Hip fractures in middle-aged men: a consequence of early retirement and alcohol misuse?
From the 1950s to the 1980s the incidence of hip fractures in women aged 50-64 and cervical fractures in men of the same age in Malmö did not increase, whereas the incidence of trochanteric fracture in men aged 50-64 increased significantly. Significant background factors in men were alcohol misuse, living alone, early retirement, previous fractures, low weight/height ratio and less severe trauma--more in men with trochanteric than in men with cervical fracture. The deviant life-style and suspected physical inertia in this group of middle-aged men probably predisposes to osteoporosis and increased fracture risk.
Jónsson
B
B
Department of Orthopaedics, Malmö General Hospital, Lund University, Sweden.
Sernbo
I
I
Kristensson
H
H
Johnell
O
O
D000428:Alcohol Drinking / Q000453:epidemiology; D000437:Alcoholism / Q000150:complications*; D006620:Hip Fractures / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D012179:Retirement / Q000523:psychology*; D013548:Sweden / Q000453:epidemiology