Overweight and Obese Have Similar Burden of Hip Fracture as Normal Weight Older Adults
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Date
2019-07-19
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Citation of Original Publication
Lloyd, J.T., Waldstein, S.R., Hochberg, M.C. et al. J GEN INTERN MED (2019). https://doi.org/10.1007/s11606-019-05151-y
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This work was written as part of one of the author's official duties as an Employee of the United States Government and is therefore a work of the United States Government. In accordance with 17 U.S.C. 105, no copyright protection is available for such works under U.S. Law.
Public Domain Mark 1.0
This work was written as part of one of the author's official duties as an Employee of the United States Government and is therefore a work of the United States Government. In accordance with 17 U.S.C. 105, no copyright protection is available for such works under U.S. Law.
Abstract
The association between body weight and fracture risk is a
significant public health concern as the majority of older adults
are overweight or obese and have low mineral density. Osteoporotic fractures are projected to cost $25 billion in health
care spending annually by 2025, with hip fractures accounting
for over 70% of these costs. Post-fracture spending is 25%
higher among obese individuals. Numerous studies have found that overweight and obesity protect against risk of hip fracture, relative to normal or
underweight. However, Nielson et al. (2012) showed that
close to half (46%) of hip fractures occurred in overweight
and obese older adults using data from the 1970 to 1980s.
Even though heavier individuals may have a lower relative
risk of hip fracture, they may have a similar absolute risk,
particularly as the prevalence of obesity continues to increase among the aging population. The aims of this paper
are to provide updated estimates of the incidence of hip
fracture and to demonstrate that the current burden of hip
fracture occurs among heavier older adults.