Department of Internal Diseases, Endocrinology and Diabetology, Central Clinical Hospital MSWiA, 02-507 Warsaw, Poland.
Ministry of Health, 00-952 Warsaw, Poland.
Int J Environ Res Public Health. 2022 Aug 2;19(15):9467. doi: 10.3390/ijerph19159467.
Aim: The incidence of fractures correlates with many independent and interrelated factors. The aim of the study was to examine trends in fracture incidence and to find possible reasons for changes. Materials and methods: A complete dataset of Polish population aged above 50 from the National Heath Fund—which is a single, state-owned payer for the health service procedures in Poland—covering the years between 2010 and 2015 was analyzed along with climate dataset. Results: The analysis indicated that there was a substantial and statistically significant decrease in the incidence of forearm and hip fractures (p = 0.007 and 0.007, respectively). On the other side, there was a statistically significant increase in incidence of humerus and lumbar fractures (p = 0.002, p < 0.001, respectively). The observed changes (especially decrease in forearm and hip fracture incidence) happened mostly in the cold season and were correlated to mean-temperature changes during the assessed time period. Conclusion: In the analysis based on the dataset obtained from fracture-related database collected in Poland in the years 2010−2015 in the population of patients over 50 years of age, we observed that the changes of fracture incidence during the observation period are associated with and may be dependent on the season (warmer versus colder) and on mean temperature increase during the observation period.
骨折的发生率与许多独立和相互关联的因素有关。本研究的目的是检查骨折发生率的趋势，并寻找可能的变化原因。
对波兰国家卫生基金（波兰卫生服务程序的单一国有付款人）在 2010 年至 2015 年间收集的 50 岁以上波兰人群的完整数据集进行了分析，并结合气候数据集进行了分析。
分析表明，前臂和髋部骨折的发生率显著下降（p=0.007 和 0.007）。另一方面，肱骨干和腰椎骨折的发生率呈显著上升（p=0.002，p<0.001）。观察到的变化（尤其是前臂和髋部骨折发生率的下降）主要发生在寒冷季节，与评估期间的平均温度变化相关。
在对 2010 年至 2015 年间波兰骨折相关数据库中收集的 50 岁以上患者人群的数据集进行的分析中，我们观察到观察期间骨折发生率的变化与季节（较冷与较暖）和观察期间平均温度升高有关，并可能与之相关。
