Is There an Interaction Between Socioeconomic Status and FRAX 10-Year Fracture Probability Determined With and Without Bone Density Measures? Data from the Geelong Osteoporosis Study of Female Cohort

Verfasser / Beitragende:
[S. Brennan, S. Quirk, S. Hosking, M. Kotowicz, K. Holloway, D. Moloney, A. Dobbins, J. Pasco]
Ort, Verlag, Jahr:
2015
Enthalten in:
Calcified Tissue International, 96/2(2015-02-01), 138-144
Format:
Artikel (online)
ID: 605521557
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024 7 0 |a 10.1007/s00223-014-9946-4  |2 doi 
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245 0 0 |a Is There an Interaction Between Socioeconomic Status and FRAX 10-Year Fracture Probability Determined With and Without Bone Density Measures? Data from the Geelong Osteoporosis Study of Female Cohort  |h [Elektronische Daten]  |c [S. Brennan, S. Quirk, S. Hosking, M. Kotowicz, K. Holloway, D. Moloney, A. Dobbins, J. Pasco] 
520 3 |a FRAX© evaluates 10-year fracture probabilities and can be calculated with and without bone mineral density (BMD). Low socioeconomic status (SES) may affect BMD, and is associated with increased fracture risk. Clinical risk factors differ by SES; however, it is unknown whether aninteraction exists between SES and FRAX determined with and without the BMD. From the Geelong Osteoporosis Study, we drew 819 females aged ≥50years. Clinical data were collected during 1993-1997. SES was determined by cross-referencing residential addresses with Australian Bureau of Statistics census data and categorized in quintiles. BMD was measured by dual energy X-ray absorptiometry at the same time as other clinical data were collected. Ten-year fracture probabilities were calculated using FRAX (Australia). Using multivariable regression analyses, we examined whether interactions existed between SES and 10-year probability for hip and any major osteoporotic fracture (MOF) defined by use of FRAX with and without BMD. We observed a trend for a SES*FRAXno-BMD interaction term for 10-year hip fracture probability (p=0.09); however, not for MOF (p=0.42). In women without prior fracture (n=518), we observed a significant SES*FRAXno-BMD interaction term for hip fracture (p=0.03) and MOF (p=0.04). SES does not appear to have an interaction with 10-year fracture probabilities determined by FRAX with and without BMD in women with previous fracture; however, it does appear to exist for those without previous fracture. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Australia  |2 nationallicence 
690 7 |a Bone mineral density  |2 nationallicence 
690 7 |a FRAX  |2 nationallicence 
690 7 |a Social disadvantage  |2 nationallicence 
690 7 |a Women  |2 nationallicence 
700 1 |a Brennan  |D S.  |u School of Medicine, Deakin University, 3220, Geelong, VIC, Australia  |4 aut 
700 1 |a Quirk  |D S.  |u School of Medicine, Deakin University, 3220, Geelong, VIC, Australia  |4 aut 
700 1 |a Hosking  |D S.  |u School of Medicine, Deakin University, 3220, Geelong, VIC, Australia  |4 aut 
700 1 |a Kotowicz  |D M.  |u NorthWest Academic Centre, The University of Melbourne, 3021, St Albans, VIC, Australia  |4 aut 
700 1 |a Holloway  |D K.  |u School of Medicine, Deakin University, 3220, Geelong, VIC, Australia  |4 aut 
700 1 |a Moloney  |D D.  |u School of Medicine, Deakin University, 3220, Geelong, VIC, Australia  |4 aut 
700 1 |a Dobbins  |D A.  |u School of Medicine, Deakin University, 3220, Geelong, VIC, Australia  |4 aut 
700 1 |a Pasco  |D J.  |u School of Medicine, Deakin University, 3220, Geelong, VIC, Australia  |4 aut 
773 0 |t Calcified Tissue International  |d Springer US; http://www.springer-ny.com  |g 96/2(2015-02-01), 138-144  |x 0171-967X  |q 96:2<138  |1 2015  |2 96  |o 223 
856 4 0 |u https://doi.org/10.1007/s00223-014-9946-4  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00223-014-9946-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Brennan  |D S.  |u School of Medicine, Deakin University, 3220, Geelong, VIC, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Quirk  |D S.  |u School of Medicine, Deakin University, 3220, Geelong, VIC, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hosking  |D S.  |u School of Medicine, Deakin University, 3220, Geelong, VIC, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kotowicz  |D M.  |u NorthWest Academic Centre, The University of Melbourne, 3021, St Albans, VIC, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Holloway  |D K.  |u School of Medicine, Deakin University, 3220, Geelong, VIC, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Moloney  |D D.  |u School of Medicine, Deakin University, 3220, Geelong, VIC, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dobbins  |D A.  |u School of Medicine, Deakin University, 3220, Geelong, VIC, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pasco  |D J.  |u School of Medicine, Deakin University, 3220, Geelong, VIC, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Calcified Tissue International  |d Springer US; http://www.springer-ny.com  |g 96/2(2015-02-01), 138-144  |x 0171-967X  |q 96:2<138  |1 2015  |2 96  |o 223