The cumulative incidence of and risk factors for morphometric severe vertebral fractures in Japanese men and women : the ROAD study third and fourth surveys

© 2021. International Osteoporosis Foundation and National Osteoporosis Foundation..

This population-based cohort study with a 3-year follow-up revealed that the annual incidence rates of vertebral fracture (VF) and severe VF (sVF) were 5.9%/year and 1.7%/year, respectively. The presence of mild VF at the baseline was a significant risk factor for incident sVF in participants without prevalent sVF.

INTRODUCTION: This study aimed to estimate the incidence of morphometric vertebral fracture (VF) and severe VF (sVF) in men and women and clarify whether the presence of a mild VF (mVF) increases the risk of incident sVF.

METHODS: Data from the population-based cohort study, entitled the Research on Osteoarthritis/Osteoporosis Against Disability (ROAD) study, were analyzed. In total, 1190 participants aged ≥ 40 years (mean age, 65.0 ± 11.2) years completed whole-spine lateral radiography both at the third (2012-2013, baseline) and fourth surveys performed 3 years later (2015-2016, follow-up). VF was defined using Genant's semi-quantitative (SQ) method: VF as SQ ≥ 1, mVF as SQ = 1, and sVF as SQ ≥ 2. Cumulative incidence of VF and sVF was estimated. Multivariate logistic regression analyses were performed to evaluate risk factors for incident sVF.

RESULTS: The baseline prevalence of mVF and sVF were 16.8% and 6.0%, respectively. The annual incidence rates of VF and sVF were 5.9%/year and 1.7%/year, respectively. The annual incidence rates of sVF in participants without prevalent VF, with prevalent mVF, and with prevalent sVF were 0.6%/year, 3.8%/year, and 11.7%/year (p < 0.001), respectively. Multivariate logistic regression analyses in participants without prevalent sVF showed that the adjusted odds ratios for incident sVF were 4.12 [95% confident interval 1.85-9.16] and 4.53 [1.49-13.77] if the number of prevalent mVF at the baseline was 1 and ≥ 2, respectively.

CONCLUSIONS: The annual incidence rates of VF and sVF were 5.9%/year and 1.7%/year, respectively. The presence of prevalent mVF was an independent risk factor for incident sVF.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA - 33(2022), 4 vom: 01. Apr., Seite 889-899

Sprache:

Englisch

Beteiligte Personen:

Horii, C [VerfasserIn]
Iidaka, T [VerfasserIn]
Muraki, S [VerfasserIn]
Oka, H [VerfasserIn]
Asai, Y [VerfasserIn]
Tsutsui, S [VerfasserIn]
Hashizume, H [VerfasserIn]
Yamada, H [VerfasserIn]
Yoshida, M [VerfasserIn]
Kawaguchi, H [VerfasserIn]
Nakamura, K [VerfasserIn]
Akune, T [VerfasserIn]
Oshima, Y [VerfasserIn]
Tanaka, S [VerfasserIn]
Yoshimura, Noriko [VerfasserIn]

Links:

Volltext

Themen:

Incidence
Journal Article
Risk factor
Vertebral fracture

Anmerkungen:

Date Completed 21.03.2022

Date Revised 21.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00198-021-06143-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM333347633