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KMID : 1120320160020040221
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Osteoporosis and Sarcopenia
2016 Volume.2 No. 4 p.221 ~ p.227
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Relationship between the FRAX® score and falls in community-dwelling middle-aged and elderly people
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Ou Ling-Chun
Chang Yin-Fan
Chang Chin-Sung
Chao Ting-Hsing
Lin Ruey-Mo
Sun Zih-Jie
Wu Chih-Hsing
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Abstract
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Objectives: Falls is a risk factor for fracture. The FRAX® predicts fractures. Whether the FRAX® is associated with fall in both gender is inconclusive. The aim of our study is to evaluate the association between FRAX scores and falls.
Methods: The cross-sectional study set from 2009 to 2010 included 1200 community-dwelling people who were systematically sampled in central Taiwan. The 1200 participants (men: 524; women: 676; ≥40 years old) completed questionnaires about socioeconomic status; lifestyle; medical and fall history were completed. FRAX scores with and without bone mineral density (BMD) were calculated by using the Taiwan calculator.
Results: A total of 19.8% participants fell down. Binary regression models showed that diabetes mellitus history (OR: 1.61; 95% CI: 1.03?2.52), the FRAX without BMD in a continuous major score (OR: 1.06; 95% CI: 1.03?1.09), continuous hip score (OR: 1.11; 95% CI: 1.05?1.16), categorical major score ≥ 10% (OR: 1.81; 95% CI: 1.25?2.61), and categorical hip score ≥ 3% (OR: 1.80; 95% CI: 1.30?2.50) were independent risk factors for falls. FRAX with BMD in a continuous major score (OR: 1.04; 95% CI: 1.02?1.06), continuous hip score (OR: 1.06; 95% CI: 1.02?1.09), categorical major score ≥ 10% (OR: 1.52; 95% CI: 1.09?2.12), and categorical hip score ≥ 3% (OR: 1.53; 95% CI: 1.13?2.09) were also independent risk factors.
Conclusions: We concluded that FRAX® scores with and without BMD were unanimously correlated with falls in community-dwelling middle-aged and elderly males and females.
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KEYWORD
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FRAX, Falls, Diabetes mellitus (DM), Community, Fracture
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