AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
Check eyesight to reduce fractures: impaired vision can double or quadruple the risk for hip fracture; repairing cataracts can cut fall risk.(Gynecology)
SAN FRANCISCO -- Physicians who see patients with osteoporosis should have a visual acuity chart on the office wall to check eyesight, Steven R. Cummings, M.D., advised at a meeting on osteoporosis that was sponsored by the University of California, San Francisco.
Reduced visual acuity greatly increases the risk for falling and for hip fractures. Usually poor vision is due to treatable risk factors such as the need for an updated glasses prescription, or cataracts, said Dr. Cummings, who is professor emeritus of epidemiology and biostatistics at the university and director of clinical research at the California Pacific Medical Center Research Institute.
Impaired vision can double or quadruple the risk for hip fracture. At least one study shows that repairing cataracts can reduce the risk of falling by 34% (Br. J. Ophthalmol. 2005;89:53-9).
Dr. Cummings noted that the following additional risk factors are worth addressing to prevent fractures:
* Vertebral fracture. Having a vertebral fracture--even a painless, asymptomatic one that's detected only by x-ray--increases the risk for future vertebral fracture two- to fourfold. Older women with a previous vertebral fracture have a 1%-3% annual rate of hip fracture, and randomized trials suggest that pharmacologic treatment can lower that risk.
* Nonspine fractures. Having any kind of nonspine fracture nearly doubles or triples the risk for having a future nonspine fracture. Even with normal bone density, having a nonspine fracture makes a future nonspine fracture more likely.
* Familial history. People who had a parent develop a hip fracture have double the risk for hip fracture themselves, compared with people whose parents did not have hip fractures. This is true regardless of bone mineral density. A wrist fracture in a parent increases an offspring's risk of wrist fracture. "There's some suggestion that this increased familial risk may be specific to the type of fracture," he said.
- Reports outline hip fracture risk factors research from University of...
- Magazine article from: Women's Health Weekly October 8, 2009 700+ words
...BMD alone, but with a higher hip fracture risk and thus had the more favourable...respectively), but with a higher hip fracture risk (PPV, 8.6% versus 6.1...Health Organization (see also Hip Fracture Risk Factors). The researchers...
- Studies from Jagiellonian University have provided new data on hip fracture...
- Magazine article from: Women's Health Weekly July 30, 2009 700+ words
...International report (see also Hip Fracture Risk Factors). "Poland is among the countries with the lowest hip fracture risk in Europe. It is recommended...and thus the probability of hip fracture risk in Poland is amongst the lowest...
- Diagnosis of cardiovascular disease associated with risk of subsequent hip...
- Newspaper article from: NewsRx Health & Science November 8, 2009 700+ words
...includes twins finds that the risk of hip fracture was significantly increased...cardiovascular events and future hip fracture risk and to examine to what extent...hip fracture. "An increased hip fracture risk for the pseudoexposure in the...
- Studies from University of Medicine and Dentistry of New Jersey yield new data...
- Magazine article from: Women's Health Weekly January 8, 2009 700+ words
...report (see also Hip Fracture Risk Factors). "The...hospitalization for hip fracture between 1/1...adjusted relative risks and 95% confidence...associated with hip fracture, and with prior...3-fold higher risk of death at 1 year...
- Incidence of and risk factors for falls following hip fracture in...
- Magazine article from: Physical Therapy Shumway-Cook, Anne Ciol, Marcia A. Gruber, William Robinson, Cynthia July 1, 2005 700+ words
...indicators of increased risk for falls following hip fracture. (17) Fox et...elderly patients with hip fracture who have an increased risk for postfracture...fall-related hip fracture. Subjects were...would increase risk for falls, such...
- Studies from S. Barbier and co-researchers yield new data on hip fracture risk...
- Magazine article from: Women's Health Weekly February 26, 2009 700+ words
...Geographical variations in hip fracture risk for women: strong effects hidden...and colleagues, (see also Hip Fracture Risk Factors). The researchers...Geographical variations in hip fracture risk for women: strong effects hidden...
- Study results from University of Sydney in the area of hip fracture risk...
- Newspaper article from: Health & Medicine Week July 6, 2009 700+ words
...multivariate analysis, an increased risk of hip fracture was significantly associated...University of Sydney (see also Hip Fracture Risk Factors). The researchers...USA. Keywords: Australia, Hip Fracture Risk Factors, Hip Fractures. This...
- Short-term persistent depression following hip fracture: A risk factor and...
- Magazine article from: Social Work Research Zimmerman, Sheryl Itkin Smith, H. David Gruber-Baldini, Ann Fox, Kathleen M. Hebel, J. Richard Kenzora, John Felsenthal, Gerald Magaziner, Jay September 1, 1999 700+ words
...Persistent depression is a risk factor for poor recovery following hip fracture. The purpose of this...depression; elderly people; hip fracture; resilience; risk factor Maximizing recovery following hip fracture presents an important...
