caa a22 4500 605520925 CHVBK 20210128100737.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00223-015-0039-9 doi (NATIONALLICENCE)springer-10.1007/s00223-015-0039-9 Humeral Fractures in South-Eastern Australia: Epidemiology and Risk Factors [Elektronische Daten] [Kara Holloway, Gosia Bucki-Smith, Amelia Morse, Sharon Brennan-Olsen, Mark Kotowicz, David Moloney, Kerrie Sanders, Sam Korn, Elizabeth Timney, Amelia Dobbins, Julie Pasco] In this study, we report the epidemiology and risk factors for humeral fractures (proximal humerus and shaft) among men and women residing in south-eastern Australia. Incident fractures during 2006 and 2007 were identified using X-ray reports (Geelong Osteoporosis Study Fracture Grid). Risk factors were identified using data from case-control studies conducted as part of the Geelong Osteoporosis Study. Median age of fracture was lower in males than females for proximal humerus (33.0 vs 71.2years), but not for humeral shaft (8.9 vs 8.5years). For females, proximal humerus fractures occurred mainly in the 70-79 and 80+years age groups, whereas humeral shaft fractures followed a U-shaped pattern. Males showed a U-shaped pattern for both proximal humerus and humeral shaft fractures. Overall age-standardised incidence rates for proximal humerus fractures in males and females were 40.6 (95% CI 32.7, 48.5) and 73.2 (95% CI 62.2, 84.1) per 100,000 person years, respectively. For humeral shaft fractures, the age-standardised rate was 69.3 (95% CI 59.0, 79.6) for males and 61.5 (95% CI 51.9, 71.0) for females. There was an increase in risk of proximal humerus fractures in men with a lower femoral neck BMD, younger age, prior fracture and higher milk consumption. In pre-menopausal women, increased height and falls were both risk factors for proximal humerus fractures. For post-menopausal women, risk factors associated with proximal humerus fractures included a lower non-milk dairy consumption and sustaining a prior fracture. Humeral shaft fractures in both sexes were sustained mainly in childhood, while proximal humerus fractures were sustained in older adulthood. The overall age-standardised rates of proximal humerus fractures were nearly twice as high in females compared to males, whereas the incidence rates of humeral shaft fractures were similar. Springer Science+Business Media New York, 2015 Epidemiology nationallicence Incident fractures nationallicence Humerus nationallicence Risk factors nationallicence Australia nationallicence Incidence nationallicence Holloway Kara Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut Bucki-Smith Gosia Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut Morse Amelia Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut Brennan-Olsen Sharon Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut Kotowicz Mark Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut Moloney David Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut Sanders Kerrie Melbourne Medical School-Western Campus, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, C/- Sunshine Hospital, Melbourne, Australia aut Korn Sam Barwon Health, Ryrie Street, 3220, Geelong, VIC, Australia aut Timney Elizabeth Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut Dobbins Amelia Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut Pasco Julie Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut Calcified Tissue International Springer US; http://www.springer-ny.com 97/5(2015-11-01), 453-465 0171-967X 97:5<453 2015 97 223 https://doi.org/10.1007/s00223-015-0039-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00223-015-0039-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Holloway Kara Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut NATIONALLICENCE 700 1- Bucki-Smith Gosia Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut NATIONALLICENCE 700 1- Morse Amelia Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut NATIONALLICENCE 700 1- Brennan-Olsen Sharon Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut NATIONALLICENCE 700 1- Kotowicz Mark Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut NATIONALLICENCE 700 1- Moloney David Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut NATIONALLICENCE 700 1- Sanders Kerrie Melbourne Medical School-Western Campus, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, C/- Sunshine Hospital, Melbourne, Australia aut NATIONALLICENCE 700 1- Korn Sam Barwon Health, Ryrie Street, 3220, Geelong, VIC, Australia aut NATIONALLICENCE 700 1- Timney Elizabeth Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut NATIONALLICENCE 700 1- Dobbins Amelia Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut NATIONALLICENCE 700 1- Pasco Julie Epi-Centre for Healthy Ageing, IMPACT SRC, School of Medicine, Deakin University, C/- Kitchener House, Barwon Health, PO Box 281, 3220, Geelong, VIC, Australia aut NATIONALLICENCE 773 0- Calcified Tissue International Springer US; http://www.springer-ny.com 97/5(2015-11-01), 453-465 0171-967X 97:5<453 2015 97 223