Middle-aged women with active commuting had significantly lower risk for wrist fracture than women commuting by car/bus.
Our purpose was to investigate whether a physically active lifestyle in middle-aged women was associated with a reduced risk of later sustaining a low-trauma wrist fracture.
The Umeå Fracture and Osteoporosis (UFO) study is a population-based nested case-control study investigating associations between lifestyle and fragility fractures. From a cohort of ~35,000 subjects, we identified 376 female wrist fracture cases who had reported data regarding their commuting habits, occupational, and leisure physical activity, before they sustained their fracture. Each fracture case was compared with at least one control drawn from the same cohort and matched for age and week of reporting data, yielding a total of 778 subjects. Mean age at baseline was 54.3?±?5.8 years, and mean age at fracture was 60.3?±?5.8 years.
Conditional logistic regression analysis with adjustments for height, body mass index, smoking, and menopausal status showed that subjects with active commuting (especially walking) were at significantly lower risk of sustaining a wrist fracture (OR 0.48; 95 % CI 0.27-0.88) compared with those who commuted by car or bus. Leisure time activities such as dancing and snow shoveling were also associated with a lower fracture risk, whereas occupational activity, training, and leisure walking or cycling were unrelated to fracture risk.
This study suggests that active commuting is associated with a lower wrist fracture risk, in middle-aged women.
Two groups of patients admitted with a first attack of acute pancreatitis are reviewed. The first group, consisting of 105 patients, was admitted between 1968 and 1969; the second group of 204 patients was admitted between 1974 and 1975. These groups were compared with one of 454 patients admitted between 1956 and 1960 whose details were published earlier by our unit (Edlund et al., 1968). The aim of this study was to determine whether the incidence of factors associated with pancreatitis within the population of the city of Göteborg had changed in the 20-year period. In the 1956--60 group gallstone disease was the main associated factor (68 per cent), but in the later groups alcohol-induced pancreatitis assumed the leading role (68 and 66 per cent respectively). Alcohol-induced pancreatitis tended to occur at a younger age than gallstone pancreatitis. Thirty-one per cent of 449 patients admitted with an acute attack of alcoholic pancreatitis in the two last periods of study had had previous attacks.
Hip fracture treatment and rehabilitation are often considered as separate issues and generally performed in different locations. The rapidly increasing proportion of patients that is old and very old now calls for a new approach. This is a prospective study of 909 consecutive hip fracture patients, over 64 years old, admitted to hospital from an independent living situation. In a specialized hip fracture unit, 256 patients were given an early and intense rehabilitation program. It focused on continuity, feedback, reorientation and continuous monitoring of cognitive function and activities of daily living (ADL). Eighty-five percent of the patients could return directly to their own home after the initial treatment period. The mean total utilization of health care resources during the first 4 months after the injury was lower (28 institutional days) than in 286 historical controls given conventional rehabilitation (39 days, p
We calculated the costs related to hip fractures and estimated the potential cost savings from preventing hip fractures. Subjects for this retrospective study were 1,709 hip fracture patients admitted for a primary hip fracture during 1992 in Stockholm, Sweden. Direct costs were compiled for the services of hospital orthopedics, hospital geriatrics, nursing homes, home for the elderly, group living, other acute hospital care, and municipal home help. The direct costs per patient during 1 year after a fracture amounted to about USD 40,000. The county council was responsible for 59% of the direct costs during 1 year after a hip fracture, while the remaining 41% were referred to the municipality. In the morbidity group, the potential cost savings per patient from preventing hip fractures was about USD 22,000.
OBJECTIVE: To find out whether patients with acute bleeding peptic ulcers have hypercoagulable blood. DESIGN: Prospective open study. SETTING: District hospital in Sweden. SUBJECTS: 54 consecutive patients with duodenal ulcer (n = 25) and gastric ulcer (n = 29) admitted with haematemesis or melaena, or both. INTERVENTIONS: Diagnosis verified on admission by endoscopy, and healing was examined at follow up. Consumption of non-steroidal anti-inflammatory drugs, and smoking habits, were recorded. MAIN OUTCOME MEASURES: Coagulation of the blood monitored by concentrations of plasma thrombin-antithrombin III (TAT) complex in samples obtained on admission for the acute bleeding episode and at follow up 1-2 months later. RESULTS: The plasma TAT complex concentrations were raised during the acute bleeding episode (p
The intensity of work recovery in LBP has been studied using the National Health Register. Nine hundred forty men, 40-47 years old, were selected randomly from the census register of the city of Göteborg, Sweden. Sickness absence data were obtained from the Health Register, in which all sickness absence from age 16 is recorded. The rate of return to work decreases as expected with an increase in absence period. Different rates were found for different diagnoses, however, with low return intensities in patients with sciatica compared with those with back pain, ie, return to work was slower in patients with sciatica. Men with manual work had a significantly longer average sickness absence than white-collar workers. The intensity of work recovery was lower in blue-collar workers during the first 20 days of absence, while the reverse was true after 20 days of sickness absence, ie, the white-collar workers who were absent more than 20 days had a slower rate of recovery than blue-collar workers who had been absent for 20 days. Data as presented here can be used to study the effect of intervention (for example, manual therapy) on the natural course of work recovery. It also can be used, as above, to study differences in sickness absence patterns between different diagnoses and work groups.
The relationship of low-back pain (LBP) to work history and work environment factors was studied in a randomized sample of 940 men from 40 to 47 years of age. The life-time incidence of LBP was 61%, the prevalence 31%. In a univariate analysis ten of the variables studied were found to be correlated to the occurrence of LBP: less overtime work, diminished work satisfaction, decreased potential to influence the work situation, lesser demand on concentration, monotonous work, physically heavy work, a high degree of lifting, to a lesser degree sitting, and to a greater standing and walking work posture. When a covariance analysis was applied to these variables, only three had a direct association to LBP. They were less overtime work, monotonous work, and a high degree of lifting.
A randomised sample of 940, 40 to 47 year old, men were asked to participate in an investigation where low back pain (LBP) was studied. 716 men (76%) were personally investigated and information concerning the remaining men was received from the Swedish National Health Insurance Office. The life time incidence of LBP was 61%, the prevalence 31%. 40% of the participants with LBP had sciatica. The disability prevented work in 3.6% of the participants and 4% had been off work more than three months because of LBP in the three years preceding the study (1975-1977). 40% had consulted a physician, 3.5% had been admitted to a hospital, and 0.8% had been operated on because of their LBP. Men with LBP had significant functional impairment as reflected by e.g. decreased ability to flex their spine, to lift and to perform activities of daily living and sports. According to National Health Insurance data about previous sickness 49% of the participants and 59% of the non-participants had at some time been off work because of LBP. Among the participants who, during the interview, stated that they had never had LBP there were 27% who had been sicklisted with an LBP diagnosis. Thus the incidence and prevalence rates were underestimated when based on interview findings from the participants.