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Prediction of hip and hand fractures in older persons with or without a diagnosis of periodontitis

Persson, G. Rutger; Berglund, Johan LU ; Persson, Rigmor E. and Renvert, Stefan (2011) In Bone 48(3). p.552-556
Abstract
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: 76 years, S.D. +/- 9.0, range: 62 to 96) were enrolled and 7.4% had a hip/hand fracture in 3 years. 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 >= 5... (More)
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: 76 years, S.D. +/- 9.0, range: 62 to 96) were enrolled and 7.4% had a hip/hand fracture in 3 years. 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 >= 5 mm 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. (C) 2010 Elsevier Inc. All rights reserved. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Osteoporosis, Fracture, Periodontitis, Risk, Older
in
Bone
volume
48
issue
3
pages
552 - 556
publisher
Elsevier
external identifiers
  • wos:000288773800016
  • scopus:79751535652
ISSN
1873-2763
DOI
10.1016/j.bone.2010.09.237
language
English
LU publication?
yes
id
5e70421b-17e3-4652-9477-6755673d8837 (old id 1926121)
date added to LUP
2011-05-02 08:40:06
date last changed
2017-11-19 03:52:04
@article{5e70421b-17e3-4652-9477-6755673d8837,
  abstract     = {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: 76 years, S.D. +/- 9.0, range: 62 to 96) were enrolled and 7.4% had a hip/hand fracture in 3 years. Calcaneus PIXI T-values &lt; - 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 &lt; 0.001). Older persons with osteoporosis had more severe periodontitis (p &lt; 0.01). Periodontitis defined by &gt;= 30% of sites with &gt;= 5 mm 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 &lt; 0.05). Adjusted for age, the odds ratio of a hip/hand fracture in older persons with osteoporosis (PIXI T-value &lt;-2.5) and periodontitis was 12.2:1 (95% CI: 3.5, 42.3, p &lt; 0.001). Conclusions: Older persons with osteoporosis and periodontitis have an increased risk for hip/hand fractures. (C) 2010 Elsevier Inc. All rights reserved.},
  author       = {Persson, G. Rutger and Berglund, Johan and Persson, Rigmor E. and Renvert, Stefan},
  issn         = {1873-2763},
  keyword      = {Osteoporosis,Fracture,Periodontitis,Risk,Older},
  language     = {eng},
  number       = {3},
  pages        = {552--556},
  publisher    = {Elsevier},
  series       = {Bone},
  title        = {Prediction of hip and hand fractures in older persons with or without a diagnosis of periodontitis},
  url          = {http://dx.doi.org/10.1016/j.bone.2010.09.237},
  volume       = {48},
  year         = {2011},
}