Abstract
Differences in the incidence of hip fractures have been reported between urban and rural areas. In this population-based study the characteristics of fracture patterns between the city of Malmö and the nearby rural district of Sjöbo were compared. A total of 782 individuals in Malmö and 486 in Sjöbo were invited to participate. Fracture history for all invited was registered. The odds ratio for fracture was higher in Malmö, particularly for women over 70. More than half of the urban women aged 70 had a history of a fracture. A fourfold increase in fracture prevalence between the ages of 60 and 70 was observed in women in Malmö, whereas the prevalence doubled in Sjöbo. The differences in fracture patterns between these two urban and rural communities may be explained by different lifestyles.
Similar content being viewed by others
References
Falch J, Ilebekk A, Slungaard U. Epidemiology of hip fractures in Norway. Acta Orthop Scand 1985;65:12–16.
Finsen V, Benum P. Changing incidence of hip fractures in rural and urban areas of the central Norway. Clin Orthop 1987;218:104–10.
Mannius S, Mellström D, Odén A, Rundgren A, Zetterberg C. Incidence of hip fracture in Western Sweden 1974–1982. Acta Orthop Scand 1987;58:38–42.
Sernbo I, Johnell O, Andersson T. Differences in the incidence of hip fracture: comparison of an urban and a rural population in Southern Sweden. Acta Orthop Scand 1988;59:382–5.
Gärdsell P, Johnell O, Nilsson BE, Sernbo I. Bone mass in an urban and rural population: a comparative, population-based study in Southern Sweden. J Bone Miner Res 1991;6:67–75.
Gärdsell P, Johnell O, Nilsson BE. Predicting fractures in women by using forearm bone densitometry. Calcif Tissue Int 1989;44:235–42.
Nauclér L, Nilsson BE, Westlin N. An apparatus for gamma absorptiometry of bone: technical data. Opuscula Medico Technica Lundensia 1974;12:1–14.
Bengnér U, Johnell O, Redlund-Johnell I. Epidemiology of ankle fracture 1950 and 1980: increasing incidence in elderly women. Acta Orthop Scand 1986;57:35–7.
Bengnér U, Johnell O, Redlund-Johnell I. Increasing incidence of tibia condyle and patella fractures. Acta Orthop Scand 1986;57:334–6.
Matkovic V, Kostial K, Simonovic I, Buzina R, Brodarec A, Nordin BEC. Bone status and fracture rates in two regions of Yugoslavia. Am J Clin Nutr 1979;32:540–9.
Kanis JA, Passmore RA. Calcium supplementation of diet: not justified by present evidence. I–II. Br Med J 1989;298:137–40, 205-8.
Nordin BEC, Heaney RP. Calcium supplementation of the diet: justified by present evidence. Br Med J 1990;300:1056–60.
Åström J, Ahnqvist S, Beertema J, J ónsson B. Physical activity in women sustaining fracture of the neck of the femur. J Bone Joint Surg [Br] 1987;69B:381–3.
Jónsson B, Ringsberg K, Josefsson PO, Johnell O, Birch-Jensen M. Effects of physical activity on bone mineral content and muscle strength in women: a cross-sectional study. Bone 1992;13:191–195
Jónsson B, Johnell O, Sernbo I. Hip fracture in middle-aged men. Acta Orthop Scand 1990;61 (Suppl. 237):54. (Proceedings NOF, Helsinki.)
Axmacher B, Lindberg H. Coxarthrosis in farmers. Clin Orthop (in press).
Lindberg H, Montgomery F. Heavy labor and the occurrence of gonarthrosis. Clin Orthop 1987;214:235–6.
Central Bureau of Statistics, Sweden (SCB). Den framtida befolkningen; prognos för åren 1989–2025. Statiska centralbyrån, Stockholm 1989.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Jónsson, B., Gärdsel, P., Johnell, O. et al. Differences in fracture pattern between an urban and a rural population: A comparative population-based study in Southern Sweden. Osteoporosis Int 2, 269–273 (1992). https://doi.org/10.1007/BF01623181
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01623181