Increased risk for hip fracture after death of a spouse—further support for bereavement frailty?
| Autor: | Catharina Lewerin, C. H. Vala, Mattias Lorentzon, Claes Ohlsson, Barbro Johansson, Sabine Sten, Dan Mellström, Magnus Karlsson, J. A. Kanis, Valter Sundh, Helena Johansson |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
0301 basic medicine Endocrinology Diabetes and Metabolism Osteoporosis widower Hip fracture 0302 clinical medicine Widow widowhood Aged 80 and over Geriatrics Frailty Hazard ratio bereavement Middle Aged Widower humanities hip fracture Spouse population characteristics Original Article Female medicine.medical_specialty Geriatrik 030209 endocrinology & metabolism Orthopaedics 03 medical and health sciences medicine Humans Spouses Aged Retrospective Studies Sweden Hip Fractures business.industry Retrospective cohort study Widowhood medicine.disease osteoporosis Mental health Confidence interval Ortopedi 030101 anatomy & morphology business widow Bereavement Demography |
| Zdroj: | Osteoporosis International |
| ISSN: | 1433-2965 0937-941X |
| DOI: | 10.1007/s00198-019-05242-w |
| Popis: | Summary Death of a spouse is associated with poorer physical and mental health. We followed all married individuals, born from 1902 to 1942, during the period from 1987 to 2002, and found that widows and widowers had higher risk for hip fracture, compared with still married women and men. Introduction Spousal bereavement can lead to poorer physical and mental health. We aimed to determine whether married women and men had an elevated risk of hip fracture after death of a spouse. Methods In a retrospective cohort study, we followed all Swedish married individuals aged 60 to 100 years (n = 1,783,035), from 1987 to 2002. Data are presented as mean with 95% confidence interval (CI). Results During the follow-up period, 21,305 hip fractures among widows and 6538 hip fractures among widowers were noted. The hazard ratio (HR) for hip fracture in widows compared with married women was 1.34 (95% CI 1.31 to 1.37) and for widowers compared with married men 1.32 (95% CI 1.29 to 1.35). The HR for hip fracture in the first 6 months after death of a spouse was in widows compared with married women 1.62 (95% CI 1.53 to 1.71) and in widowers compared with married men 1.84 (95% CI 1.68 to 2.03). The elevated risk was especially prominent in young widowers in the age range 60–69 years. During the first 6 months they showed a HR of 2.76 (95% CI 1.66 to 4.58) for a hip fractvure compared with age matched married men. Widows aged 60–69 years showed a HR of 1.59 (95% CI 1.26 to 1.99) compared with age matched married women. Conclusion Our observation of a higher hip fracture risk in both genders in connection with the death of a spouse indicates a possible effect of bereavement on frailty. Electronic supplementary material The online version of this article (10.1007/s00198-019-05242-w) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink