Risk Factors for Fragility Hip Fracture in the Older in Northern Thailand: A Community-Based Retrospective Cohort Study
Year: 2025
Type: article
Study design: Observational Study
Abstract: Purpose: This community-based retrospective cohort study aimed to identify risk factors for fragility hip fractures among older individuals in three districts of Nan Province, Thailand. The study addresses a knowledge gap regarding hip fracture risk factors specific to northern Thai communities.Methods: Health data from the Nan Provincial Health Office database, covering the period January 1, 2019 to December 31, 2023, were analyzed for 36,521 older individuals aged ≥ 60 years. Participants had no prior history of hip fracture. Data on demographics, chronic diseases, use of walking aids, history of non-hip fragility fractures, and FRAX hip scores were collected. Multivariate Cox regression analysis was performed to identify significant risk factors for hip fractures.Results: Key risk factors for hip fractures included female sex, age ≥ 70 years, body mass index (BMI) < 20 kg/m², use of walking aids, history of non-hip fragility fractures, hypertension, chronic obstructive pulmonary disease (COPD), chronic kidney disease, cerebrovascular accident, and Parkinson’s disease. In males, significant risk factors included a BMI < 20 kg/m² and COPD, whereas in females, risk factors included hypertension, use of walking aids, and a FRAX hip score > 3.3%. Diabetes mellitus, dementia, heart disease, and lack of a caregiver were not found to be significant risk factors.Conclusions: This study identified key risk factors for fragility hip fractures among community-dwelling older individuals in Northern Thailand, highlighting sex-specific risk profiles. The findings emphasize the need for targeted prevention strategies. Additionally, certain risk factors may be influenced by regional characteristics, geographical factors, and cultural aspects, limiting their generalizability.
Institution: Nan Hospital
Language: English
Topic: Hip and Femur Fractures
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4408747107