Life style risk factors for femoral neck fracture in Dr. Sardjito Hospital

Helmiza Fahry(1), Sugeng Yuwana(2*)

(1) Universitas Gadjah Mada/ RSUP Dr. Sardjito Yogyakarta - Indonesia
(2) Universitas Gadjah Mada/ RSUP Dr. Sardjito Yogyakarta - Indonesia
(*) Corresponding Author


As life expentancy improved, the incidence of femoral neck fracture, as one of the most
common traumatic injuries in the elderly, has also increased. Risk for fracture is not only
determined by age and sex but also by the degree of osteoporosis and certain life-styles.
The purpose of this study was to investigate life-style risk factors for femoral neck fracture
in Dr. Sardjito General Hospital, Yogyakarta. In this case-control study, all patients with
femoral neck fractures admitted to the Orthopedic Division and Traumatology, Department
of Surgery in 2013 – 2014 was included as cases. Controls were subjects without
fracture of similar age and sex. Data of corticosteroid use, habitual coffee consumption,
visual acuity disorders, habitual use of slippers and engagement in routine sport activity
were collected with questionnaires. We invited 63 patients (51 females and 12 males)
and 63 controls. Corticosteroid use, habitual coffee consumption, visual acuity disorder
and habitual use of slippers were risks factors for fractures, OR (95% CI) = 7.5 (2.9-
21.6), p < 0.001; 7.5 (2.9-21.6), p < 0.001; 3.2 (1.6-6.8), p < 0.001 and 5.7 (2.7-
12.6), p < 0.001, respectively. Engagement in routine sport activity was a protecting
factor, OR (95% CI) = 0.10 (0.02-0.33), p < 0.001. In conclusion, corticosteroid use,
habitual coffee consumption, visual acuity disorder and habitual use of slippers are risk
for fractures, while engagement in routine sport is a protecting factor


femoral neck fracture, corticosteroid, coffee, visual acuity, sport

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Dhanwal DK, Dennison EM, Harvey NC, Cooper C. Epidemiology of hip fracture: worldwide geographic variation. Indian J Orthop. 2011;45(1):15–22 2. LeBlanc KE, Muncie HL, LeBlanc LL. Hip Fracture: Diagnosis, Treatment, and Secondary Prevention. Am Fam Physician 2014;89(12):945-51 3. Kanis JA, Odén A, McCloskey EV, Johansson H, Wahl DA, Cooper C on behalf of the IOF Working Group on Epidemiology and Quality of Life. A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int 2012;23:2239–56 DOI 10.1007/s00198-012-1964-3 4. Kanis JA, Johansson H, Oden A, Johnell O, de Laet C, Melton LJ, Tenenhouse A, Reeve J, Silman AJ, Pols HAP, Eisman JA, McCloskey EV, Mellstrom D. A Meta-Analysis of Prior Corticosteroid Use and Fracture Risk. J Bone Miner Res 2004;19:893–9. Published online on January 27, 2004; doi:10.1359/JBMR.040134 5. Overman RA, Yeh J, Deal CL. Prevalence of oral glucocorticoid usage in the United States: a general population perspective. Arthritis Care & Research 2013;65(2):294–8. DOI 10.1002/acr.21796 6. Liu H, Yao K, Zhang W, Zhou J, Wu T, He C. Systematic review/ meta-analysis Coffee consumption and risk of fractures: a meta-analysis. Arch Med Sci 2012; 8(5): 776-83 7. Hallström H, Melhus H, Glynn A, Lind L, Syvänen A, Michaëlsson K. Coffee consumption and CYP1A2 genotype in relation to bone mineral density of the proximal femur in elderly men and women: a cohort study. Nutrition & Metabolism 2010, 7:12 8. Santos MP, Pagani JCM, Silva TD, Garcia JAD, Romao MOC, Fernandes GJM, Soares EA. Effects of coffee (Coffea arabica) consumption on the femoral morphology and biomechanics in rats. J. Morphol. Sci., 2014;31(1):42–7 9. Heaney RP. Effects of caffeine on bone and the calcium economy. Food and Chemical Toxicology 2002;40:1263–70 10. Cacchione PZ. 15.4% of older people with hip fracture have visual impairment, 38.6% auditory impairment and 30.1% combined sensory impairment. Evidence-Based Nursing 2010;13(2):59–61 11. Cox A, Blaikie A, MacEwen CJ, Jones D, Thompson K, Holding D, Sharma T, S Miller S, Dobson S, Sanders R. Visual impairment in elderly patients with hip fracture: causes and associations. Eye 2005; 19:652–6 12. Kelsey JL, Procter-Gray E, Nguyen UDT, Li W, Kiel DP, Hannan MT. Footwear and falls in the home among older individuals in the MOBILIZE Boston Study. Footwear Sci. 2010; 2(3):123–9. doi:10.1080/19424280.2010.491074 13. Spink MJ, Fotoohabadi MR, Wee E, Landorf KB, Hill KD, Lord SR, Menz HB.. Effectiveness of a multifaceted podiatry intervention to prevent falls in community dwelling older people with disabling foot pain: randomised controlled trial. BMC Geriatrics 2011;11(51). 14. Määttä M, Terho E, Jokinen H, Pulkkinen P, Korpelainen J, Heikkinen J. Keinänen, Kiukaanniemi S, Jämsä T, Korpelainen R. Lifestyle factors and site-specific risk of hip fracture in community dwelling older women – a 13-year prospective population-based cohort study. BMC Musculoskeletal Disorders 2012,13:173


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Journal of the Medical Sciences (Berkala Ilmu Kedokteran) by  Universitas Gadjah Mada is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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