Risks factors for fractures in women older than 60 years old

Authors

  • Natividad Hernández-Laynes <p>Instituto Mexicano del Seguro Social, Hospital de Gineco-Obstetricia con Unidad de Medicina Familiar No. 13. Ciudad de M&eacute;xico</p>
  • María del Pilar Salas-Reyes <p>Instituto Mexicano del Seguro Social</p>
  • Horacio Castillo-Beltrán <p>Instituto Mexicano del Seguro Social, Hospital de Gineco-Obstetricia con Unidad de Medicina Familiar No. 13. Ciudad de M&eacute;xico</p>
  • Ofelia Segura-Gutiérrez <p>Instituto Mexicano del Seguro Social, Hospital de Gineco-Obstetricia con Unidad de Medicina Familiar No. 13. Ciudad de M&eacute;xico</p>

Keywords:

Aged, Bone fractures, Menopause, Posmenopausal osteoporosis

Abstract

Introduction: Two hundred millions of women older than sixty years old suffer sequels of fractures associated to risk factors, such as smoking, sedentary life, and multiple deliveries. By 2050, one in two fractures will show up with association to the mentioned factors.

Objective: To determine the association of smoking, sedentary life, and multiple deliveries, and whether the occurrence or not of fracture.

Methodology: Analytical, transversal, and retrospective study. A questionnaire previously validated was applied to 200 patients older than 60 years old and with or without current or old fracture, corroborated by X-ray and/or record in medical chart; without data of aggregated pathology of imperfect osteogenesis, hypoparathyroidism, renal insufficiency, and Cushing Syndrome.

Results: A total 200 patients (n) were analyzed; 100 with fracture and 100 without it. Regarding the risk factors; they are intended to be related (OR) with presence of fracture or not. For smoking and sedentarism OR=1.8; multiple deliveries OR=1.3 times more at risk of suffering fracture, and through the Fisher’s Exact Test, it was demonstrated medium association for smoking and sedentarism (r=0.6) and low for multiple deliveries (r=0.3).

Conclusions: The current study accomplishes the objective of identifying association of smoking, sedentarism, and multiple deliveries as risk factors for fracture; and proposes prevention measurements in the whole female population regardless their age.

Author Biographies

  • Natividad Hernández-Laynes, <p>Instituto Mexicano del Seguro Social, Hospital de Gineco-Obstetricia con Unidad de Medicina Familiar No. 13. Ciudad de M&eacute;xico</p>

    Médico Familiar

  • María del Pilar Salas-Reyes, <p>Instituto Mexicano del Seguro Social</p>

    Pasante de Licenciatura en Enfermería y Obstetricia

  • Horacio Castillo-Beltrán, <p>Instituto Mexicano del Seguro Social, Hospital de Gineco-Obstetricia con Unidad de Medicina Familiar No. 13. Ciudad de M&eacute;xico</p>

    Médico Familiar

  • Ofelia Segura-Gutiérrez, <p>Instituto Mexicano del Seguro Social, Hospital de Gineco-Obstetricia con Unidad de Medicina Familiar No. 13. Ciudad de M&eacute;xico</p>

    Médico Familiar

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Published

2018-08-16

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Experiencias de la Práctica