Document Detail


Height loss and osteoporosis of the hip.
MedLine Citation:
PMID:  14742889     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Osteoporosis of the hip is associated with hip fracture, a devastating outcome on both an individual and aggregate basis. Height loss is a frequent manifestation of vertebral osteoporosis and is simple to evaluate in the clinical setting. The goal of this study was to determine whether height loss is significantly associated with low bone mineral density at the femur, using a retrospective review of cross-sectional data from 2108 women referred for a bone density scan. Collected data included self-reported maximum adult height, current height, and total hip bone mineral density, along with other demographic and risk factor information. We then investigated the relationship between height loss and osteoporosis using multinomial logistic regression modeling. We found that height loss of 2 in. or more is a highly significant predictor of osteoporosis at the hip. In particular, the odds women had osteoporosis at the hip, as determined by total hip bone mineral density, increased 4.4 times (95% confidence interval, 2.6-7.4) if the women had lost > or = 2 but < 3 in. of height. In addition, women with at least 3 in. of height loss had odds of osteoporosis of the hip that were 9.6 times greater (95% confidence interval, 4.8-19.2) than women with less than an inch of height loss. These odds ratios were adjusted for the confounding variables of age, weight, and maximum adult height. Our findings suggest loss of height may be an important clue in detecting osteoporosis of the hip, implying that evaluation of height loss should be routine in the outpatient setting.
Authors:
Seth M Kantor; Kristen S Ossa; Stacy L Hoshaw-Woodard; Stanley Lemeshow
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry     Volume:  7     ISSN:  1094-6950     ISO Abbreviation:  J Clin Densitom     Publication Date:  2004  
Date Detail:
Created Date:  2004-01-26     Completed Date:  2004-03-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9808212     Medline TA:  J Clin Densitom     Country:  United States    
Other Details:
Languages:  eng     Pagination:  65-70     Citation Subset:  IM    
Affiliation:
College of Medicine and Public Health, Department of Internal Medicine, S2044 Davis Medical Research Center, Ohio State University, Columbus, OH 43210, USA. kantor.2@osu.edu
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MeSH Terms
Descriptor/Qualifier:
Absorptiometry, Photon*
Aged
Body Height*
Bone Density
Bone Diseases, Metabolic / diagnosis
Female
Femur / pathology*
Fractures, Spontaneous / etiology
Hip Fractures / etiology
Hip Joint*
Humans
Logistic Models
Middle Aged
Odds Ratio
Osteoporosis, Postmenopausal / complications,  diagnosis*,  pathology
Retrospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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