Es la etnia mapuche un factor de riesgo para padecer fractura de fémur proximal en adultos mayores? / Is Mapuche ethnicity a risk factor for hip fracture in aged?

RESUMO

BACKGROUND: Ethnic factors are involved in the risk for osteoporosis and hip fracture. AIM: To assess the effect of Mapuche ethnicity on the risk of hip fracture. PATIENTS AND METHODS: A case control study. Cases were subjects over 55 years of age admitted, during one year, for hip fracture not associated to major trauma or tumors. Controls were randomly chosen from other hospital services and paired for age with cases. The magnitude of the association between ethnicity and hip fracture was expressed as odds ratio in a logistic regression model. RESULTS: In the study period, 156 cases with hip fracture were admitted. The proportion of subjects with Mapuche origin was significantly lower among cases than controls (11.8 and 26.5 per cent respectively, p < 0.001). In the logistic regression model, Mapuche ethnicity was associated with hip fracture with an odds radio of 0.14 (p = 0.03, 95 per cent CI 0.03-0.8). CONCLUSIONS: In this sample, Mapuche ethnicity is a protective factor for hip fracture.