Overweight and Obese Have Similar Burden of Hip Fracture as Normal Weight Older Adults
The association between body weight and fracture risk is a significant public health concern as the majority of older adults are overweight or obese and have low mineral density.1 Osteoporotic fractures are projected to cost $25 billion in health care spending annually by 2025, with hip fractures accounting for over 70% of these costs.2 Post-fracture spending is 25% higher among obese individuals.3
Numerous studies have found that overweight and obesity protect against risk of hip fracture, relative to normal or underweight.1 However, Nielson et al. (2012) showed that close to half (46%) of hip fractures occurred in overweight and obese older adults using data from the 1970 to 1980s.1Even though heavier individuals may have a lower relative risk of hip fracture, they may have a similar absolute risk, particularly as the prevalence of obesity continues to increase among the aging population. The aims of this paper are to provide updated estimates of the incidence of hip...
We would like to thank the National Center for Health Statistics and Research Data Center for their assistance with accessing restricted data files. We would also like to thank Suzanne G. Wensky for instructive comments on an earlier draft of this manuscript.
This work was supported by grants from the National Institutes of Health (T32 4G000262 and R01AG028556, Jennifer Lloyd), the Robert Wood Johnson Foundation Health and Society Scholars program (Dawn Alley), as well as from the Claude D. Pepper Older Americans Independence Center (P30AG028747, Shari Waldstein).
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Conflict of Interest
The authors declare that they do not have a conflict of interest.
The statements contained herein are those of the authors and do not necessarily reflect the views or policies of the Centers for Medicare & Medicaid Services.