| アブストラクト | OBJECTIVE: To estimate risk of fracture in men and women with recent diagnosis of type 2 diabetes compared with individuals without diabetes. RESEARCH DESIGN AND METHODS: In this cohort study, we used routinely collected U.K. primary care data from The Health Improvement Network. In adults (>35 years) diagnosed with type 2 diabetes between 2004 and 2013, fractures sustained until 2019 were identified and compared with fractures sustained in individuals without diabetes. Multivariable models estimated time to first fracture following diagnosis of diabetes. Annual prevalence rates included at least one fracture in a given year. RESULTS: Among 174,244 individuals with incident type 2 diabetes and 747,290 without diabetes, there was no increased risk of fracture among males with diabetes (adjusted hazard ratio [aHR] 0.97 [95% CI 0.94, 1.00]) and a small reduced risk among females (aHR 0.94 [95% CI 0.92, 0.96]). In those aged >/=85 years, those in the diabetes cohort were at significantly lower risk of incident fracture (males: aHR 0.85 [95% CI 0.71, 1.00]; females: aHR 0.85 [95% CI 0.78, 0.94]). For those in the most deprived areas, aHRs were 0.90 (95% CI 0.83, 0.98) for males and 0.91 (95% CI 0.85, 0.97) for females. Annual fracture prevalence rates, by sex, were similar for those with and without type 2 diabetes. CONCLUSIONS: We found no evidence to suggest a higher risk of fracture following diagnosis of type 2 diabetes. After a diagnosis of type 2 diabetes, individuals should be encouraged to make positive lifestyle changes, including undertaking weight-bearing physical activities that improve bone health. |
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| ジャーナル名 | Diabetes care |
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| 投稿日 | 2020/11/6 |
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| 投稿者 | Davie, Gabrielle S; Pal, Kingshuk; Orton, Elizabeth; Tyrrell, Edward G; Petersen, Irene |
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| 組織名 | Injury Prevention Research Unit, Department of Preventive and Social Medicine,;University of Otago, Dunedin, New Zealand gabrielle.davie@otago.ac.nz.;Department of Primary Care and Population Health, University College London,;London, U.K.;Division of Primary Care, School of Medicine, University of Nottingham,;Nottingham, U.K. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/33148635/ |
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