Kalan Farmanfarma Khadijeh, Yarmohammadi Soudabeh, Fakharian Esmaeil, Gobbens Robbert J, Mahdian Mehrdad, Batooli Zahra, Lotfi Mohammad-Sajjad, Abedzadeh-Kalahroudi Masoumeh, Vatan Reza Fadaei, Khosravi Gholamreza Reza, Fazel Mohammad Reza, Sehat Mojtaba
Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Trauma Research Center, Department of Neurosurgery, Kashan University of Medical Sciences, Kashan, IR Iran.
Int J Prev Med. 2024 Aug 30;15:42. doi: 10.4103/ijpvm.ijpvm_169_23. eCollection 2024.
The hip fracture causes significant disabilities in many elderly people. Many studies around the world have identified various risk factors for the hip fracture. The aim of this study was to systematically investigate the risk factors of hip fractures. This study is a systematic review of risk factors for hip fractures. All published papers in English and Persian languages on patients in Iran and other countries between 2002 - 2022 were examined. The search strategy used keywords matching the mesh, including : predictors, hip fracture, and disability. Articles were selected from international databases (PubMed, Proquest ,Web of Sience, Scopus, Google scholar and Persian(Sid,Magiran), and the Newcastle Ottawa Scale was used to assess the risk of bias. The study has identified several factors that were significantly correlated with the risk of hip fracture, including age, cigarette and alcohol consumption, visual and hearing problems, low BMI levels, history of falling, weakness, and diseases such as stroke, cardiovascular disease, high blood pressure, arthritis, diabetes, dementia, Alzheimer's, Parkinson's, liver and kidney diseases, bone density, osteoporosis, vertebral fracture, and hyperthyroidism. However, the study did not find any significant correlations between the consumption of calcium and vitamin D, history of fractures, cognitive disorders, schizophrenia, and household income, and the risk of hip fracture. The results of this study reveal the determining role of some risk factors in hip fracture in older persons. Therefore, it is recommended that health policy makers provide the possibility of early intervention for some changeable factors.
髋部骨折会给许多老年人带来严重的残疾。世界各地的许多研究已经确定了髋部骨折的各种风险因素。本研究的目的是系统地调查髋部骨折的风险因素。本研究是对髋部骨折风险因素的系统评价。对2002年至2022年间伊朗和其他国家患者的所有英文和波斯文发表论文进行了审查。搜索策略使用了与医学主题词表匹配的关键词，包括：预测因素、髋部骨折和残疾。文章从国际数据库（PubMed、Proquest、Web of Science、Scopus、谷歌学术和波斯文数据库（Sid、Magiran）中选取，并使用纽卡斯尔-渥太华量表评估偏倚风险。该研究确定了几个与髋部骨折风险显著相关的因素，包括年龄、吸烟和饮酒、视力和听力问题、低体重指数水平、跌倒史、虚弱以及中风、心血管疾病、高血压、关节炎、糖尿病、痴呆症、阿尔茨海默病、帕金森病、肝脏和肾脏疾病、骨密度、骨质疏松症、椎体骨折和甲状腺功能亢进等疾病。然而，该研究未发现钙和维生素D的摄入量、骨折史、认知障碍、精神分裂症和家庭收入与髋部骨折风险之间存在任何显著相关性。本研究结果揭示了一些风险因素在老年人髋部骨折中的决定性作用。因此，建议卫生政策制定者为一些可改变的因素提供早期干预的可能性。
