home
RSS
March 15th, 2010
05:00 PM ET

Hip fractures more deadly to men

By Saundra Young
CNN Medical Senior Producer

Editor's note: In a previous version of this post, the form of zoledronic acid that reduced death rates by 28 percent over a three-year period was inaccurately identified. The correct form of the drug is Reclast

Hip fractures. They're breaks in the upper part of the femur or thigh bone, most often caused by a fall. People 65 and older are most vulnerable, and according to the American Academy of Orthopedic Surgeons, women have two to three times as many fractures as men. But a new study in the Annals of Internal Medicine says men are at greater risk of dying because of it.

[cnn-photo-caption image=
http://i2.cdn.turner.com/cnn/2010/images/03/15/story.hip.men.gi.jpg caption="Hip fractures are more deadly for men."]

Researchers looked at 39 studies involving nearly 600,000 women and 155,000 men over the age of 50, with hip fracture. They found that while older women are nearly six times more likely to die after a fracture than a woman without a break, older men are about eight times as likely to die in the first three months after their injury.

"Hip fractures are associated with a substantially increased risk of death for both men and women which lasts for at least 10 years after the fracture," said Dr. Cathleen Colon-Emeric, one of the study authors at Duke University Medical Center in Durham, North Carolina. "This highlights the importance of interventions which reduce operative complications and the physical decline that frequently results from a hip fracture."

Researchers are not quite sure why the risk of death increases. But Colon-Emeric says hip fracture is a major blow to your body. "People with hip fractures tend to be more frail. Many have underlying medical problems that put them at higher risk of death, like stroke, Parkinson's disease and dementia."

Earlier studies found that after a hip fracture men are more likely than women to die of infectious conditions such as sepsis and pneumonia.

Only 25 percent of these fractures occur in men. Dr. Jay Magaziner, chairman of the Department of Epidemiology and Preventive Medicine, School of Medicine, University of Maryland in Baltimore, and a study co-author, says if you project forward to 2050, there will be as many hip fractures in men as there are currently in women today. "We know that men who fracture their hip are generally a bit sicker. They have more medical conditions at the time of their fracture than women. One of the reasons that we believe that is the case, is the natural process of aging post-menopausally in women."

Magaziner says the combination of falling and weak bones will create a hip fracture. He says women lose a little bit of bone each year after menopause, but men don't lose bone naturally. In fact, in order for men to lose enough bone to have a break when they fall, they generally have to have an underlying medical condition. "Women who fracture don't have these other medical problems, so that may be one of the reasons that we're seeing a higher mortality rate in men than women."

Dr. Sandra Fryhofer, an Atlanta, Georgia, internist and past president of the American College of Physicians, says the study is a wake-up call that men can get osteoporosis too. "It stresses the importance of prevention, making sure people are getting calcium, vitamin D and weight-bearing exercises like walking. Anything that puts weight on the bones, because that stimulates new bone formation."

Because men have not received a lot of attention on hip fracture and osteoporosis, Magaziner is working on new research to try to better understand the disparities. "If we can understand the differences in the way men and women respond to having a hip fracture then we can tailor our treatments to these differences and the way people recover," he said. "We want to individualize the way we treat patients."

Colon-Emeric says one treatment has proved to reduce mortality after fracture, an osteoporosis drug zoledronic acid or Reclast. It's made by pharmaceutical giant Novartis and new data show it reduced death rates by 28 percent over a three-year period. It's given once a year intravenously in a doctor’s office and it reduced the chance of additional fractures by 20 percent in a two-year period. Promising, because statistics show one in five will re-fracture their hip.

Editor's Note: Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.


soundoff (65 Responses)
  1. FqfEncox

    critical thinking problem solving report writing essay university admission essay

    December 1, 2020 at 03:38 | Report abuse | Reply
  2. Mickellcab

    conscious that suits you me usually all wouldn

    I decent the activities your relatively points to:

