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Decreased physical health-related quality of life—a persisting state for older women with clinical vertebral fracture
Geriatric Medicine, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden & Department of Orthopedics, Sahlgrenska University Hospital, Mölndal, Sweden.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Gothenburg Centre for Person-Centered Care (GPCC), University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0002-2189-7617
Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Gothenburg Centre for Person-Centered Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
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2019 (English)In: Osteoporosis International, ISSN 0937-941X, E-ISSN 1433-2965, Vol. 30, no 10, p. 1961-1971Article in journal (Refereed) Published
Abstract [en]

In a population-based study of older Swedish women, we investigated if clinical vertebral fracture was associated with lower health-related quality of life (HRQoL) and determined whether the association remained over time. Clinical vertebral fracture was associated with lower HRQoL and the effect persisted for up to 18.9 years.

Introduction

Vertebral fractures are often associated with back pain and reduced physical function, which might result in isolation and depression. As a result, women with vertebral fractures often have lower health-related quality of life (HRQoL), but during what time frame the decrease lingers is unclear. Therefore, the aim of this study was to investigate if clinical vertebral fracture and hip fracture were associated with lower HRQoL and to determine whether the associations remained over time.

Methods

Vertebral fracture assessments (VFA) were performed using dual-energy X-ray absorptiometry. Data regarding prior fractures, medications, medical history, and physical activity was collected using a questionnaire. Self-rated physical HRQoL was assessed using the 12-Item Short-Form Health Survey (SF-12). Women with clinical vertebral fractures were divided into tertiles according to time since fracture onset and their HRQoL was compared with non-fractured women.

Results

In a population-based cross-sectional study of 3028 women aged 77.8 ± 1.63 (mean ± SD), a total of 130 (4.3%) women reported at least one clinical vertebral fracture. Women with a clinical vertebral fracture, divided into tertiles (T1–T3) depending on time since the fracture occurred, had lower HRQoL (T1: 36.3 ± 10.8; T2: 41.0 ± 9.94; and T3:41.6 ± 11.4) than women without fracture (46.2 ± 10.6; p < 0.001). Using linear regression analysis, clinical vertebral fracture was associated with reduced physical HRQoL for up to 18.9 years, independently of covariates (age, height, weight, smoking, prior stroke, mental HRQoL, grip strength, and lumbar spine BMD).

Conclusions

Clinical vertebral fracture was associated with lower self-rated physical HRQoL, for up to 18.9 years after time of fracture. © 2019, The Author(s).

Place, publisher, year, edition, pages
London: Springer London, 2019. Vol. 30, no 10, p. 1961-1971
Keywords [en]
HRQoL, Older women, Vertebral fractures, VFA
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-40369DOI: 10.1007/s00198-019-05044-0PubMedID: 31227884Scopus ID: 2-s2.0-85067860142OAI: oai:DiVA.org:hh-40369DiVA, id: diva2:1341077
Projects
SUPERB
Funder
Swedish Research Council
Note

L. Johansson and H. K. Svensson contributed equally to this work. Funding: This study was funded by the ALF/LUA grant from the Sahlgrenska University Hospital, the Swedish Research Council (VR), the Lundberg foundation, Agneta Prytz-Folk’s and Gösta Folke’s Foundation, and King Gustaf V’s and Queen Victoria’s Freemason Foundation.

Available from: 2019-08-07 Created: 2019-08-07 Last updated: 2019-10-23Bibliographically approved

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