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A recent research titled “A meta-analysis of past falls and subsequent fracture risk in cohort studies” discovered a correlation between self-reported falls and increased fracture risk, as well as women’s In comparison, men also found a slightly higher risk of fracture.
Published in Osteoporosis International, this international meta-analysis of data collected from 46 prospective cohorts comprising more than 900,000 individuals also recommended that previous falls be a factor that should be assessed by fracture risk assessment tools such as FRAX (Fracture Risk Assessment). The patients’ history of use should be included. ) tool to calculate the probability that a person will have a fracture in the next decade. FRAX is the most commonly used assessment to predict fracture risk.
Also read: Unnecessary weight loss increases risk of fractures: Study
“FRAX was developed using longitudinal data from studies around the world. Although previous falls have long been recognized as an important risk factor for fractures, until now, they were not included in the FRAX algorithm. Has gone,” Douglas P. Keel, MD, said. MPH, director of the Musculoskeletal Research Center and senior scientist at the Hinda and Arthur Marcus Institute for Aging Research at Hebrew SeniorLife, a nonprofit, Harvard Medical School-affiliated institute. “In this newly updated FRAX dataset, previous falls were included as a risk factor and were found to increase fracture risk. These findings underscore that there is a risk factor for fractures in both men and women. Decline is a significant contributor, but interestingly, it is slightly higher in men.”
Key findings of the meta-analysis include
increased risk of fractures: The risk of any clinical fracture, osteoporotic fracture, major osteoporotic fracture, and hip fracture was found to be significantly higher among individuals with a history of falling within the past year. One or more previous falls were significantly associated with an increased risk of death in women and men.
gender disparities: The association between previous falls and fracture risk varied by gender, with men exhibiting higher predictive values than women.
independent risk factors: The increased fracture risk associated with a previous fall was largely independent of bone mineral density, emphasizing the standalone importance of falls as a risk factor. The risk of any clinical fracture, osteoporotic fracture, and hip fracture increased significantly from the previous fall last year, with risk increases of between 36 percent and 59 percent depending on fracture outcome and gender.
These findings underscore the importance of incorporating previous falls into the FRAX algorithm,” said Dr. Keel. Integrating this information into tools like FRAX may increase their predictive accuracy and ultimately help healthcare providers more accurately assess fracture risk. This may help in making accurate predictions and devising preventive strategies accordingly to improve patient outcomes.
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