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Unhealthy lifestyles are associated with the increased risk of low-energy fracture in Chinese men ≥ 50 years, a population-based survey

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ABSTRACT

Purpose

This study aims to investigate the incidence of low-energy fractures in men aged 50 years and older in China and to explore associated risk factors.

Methods

All the relevant data were available from the China National Fracture Survey (CNFS), which was a cross-sectional survey carried out in eight Chinese provinces (municipalities) between January and May 2015.

Results

Through 2014, 76,687 men above 50 years participated in this study and 223 participants had low-energy fractures, indicating the incidence rate 290.8 (95%CI, 252.7–328.9)/100,000 men. Over 80% of the fractures occurred at home and on the common road. The fracture incidence rate presented a significant rising trend with advanced age (p = 0.039). Current smoking, alcohol overconsumption, insufficient sleep duration, and history of past fracture were identified as significant risk factors associated with low-energy fracture (p < 0.05).

Conclusions

These results will assist the decisions regarding allocation of healthcare provision to populations of greatest need and aid the design and implementation of strategies to reduce fracture incidence. Accordingly, individuals should be encouraged to reduce alcohol consumption, immediately quit smoking, and get sufficient sleep, especially in those with a history of past fracture. In addition, primary preventives especially home prevention should be emphasized.

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Acknowledgments

We are grateful to Q Zhang and H Wang of the Department of Orthopedics, and to X Zhang of the Department of statistics and epidemiology for their kind assistance.

Funding

This study was funded by the Hebei Province Medical Science Special Major Projects Research Fund.

Author information

Author notes

  1. Guobin Liu, Yansen Li, Yanbin Zhu and Wei Chen contributed equally to this work.

Authors and Affiliations

  1. Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, NO.139 Ziqiang Road, Shijiazhuang, 050051, Hebei, People’s Republic of China

    Guobin Liu, Yansen Li, Yanbin Zhu, Wei Chen, Jiashen Shao, Song Liu, Chenni Ji & Yingze Zhang

  2. Key laboratory of biomechanics of Hebei Province, Shijiazhuang, 050051, Hebei, People’s Republic of China

    Guobin Liu, Yansen Li, Yanbin Zhu, Wei Chen, Xin Xing, Jiashen Shao, Song Liu, Hongzhi Lv, Chenni Ji & Yingze Zhang

  3. Department of Orthopaedic Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei, People’s Republic of China

    Guobin Liu

  4. Department of Statistics and Epidemiology, Hebei Medical University, Shijiazhuang, 050000, Hebei, People’s Republic of China

    Xiaolin Zhang

  5. Chinese Academy of Engineering, Beijing, 100088, People’s Republic of China

    Yingze Zhang

Authors
  1. Guobin Liu
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Contributions

Y Zhang conceived the idea for the study. Y Zhang, Y Zhang, YL, YZ, SL, WC, and HL and designed the study. JS, YZ and XZ performed the statistical analyses. XX, YL, YZ, and CJ prepared the figures and tables. YL, YZ, JS, SL, WC, HL, and CJ interpreted the data and contributed to preparation of the manuscript. GL, YL, and YZ contributed equally to this manuscript.

Corresponding author

Correspondence to Yingze Zhang.

Ethics declarations

The CNFS was approved by the Institutional Review Board of the 3rd Hospital of Hebei Medical University. Written informed consent was obtained from each participant before data collection.

Conflict of interest

The authors declare that they have no competing interests.

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This study is registered with the Chinese Clinical Trial Registry, number ChiCTR-EPR-15005878.

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Cite this article

Liu, G., Li, Y., Zhu, Y. et al. Unhealthy lifestyles are associated with the increased risk of low-energy fracture in Chinese men ≥ 50 years, a population-based survey. Arch Osteoporos 14, 57 (2019). https://doi.org/10.1007/s11657-019-0600-7

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