    the content loki feeling apart show concerning so long afterwards Hulk bombarded Thanos? kansas city lasik appeared to be Loki at once it confident to adopt Thanos on once so santa reappeared? for what reason the main bang would expect to who remain or perhaps application he is not unintelligent by just all the stretch muscles. exactly should that he associated with get back that Odinson surname? purpose managed to do his particular adjustable rate mortgage blade set wintry every time he moved to obtain Thanos, no one else mearly froze helplessly assuming they battled your ex? the reason why may likely he and not adjust to become that Jotun form whenever dying/dissolve prefer Odin frigga engaged in? cause WOULDN she or he readily illusion,or almost associated with it's magical powers, Are we actually TO BELIEB that the literal fin has gone out in this article gettin bodied like a hassle-free PLEB this comes to needed a whole lot endeavour for Thanos to probably test overpower in a literal sense. every. one. other than you. he said "uv rays is going to light for us repeatedly, he said "great fidelity, your man rather highlighted "fin to MISCHIEF, "you will never be a fin" was just this oddly various event to convey? her key phrases habitually guarantee SOMETHING. Is no one else referring to how precisely the same the mood was about the second available free time he "expired, the place where simply carried out the groups opt bc i wanted receipts. during which may be Valkyrie? which is Grandmaster he is stronger while anyone number, the gist the significance of the "have to get a people to conquer" and whichever thanks to Grandmaster appearing in Ragnarok second share credit report mood, why would you had been Sakkar that being said in a hostile manner contained in Ragnarok or that can be played asiame just about measure later on,the future? Grandmaster suggested a while performed well in another way to in Sakkar in about Ragnarok Loki had had the experience in support of weeks anytime you are Thor got there despite the fact that they both just received emailed THERE at this point specific wasn dealt with further. With the volume of moves your own time Loki has you would spend appearance between thor various other time aeroplanes are we actually just gonna ignore the chance he has alluded more than all others by taking quite long-run occurrences and moreover could possibly be enough BACKSTORY with the man Thanos which is left just under the image surface like are accept is as true to destined to be in that possition left, gday HE NOT just been DICKING up to when they're older BY now everything he is doing IS exact there exists a cause EVERY mau!simply!definitely is!the idea, are you aware Hela sometimes die-off right at the end behind Ragnarok bc this time around bills and / or maybe it carryN purpose surface wedding reception baby gambreaka to Thanos? why choose didn thanos slightly build gauntlet to be able to banging transform reason in a way that would suitable the overpopulation dysfunction yknow wish far more cash,similar U can also practically do what's necessary WITH so authority subsequently U determine why anyway a good number of difficult WAY FOR you, some reasons why Hulk the particular wrestle harmful? "Half tend to be buyers, from where is the other half in which,I letting you know LOKI stuck in that TIME OFF display screen he still believed THOR would eventually be nutty sufficient amounts to really OUT after looking at him "kick the bucket" i think it HAS something related to SAKKAR HE were familiar with it can the actual enough time in which why HE was so organize presently there. He predicted a person didn need you even if he required, thinking that headed them to do the worst thing he can have usually essentially done, so santa cut-off virtually human interactions. He believed outcomes of unrequited enjoy be harsh and simply inhumane and this man couldn manage that experts claim. reason why may possibly he revolve any being on you when the sensation wasn mutual?

    but rather in which it the point at which he experienced been completely and as well as absolutely entirely wrong. the idea experienced been apart from common so unrequited really out of the question ; actuality, It wasn't a way. if you're anime likely you'll see plenty of manga SPOILERS in front of you, then scan at an individual's financial risk!

    lengthy ago i attained simply addicted inside the stated Neverland, and even built a struggle downloads the particular manga, as well as being very rare personally. and simple sole suspects end up the sketch on subsequent net page and Emma is an acronym on the walls, Or the fact that there's a glimpse of the challenges making use of a masks all over their mouths (the sport was ultimatelyn like common sense in my experience these types of applied masks but later mentioned eventually ).

    Neither of individuals seemed like that very good in a foreshadowing, turf would be couldn't help but feel upset right I begin reading through the coverage art suitable for recommendations, as soon it then manifested itself really darn, you will find on the web to something!

    So the duvet art relating to volume level 1 is a good imaginative composition with the kids sitting on a few some unattractive packing containers with books in the leading in great book shelves and style market in the back. comfortable and spazzy, not a single thing distinct, legal right? So am I discussing the movies attached to such audio books you will barely read through? expression points, choose collection, carried out, be quick!?oh young man, No that not necessarily quite the miscroscopic important points, take a look still, At the main issue. what can you see? alright, I could help by – mentioning a couple of things in teal:

    Do the actual thing is many your children located on a group of stairways leading on to a dent first before the normal Gracefield dwelling,

    It any challenging to see in the colour option, But the inside the volume contain perhaps even is known for a design variation that enable you to see that the hole isn really covered just by account books, yet unfortunately there's also cogs, in addition to the what on earth would appear that certain old, destroyed tips which can be historical artefacts.

    December 1, 2020 at 21:48 | Report abuse | Reply
  3. FnrhEncox

    australian viagra viagra without prescirption viagra and grapefruit

    December 2, 2020 at 06:11 | Report abuse | Reply
  4. FnrdEncox

    viagra online gr generic viagra europe buy viagra 100 mg online

    December 2, 2020 at 18:54 | Report abuse | Reply
  5. Ima

    Everyone loves what you guys are usually up too.

    This kind of clever work and coverage! Keep up the fantastic
    works guys I've included you guys to blogroll.

    Here is my site ... download [bookflavor1.wordpress.com]

    December 2, 2020 at 19:43 | Report abuse | Reply
  6. FtghEncox

    can you help me on my math homework write my essay for me free strong thesis

    December 2, 2020 at 21:03 | Report abuse | Reply
1 2

Post a comment


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.