandals (adjusted odds ratio = 3.1, 95% confidence interval: 1.5, 6.3) increased the risk of foot fractures. Falling from more than a standing height increased the risk of all fractures by two- to fivefold, while breaking the fall was associated with lower risks of all fractures except the distal forearm. Physical activity and hormone therapy were associated with lower risks of most fractures. These results suggest ways in which risks of fractures in older persons can be reduced.

Original languageEnglish (US)
Pages (from-to)192-203
Number of pages12
JournalAmerican Journal of Epidemiology
Volume159
Issue number2
DOIs
StatePublished - Jan 15 2004
Externally publishedYes

Fingerprint

Fibula
Humerus
Pelvis
Tibia
Forearm
Foot
Shoes
Accidental Falls
Odds Ratio
Confidence Intervals
Interviews
Heel
Case-Control Studies
Hormones

Keywords

  • Accidental falls
  • Aging
  • Biomechanics
  • Foot
  • Forearm
  • Fractures
  • Pelvis
  • Shoes

ASJC Scopus subject areas

  • Epidemiology

Cite this

Characteristics of Fallers Who Fracture at the Foot, Distal Forearm, Proximal Humerus, Pelvis, and Shaft of the Tibia/Fibula Compared with Fallers Who Do Not Fracture. / Keegan, Theresa H; Kelsey, Jennifer L.; King, Abby C.; Quesenberry, Charles P.; Sidney, Stephen.

In: American Journal of Epidemiology, Vol. 159, No. 2, 15.01.2004, p. 192-203.

Research output: Contribution to journalArticle

@article{a9137b108aff4e06af65f80ce1ac7e46,
title = "Characteristics of Fallers Who Fracture at the Foot, Distal Forearm, Proximal Humerus, Pelvis, and Shaft of the Tibia/Fibula Compared with Fallers Who Do Not Fracture",
abstract = "This case-control study examined the relation of circumstances of falls and characteristics of fallers with risk of fractures at five sites among persons 45 years of age or older from five Kaiser Permanente Medical Centers in Northern California from 1996 to 2001. Included were distal forearm (n = 1,016), foot (n = 574), proximal humerus (n = 467), pelvis (n = 150), and shaft of the tibia/fibula (n = 141) cases who fell at the time of their fracture, and controls (n = 512) who reported falling in the year before the interview but did not fracture. Interviewers collected information by using a standardized questionnaire. Medium-/high-heeled shoes and shoes with a narrow heel increased the risk of all fractures, and slip-on shoes (adjusted odds ratio = 2.3, 95{\%} confidence interval: 1.4, 4.0) and sandals (adjusted odds ratio = 3.1, 95{\%} confidence interval: 1.5, 6.3) increased the risk of foot fractures. Falling from more than a standing height increased the risk of all fractures by two- to fivefold, while breaking the fall was associated with lower risks of all fractures except the distal forearm. Physical activity and hormone therapy were associated with lower risks of most fractures. These results suggest ways in which risks of fractures in older persons can be reduced.",
keywords = "Accidental falls, Aging, Biomechanics, Foot, Forearm, Fractures, Pelvis, Shoes",
author = "Keegan, {Theresa H} and Kelsey, {Jennifer L.} and King, {Abby C.} and Quesenberry, {Charles P.} and Stephen Sidney",
year = "2004",
month = "1",
day = "15",
doi = "10.1093/aje/kwh026",
language = "English (US)",
volume = "159",
pages = "192--203",
journal = "American Journal of Epidemiology",
issn = "0002-9262",
publisher = "Oxford University Press",
number = "2",

}

TY - JOUR

T1 - Characteristics of Fallers Who Fracture at the Foot, Distal Forearm, Proximal Humerus, Pelvis, and Shaft of the Tibia/Fibula Compared with Fallers Who Do Not Fracture

AU - Keegan, Theresa H

AU - Kelsey, Jennifer L.

AU - King, Abby C.

AU - Quesenberry, Charles P.

AU - Sidney, Stephen

PY - 2004/1/15

Y1 - 2004/1/15

N2 - This case-control study examined the relation of circumstances of falls and characteristics of fallers with risk of fractures at five sites among persons 45 years of age or older from five Kaiser Permanente Medical Centers in Northern California from 1996 to 2001. Included were distal forearm (n = 1,016), foot (n = 574), proximal humerus (n = 467), pelvis (n = 150), and shaft of the tibia/fibula (n = 141) cases who fell at the time of their fracture, and controls (n = 512) who reported falling in the year before the interview but did not fracture. Interviewers collected information by using a standardized questionnaire. Medium-/high-heeled shoes and shoes with a narrow heel increased the risk of all fractures, and slip-on shoes (adjusted odds ratio = 2.3, 95% confidence interval: 1.4, 4.0) and sandals (adjusted odds ratio = 3.1, 95% confidence interval: 1.5, 6.3) increased the risk of foot fractures. Falling from more than a standing height increased the risk of all fractures by two- to fivefold, while breaking the fall was associated with lower risks of all fractures except the distal forearm. Physical activity and hormone therapy were associated with lower risks of most fractures. These results suggest ways in which risks of fractures in older persons can be reduced.

AB - This case-control study examined the relation of circumstances of falls and characteristics of fallers with risk of fractures at five sites among persons 45 years of age or older from five Kaiser Permanente Medical Centers in Northern California from 1996 to 2001. Included were distal forearm (n = 1,016), foot (n = 574), proximal humerus (n = 467), pelvis (n = 150), and shaft of the tibia/fibula (n = 141) cases who fell at the time of their fracture, and controls (n = 512) who reported falling in the year before the interview but did not fracture. Interviewers collected information by using a standardized questionnaire. Medium-/high-heeled shoes and shoes with a narrow heel increased the risk of all fractures, and slip-on shoes (adjusted odds ratio = 2.3, 95% confidence interval: 1.4, 4.0) and sandals (adjusted odds ratio = 3.1, 95% confidence interval: 1.5, 6.3) increased the risk of foot fractures. Falling from more than a standing height increased the risk of all fractures by two- to fivefold, while breaking the fall was associated with lower risks of all fractures except the distal forearm. Physical activity and hormone therapy were associated with lower risks of most fractures. These results suggest ways in which risks of fractures in older persons can be reduced.

KW - Accidental falls

KW - Aging

KW - Biomechanics

KW - Foot

KW - Forearm

KW - Fractures

KW - Pelvis

KW - Shoes

UR - http://www.scopus.com/inward/record.url?scp=0345832259&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0345832259&partnerID=8YFLogxK

U2 - 10.1093/aje/kwh026

DO - 10.1093/aje/kwh026

M3 - Article

C2 - 14718222

AN - SCOPUS:0345832259

VL - 159

SP - 192

EP - 203

JO - American Journal of Epidemiology

JF - American Journal of Epidemiology

SN - 0002-9262

IS - 2

ER -