Navigation Links
Stroke Doubles Risk of Hip, Thigh Fractures
Date:8/6/2009

Preventive measures urgently needed, researcher says

THURSDAY, Aug. 6 (HealthDay News) -- The risk of a hip or thigh bone fracture is doubled for people who have a stroke, a new Dutch study finds.

That finding shows a need for immediate preventive action after a stroke, said Frank de Vries, an assistant professor of pharmacoepidemiology at the University of Utrecht, and lead author of a report that appears online Aug. 6 in the journal Stroke.

"We know from other studies that bone loss starts rapidly after stroke," de Vries said. "Furthermore, there is evidence from a randomized controlled trial in an Asian population that administration of bisphosphonates, bone-protecting agents, immediately after a stroke reduces bone loss and hip fracture after a year. Other treatments include vitamin D administration, increased mobility, and restoration of motor function. Deformities that limit a normal gait should be corrected. In general, all treatments should be started as early as possible."

Stroke survivors and older people in general should take measures to prevent future falls, de Vries said.

"General fall-preventing strategies include the use of a walking aid, wearing shoes with broad heels and non-slip soles, and minimizing risk factors in and around the home," he said. "A medication review by a doctor or pharmacist may result in discontinuation of drugs that increase risk of falling, such as certain hypnotics and blood pressure-lowering drugs."

The study compared 6,763 people in the Netherlands who had fractures of the hip and/or femur with a group of 26,341 people matched for age, gender and location who had no such fractures. The overall risk of fractures was 1.96 times higher for all stroke survivors and 2.12 times higher among women who had strokes.

The youngest stroke survivors, those 70 or younger, had the highest risk: 5.12 times normal, the researchers found.

The study was not designed to give information about the reasons for the age difference, but "we believe that in elderly patients, the relative contribution of risk factors other than stroke is higher," de Vries said.

While the findings came from a homogenous Dutch group, they probably apply to stroke victims in the more diverse U.S. population, he said. "There are some differences in ethnicity, but previous epidemiological studies in the U.S. have reported increased risk of hip fractures in Mexican Americans and black people as well," de Vries said.

In the United States, the National Osteoporosis Society estimates that 300,000 people have hip fractures every year, and that 20 percent of them die within a year of the fracture, he said.

In the Dutch study, the average age of the participants was 75, and 73 percent of them were women. The average time between a stroke and a fracture was 2.2 years, the study authors noted.

The new study is one of several that "highlight a great preventive medicine opportunity," said Dr. Heather E. Whitson, an assistant professor of medicine in the division of geriatrics at Duke University, who reported similar findings in a study of Veterans Administration hospitals several years ago.

"Most efforts at treating stroke focus on preventing future stroke," Whitson said. "What this focuses on is something we've seen more of recently, as the population ages, that one problem can raise the risk of a seemingly unrelated problem."

In the past, most stroke survivors did not live long enough to fall victim to a fracture or other major problem, Whitson said. "One of the main things we need to do is recognize fracture as a non-infrequent complication of the post-stroke patient. That recognition can help us prevent other major problems from happening."

More information

Advice on healthy living after a stroke is offered by the American Stroke Association.



SOURCES: Frank de Vries, Ph.D., assistant professor, pharmacoepidemiology, University of Utrecht, Netherlands; Heather E. Whitson, M.D., assistant professor, medicine, division of geriatrics, Duke University, Durham, N.C.; Aug. 6, 2009, Stroke, online


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Study, meta-analysis examine factors associated with death from heatstroke
2. High alcohol consumption increases stroke risk among Chinese men
3. Heavy Drinking Boosts Stroke Risk for Chinese Men
4. High alcohol consumption increases stroke risk, Tulane study says
5. Broad-based group of physicians calls for improvement in stroke treatment
6. Continued Statin Use Boosts Post-Stroke Outcomes
7. U.S. Initiative Seeks to Boost Hispanic Stroke Awareness
8. Stopping Statins After Stroke Doubles Death Risk
9. Can brain-injured, partially-blind stroke patients regain some of their lost vision?
10. REACH Registry Highlights That Patients With Peripheral Arterial Disease (PAD) Suffer High Rates of Heart Attack, Stroke, Hospitalization, and Death
11. Link Between Air Pollution, Stroke Gets Clearer
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Stroke Doubles Risk of Hip, Thigh Fractures
(Date:1/20/2017)... , ... January 20, 2017 , ... ... ® Oscillating Positive Expiratory Pressure (OPEP) device, was featured in a study indicating ... Pursley, MEd, RRT-ACCS, FAARC, “Analysis of Three Oscillating Positive Expiratory Pressure Devices ...
(Date:1/20/2017)... ... ... Christmas:” a beautiful and enchanting tale that teaches children the true meaning of Christmas. “Journey ... Oklahoma City, and a devoted woman of faith. , “Becoming a parent changes you. ... of my mind for years, but actually doing it might have been a while in ...
(Date:1/20/2017)... ... ... “The Land of More and More”: a brilliant story for children ... the simple and achievable answer. “The Land of More and More” is the creation ... in Angola, Indiana where he works with the children’s ministry department. , Michael ...
(Date:1/19/2017)... ... ... Today, the Centers for Medicare & Medicaid Services (CMS) announced over 359,000 clinicians ... Clinicians who participate in APMs are paid for the quality of care they give ... build a system that delivers better care and one in which clinicians work together ...
(Date:1/19/2017)... Los Angeles (PRWEB) , ... January 19, 2017 , ... ... Care Act will be repealed by Congressional political games that circumvent health needs of ... First Stand Rally” capture the human anxieties and needs government public servants were suppose ...
Breaking Medicine News(10 mins):
(Date:1/19/2017)... 2017 Conference Call and Webcast to Follow ... it will release results for the fourth quarter of 2016 on ... ... call at 4:30 PM ET on Wednesday, February 15, 2017, during ... financial results and other corporate activities. To participate in the conference ...
(Date:1/19/2017)... BioTherapeutics Inc. ( Stealth ), a clinical-stage biopharmaceutical company ... additions to its senior leadership team: W. Douglas ... Daniel Geffken as interim Chief Financial Officer. In ... has been promoted to Chief Clinical Development Officer. ... Daniel to our management team, as both will be ...
(Date:1/19/2017)... 2017  Abaxis, Inc. (NasdaqGS: ABAX ), ... and consumables for the medical and veterinary markets worldwide, ... results for the third quarter fiscal year 2017, ended ... p.m. ET on Thursday, January 26, 2017.  The Company ... year 2017 after the market closes on Thursday, January ...
Breaking Medicine Technology: