caa a22 4500 44583224X CHVBK 20180317145319.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s00586-011-1852-0 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1852-0 Vertebral fracture and cause-specific mortality: a prospective population study of 3,210 men and 3,730 women with 30years of follow-up [Elektronische Daten] [Ville Puisto, Harri Rissanen, Markku Heliövaara, Olli Impivaara, Tuomas Jalanko, Heikki Kröger, Paul Knekt, Arpo Aromaa, Ilkka Helenius] Introduction: Vertebral fractures predict mortality, but little is known about their associations with the causes of death. We studied vertebral fractures for prediction of cause-specific mortality. Material and methods: A nationally representative sample of 3,210 men and 3,730 women participated Mini-Finland health survey in 1978-1980. Vertebral fractures at the Th1-Th12 levels were identified from chest radiographs at baseline. Cox's proportional hazard model was used to estimate the strength of association between vertebral fracture and mortality. Results: The relative risk (95% confidence interval) of death from natural causes was 1.49 (0.89-2.48) in men and 0.89 (0.60-1.31) in women with vertebral fractures (adjusted for age, body mass index, serum 25-hydroxyvitamin D, educational level, smoking, alcohol intake, physical activity and self-rated general health). Among women the adjusted relative risk of an injury death was 8.51 (3.48-20.77), whereas none of the men with vertebral fracture died due to an injury. Conclusion: The patterns of mortality predicted by fracture in the thoracic spine differ between men and women. Springer-Verlag, 2011 Vertebral fracture nationallicence Osteoporosis nationallicence Hip fracture nationallicence Cause-specific mortality nationallicence Puisto Ville National Institute for Health and Welfare, Mannerheimintie 166, 00271, Helsinki, Finland aut Rissanen Harri National Institute for Health and Welfare, Mannerheimintie 166, 00271, Helsinki, Finland aut Heliövaara Markku National Institute for Health and Welfare, Mannerheimintie 166, 00271, Helsinki, Finland aut Impivaara Olli National Institute for Health and Welfare, Mannerheimintie 166, 00271, Helsinki, Finland aut Jalanko Tuomas Hospital for Children and Adolescents, Helsinki University Central Hospital, Helsinki, Finland aut Kröger Heikki Kuopio University Hospital, Kuopio, Finland aut Knekt Paul National Institute for Health and Welfare, Mannerheimintie 166, 00271, Helsinki, Finland aut Aromaa Arpo National Institute for Health and Welfare, Mannerheimintie 166, 00271, Helsinki, Finland aut Helenius Ilkka Turku University Hospital, Turku, Finland aut European Spine Journal Springer-Verlag 20/12(2011-12-01), 2181-2186 0940-6719 20:12<2181 2011 20 586 https://doi.org/10.1007/s00586-011-1852-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1852-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Puisto Ville National Institute for Health and Welfare, Mannerheimintie 166, 00271, Helsinki, Finland aut NATIONALLICENCE 700 1- Rissanen Harri National Institute for Health and Welfare, Mannerheimintie 166, 00271, Helsinki, Finland aut NATIONALLICENCE 700 1- Heliövaara Markku National Institute for Health and Welfare, Mannerheimintie 166, 00271, Helsinki, Finland aut NATIONALLICENCE 700 1- Impivaara Olli National Institute for Health and Welfare, Mannerheimintie 166, 00271, Helsinki, Finland aut NATIONALLICENCE 700 1- Jalanko Tuomas Hospital for Children and Adolescents, Helsinki University Central Hospital, Helsinki, Finland aut NATIONALLICENCE 700 1- Kröger Heikki Kuopio University Hospital, Kuopio, Finland aut NATIONALLICENCE 700 1- Knekt Paul National Institute for Health and Welfare, Mannerheimintie 166, 00271, Helsinki, Finland aut NATIONALLICENCE 700 1- Aromaa Arpo National Institute for Health and Welfare, Mannerheimintie 166, 00271, Helsinki, Finland aut NATIONALLICENCE 700 1- Helenius Ilkka Turku University Hospital, Turku, Finland aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/12(2011-12-01), 2181-2186 0940-6719 20:12<2181 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer