Age and Ageing Advance Access originally published online on June 13, 2006
Age and Ageing 2006 35(5):491-497; doi:10.1093/ageing/afl056
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Health-protective behaviours and risk of fall-related hip fractures: a population-based case–control study
1 Centre of National Research on Disability and Rehabilitation Medicine (CONROD), Medical School, University of Queensland, Herston, Queensland, Australia 4006
2 Australasian Centre on Ageing, University of Queensland, St Lucia, Queensland, Australia 4072
3 School of Medicine, Griffith University, Meadowbrook, Queensland, Australia 4131
Address correspondence to: Nancye May Peel. Tel: (+61) 7 3346 9084. Fax: (+61) 7 3365 7503. Email: n.peel{at}uq.edu.au
Background: fall-related hip fractures are one of the most common causes of disability and mortality in older age. The study aimed to quantify the relationship between lifestyle behaviours and the risk of fall-related hip fracture in community-dwelling older people. The purpose was to contribute evidence for the promotion of healthy ageing as a population-based intervention for falls injury prevention.
Methods: a case–control study was conducted with 387 participants, with a case–control ratio of 1:2. Incident cases of fall-related hip fracture in people aged 65 and over were recruited from six hospital sites in Brisbane, Australia, in 2003–04. Community-based controls, matched by age, sex and postcode, were recruited via electoral roll sampling. A questionnaire designed to assess lifestyle risk factors, identified as determinants of healthy ageing, was administered at face-to-face interviews.
Results: behavioural factors which had a significant independent protective effect on the risk of hip fracture included never smoking [adjusted odds ratio (AOR): 0.33 (0.12–0.88)], moderate alcohol consumption in mid- and older age [AOR: 0.49 (0.25–0.95)], not losing weight between mid- and older age [AOR: 0.36 (0.20–0.65)], playing sport in older age [AOR: 0.49 (0.29–0.83)] and practising a greater number of preventive medical care [AOR: 0.54 (0.32–0.94)] and self-health behaviours [AOR: 0.56 (0.33–0.94)].
Conclusion: with universal exposures, clear associations and modifiable behavioural factors, this study has contributed evidence to reduce the major public health burden of fall-related hip fractures using readily implemented population-based healthy ageing strategies.
Keywords: hip fractures, case–control study, risk reduction behaviour, aged population, falls prevention, falls, life style, elderly
Received January 12, 2006; accepted in revised form May 5, 2006.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  F. D. Wolinsky, S. E. Bentler, L. Liu, M. Obrizan, E. A. Cook, K. B. Wright, J. F. Geweke, E. A. Chrischilles, C. E. Pavlik, R. L. Ohsfeldt, et al. Recent Hospitalization and the Risk of Hip Fracture Among Older Americans J Gerontol A Biol Sci Med Sci, February 4, 2009; (2009) gln027v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M.-C. Corti, G. Baggio, L. Sartori, G. Barbato, E. Manzato, E. Musacchio, L. Ferrucci, G. Cardinali, D. Donato, L. J. Launer, et al. White Matter Lesions and the Risk of Incident Hip Fracture in Older Persons: Results From the Progetto Veneto Anziani Study Arch Intern Med, September 10, 2007; 167(16): 1745 - 1751. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. M. Peel, R. J. McClure, and J. K. Hendrikz Psychosocial factors associated with fall-related hip fractures Age Ageing, March 1, 2007; 36(2): 145 - 151. [Abstract] [Full Text] [PDF]
|
|