Relationship of Height to Site-Specific Fracture Risk in Postmenopausal Women

Miranda EG Armstrong, Oksana Kirichek, Ben J Cairns, Jane Green, Gillian K Reeves, Valerie Beral, Million Women Study Collaborators

Research output: Contribution to journalArticle (Academic Journal)peer-review

8 Citations (Scopus)
396 Downloads (Pure)

Abstract

Height has been associated with increased risk of fracture of the neck of femur. However, information on the association of height with fractures at other sites is limited and conflicting. A total of 796,081 postmenopausal women, who reported on health and lifestyle factors including a history of previous fractures and osteoporosis, were followed for 8 years for incident fracture at various sites by record linkage to National Health Service hospital admission data. Adjusted relative risks of fracture at different sites per 10-cm increase in height were estimated using Cox regression. Numbers with site-specific fractures were: humerus (3036 cases), radius and/or ulna (1775), wrist (9684), neck of femur (5734), femur (not neck) (713), patella (649), tibia and/or fibula (1811), ankle (5523), and clavicle/spine/rib (2174). The risk of fracture of the neck of femur increased with increasing height (relative risk [RR] = 1.48 per 10-cm increase, 99% confidence interval [CI] 1.39–1.57) and the proportional increase in risk was significantly greater than for all other fracture sites (pheterogeneity < 0.001). For the other sites, fracture risk also increased with height (RR = 1.15 per 10 cm, CI 1.12–1.18), but there was only very weak evidence of a possible difference in risk between the sites (pheterogeneity = 0.03). In conclusion, taller women are at increased risk of fracture, especially of the neck of femur
Original languageEnglish
Pages (from-to)725-731
Number of pages7
JournalJournal of Bone and Mineral Research
Volume31
Issue number4
Early online date1 Dec 2015
DOIs
Publication statusPublished - 5 Apr 2016

Keywords

  • Million Women Study
  • fracture
  • height
  • prospective studies
  • postmenopausal

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