Disease-specific perception of fracture risk and incident fracture rates: GLOW cohort study
| Autor: | Celia Gregson, Em, Dennison, Je, Compston, Adami S, Jd, Adachi, Fa, Anderson Jr, Boonen S, Chapurlat R, Díez-Pérez A, Sl, Greenspan, Fh, Hooven, Az, Lacroix, Jw, Nieves, Jc, Netelenbos, Pfeilschifter J, Rossini M, Roux C, Kg, Saag, Silverman S, Es, Siris, Nb, Watts, Wyman A, Cooper C, Glow, For The Investigators |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Aging
Clinical Sciences GLOW Investigators Biomedical Engineering Comorbidity Kaplan-Meier Estimate and over Neurodegenerative Autoimmune Disease Risk Assessment Cohort Studies Endocrinology & Metabolism Clinical Research 80 and over Humans Life Style Aged Incidence Prevention Arthritis Neurosciences Middle Aged Self Concept Brain Disorders Neurological Chronic Disease Public Health and Health Services Osteoporosis Postmenopausal Female Nervous System Diseases Attitude to Health Osteoporotic Fractures |
| Zdroj: | Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, vol 25, iss 1 Europe PubMed Central |
| Popis: | UnlabelledAccurate patient risk perception of adverse health events promotes greater autonomy over, and motivation towards, health-related lifestyles.IntroductionWe compared self-perceived fracture risk and 3-year incident fracture rates in postmenopausal women with a range of morbidities in the Global Longitudinal study of Osteoporosis in Women (GLOW).MethodsGLOW is an international cohort study involving 723 physician practices across ten countries (Europe, North America, Australasia); 60,393 women aged ≥55 years completed baseline questionnaires detailing medical history and self-perceived fracture risk. Annual follow-up determined self-reported incident fractures.ResultsIn total 2,945/43,832 (6.8%) sustained an incident fracture over 3 years. All morbidities were associated with increased fracture rates, particularly Parkinson's disease (hazard ratio [HR]; 95% confidence interval [CI], 3.89; 2.78-5.44), multiple sclerosis (2.70; 1.90-3.83), cerebrovascular events (2.02; 1.67-2.46), and rheumatoid arthritis (2.15; 1.53-3.04) (all p < 0.001). Most individuals perceived their fracture risk as similar to (46%) or lower than (36%) women of the same age. While increased self-perceived fracture risk was strongly associated with incident fracture rates, only 29% experiencing a fracture perceived their risk as increased. Under-appreciation of fracture risk occurred for all morbidities, including neurological disease, where women with low self-perceived fracture risk had a fracture HR 2.39 (CI 1.74-3.29) compared with women without morbidities.ConclusionsPostmenopausal women with morbidities tend to under-appreciate their risk, including in the context of neurological diseases, where fracture rates were highest in this cohort. This has important implications for health education, particularly among women with Parkinson's disease, multiple sclerosis, or cerebrovascular disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|