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Factores de riesgo para fracturas en mujeres mayores de 60 años / Risks factors for fractures in women older than 60 years old
Hernández-Laynes, Natividad; Salas-Reyes, María del Pilar; Castillo-Beltrán, Horacio; Segura-Gutiérrez, Ofelia.
Affiliation
  • Hernández-Laynes, Natividad; Médico Familiar. HGO-UMF 13. Instituto Mexicano del Seguro Social. México, D.F. MX
  • Salas-Reyes, María del Pilar; Pasante de Licenciatura en Enfermería y Obstetricia. HGO-UMF 13. Instituto Mexicano del Seguro Social. México, D.F. MX
  • Castillo-Beltrán, Horacio; Médico Familiar. HGO-UMF 13. Instituto Mexicano del Seguro Social. México, D.F. MX
  • Segura-Gutiérrez, Ofelia; Médico Familiar. HGO-UMF 13. Instituto Mexicano del Seguro Social. México, D.F. MX
Rev. enferm. Inst. Mex. Seguro Soc ; 15(1): 39-45, Ene.-Abr. 2007. graf
Article in Spanish | BDENF - Nursing | ID: biblio-967001
Responsible library: MX346.1
RESUMEN

Introducción:

Doscientos millones de mujeres, de más de sesenta años padecen secuelas de fracturas asociadas a factores de riesgo como tabaquismo, sedentarismo y multiparidad, para el año 2050 una de cada dos fracturas se presentará con asociación de los factores mencionados.

Objetivo:

Determinar la asociación de tabaquismo, sedentarismo y multiparidad con la presencia o no de fractura.

Metodología:

Estudio analítico, transversal, retrospectivo. En 200 pacientes mayores de 60 años con y sin fractura actual o antigua, corroborada por radiografía y/o registro en el expediente clínico, sin datos de patología agregada de osteogénesis imperfecta, hipoparatiroidismo, insuficiencia renal y Síndrome de Cushing. Se aplicó cuestionario previamente validado.

Resultados:

Se analizaron doscientas pacientes (n), cien con fractura y cien sin fractura. Respecto a los factores, se buscan riesgos relacionados con presencia de fractura o no. Para tabaquismo y sedentarismo OR=1.8, multiparidad OR=1.3 veces más riesgo de presentar fractura y a través de la Prueba exacta de Fisher se demostró asociación media para tabaquismo y sedentarismo (r=0.6) y baja para multiparidad (r=0.3).

Conclusiones:

El presente estudio cumple con el objetivo de identificar la asociación de tabaquismo, sedentarismo y multiparidad como factores de riesgo para fractura y propone acciones de prevención en toda la población femenina sin importar su edad.
ABSTRACT

Introduction:

Two hundred millions of women older than sixty years old suffer sequels of fractures associated to risk factors, such as smoking, sedentary life, and multiple deliveries. By 2050, one in two fractures will show up with association to the mentioned factors.

Objective:

To determine the association of smoking, sedentary life, and multiple deliveries, and whether the occurrence or not of fracture.

Methodology:

Analytical, transversal, and retrospective study. A questionnaire previously validated was applied to 200 patients older than 60 years old and with or without current or old fracture, corroborated by X-ray and/or record in medical chart; without data of aggregated pathology of imperfect osteogenesis, hypoparathyroidism, renal insufficiency, and Cushing Syndrome.

Results:

A total 200 patients (n) were analyzed; 100 with fracture and 100 without it. Regarding the risk factors; they are intended to be related (OR) with presence of fracture or not. For smoking and sedentarism OR=1.8; multiple deliveries OR=1.3 times more at risk of suffering fracture, and through the Fisher's Exact Test, it was demonstrated medium association for smoking and sedentarism (r=0.6) and low for multiple deliveries (r=0.3).

Conclusions:

The current study accomplishes the objective of identifying association of smoking, sedentarism, and multiple deliveries as risk factors for fracture; and proposes prevention measurements in the whole female population regardless their age.
Subject(s)

Full text: Available Collection: Tematic databases / Brazil Health context: SDG3 - Health and Well-Being Health problem: Target 3.5: Prevention and treatment of consumption of psychoactive substances Database: BDENF - Nursing Main subject: Osteoporosis / Tobacco Use Disorder / Women / Aged / Menopause / Osteoporosis, Postmenopausal / Cross-Sectional Studies / Fractures, Bone / Mexico Type of study: Etiology study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Humans Country/Region as subject: Mexico Language: Spanish Journal: Rev. enferm. Inst. Mex. Seguro Soc Year: 2007 Document type: Article Institution/Affiliation country: Médico Familiar/MX / Pasante de Licenciatura en Enfermería y Obstetricia/MX
Full text: Available Collection: Tematic databases / Brazil Health context: SDG3 - Health and Well-Being Health problem: Target 3.5: Prevention and treatment of consumption of psychoactive substances Database: BDENF - Nursing Main subject: Osteoporosis / Tobacco Use Disorder / Women / Aged / Menopause / Osteoporosis, Postmenopausal / Cross-Sectional Studies / Fractures, Bone / Mexico Type of study: Etiology study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Humans Country/Region as subject: Mexico Language: Spanish Journal: Rev. enferm. Inst. Mex. Seguro Soc Year: 2007 Document type: Article Institution/Affiliation country: Médico Familiar/MX / Pasante de Licenciatura en Enfermería y Obstetricia/MX
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