Abstract
Age-specific hip fracture incidence has been increasing in some parts of the world. The incidence of hip fractures among Japanese on the island of Oahu, Hawaii in 1979–1981 was approximately half that of Caucasians in North America, but similar to the incidence in Japan. We surveyed the incidence on Oahu again in 1991–1995 for all races to compare the incidence among Japanese to the earlier rates, and to other populations, including Caucasians on Oahu. The incidence of hip fracture among Japanese in Hawaii between 1991–1995 had not changed appreciably (compared to 1979–1981), and was similar to that among Caucasians on Oahu. The incidence among Hawaii Japanese and Caucasians was similar to, or lower than Japan overall, and much lower (one-third to one-half) than that reported for Caucasians in North America and Northern Europe, suggesting that the prevalence of certain risk factors may be lower in Hawaii. These findings confirm other studies suggesting that non-genetic factors may be responsible for much of the observed differences in hip fracture incidence between countries, and between races.
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Cooper C., Campion G., Melton L.J. III: Hip fractures in the elderly: A world-wide projection. Osteoporos. Int. 2: 285–289, 1992.
Orimo H., Hashimoto T., Yoshimura N., Fujiwara S., Hosoi T., Shiraki M., Fukunaga M., Nakamura T., Fukushima Y., Yamamoto K.: Nationwide incidence survey of femoral neck fracture in Japan, 1992. J. Bone Miner. Metab. 15: 100–106, 1997.
Elffors I., Allander E., Kanis J.A., Gullberg B., Johnell O., Dequeker J., Dilsen G., Gennari C., Lopes Vaz A.A., Lyritis G., Mazzuoli G.F., Miravet L., Passeri M., Perez Cano R., Rapado A., Ribot C.: The variable incidence of hip fracture in southern Europe: The MEDOS Study. Osteoporos. Int. 4: 253–263, 1994.
Schwartz A.V., Kelsey J.L., Maggi S., Tuttleman M., Ho S.C., Jonsson P.V., Poor G., Sisson de Castro J.A., Xu L., Matkin C.C., Nelson L.M., Heyse S.P.: International variation in the incidence of hip fractures: Cross-national project on osteoporosis for the World Health Organization Program for Research on Aging. Osteoporos. Int. 9: 242–253, 1999.
Karagas M.R., Lu-Yao G.L., Barrett J.A., Beach M.L., Baron J.A: Heterogeneity of hip fracture: age, race, sex, and geographic patterns of femoral neck and trochanteric fractures among the US elderly. Am. J. Epidemiol. 143: 677–682, 1996.
Ross P.D., Norimatsu H., Davis J.W., Yano K., Wasnich R.D., Fujiwara S., Hosoda Y., Melton L.J. III: A comparison of hip fracture incidence among native Japanese, Japanese Americans, and American Caucasians. Am. J. Epidemiol. 133: 801–809, 1991.
Lauderdale D.S., Jacobsen S.J., Furner S.E., Levy P.S., Brody J.A., Goldberg J.: Hip fracture incidence among elderly Asian-American populations. Am. J. Epidemiol. 146: 502–509, 1997.
Breslow N.E., Day N.E.: Statistical methods in cancer research, Vol. II. The design and analysis of cohort studies. International Agency for Research on Cancer, Lyon, France, 1987 (IARC scientific publication No. 82).
Bacon W.E., Maggi S., Looker A., Harris T., Nair C.R., Giaconi J., Honkanen R., Ho S.C., Peffers K.A., Torring O., Gass R., Gonzalez N.: International comparison of hip fracture rates in 1988–89. Osteoporos. Int: 6: 69–75, 1996.
Kawashima T.: Epidemiology of the femoral neck fracture in 1985, Niigata prefecture, Japan. J. Bone Miner. Metab. 7: 46–54, 1989.
Hagino H., Yamamoto K., Teshima R., Kishimoto H., Kuranobu K., Nakamura T.: The incidence of fractures of the proximal femur and the distal radius in Tottori prefecture, Japan. Arch. Orthop. Trauma Surg. 109: 43–44, 1989.
Farmer M.E., White L.R., Brody J.A., Bailey K.R.: Race and sex differences in hip fracture incidence. Am. J. Public Health 74: 1374–1380, 1984.
Rothman K.J.: Modern Epidemiology. Little, Brown and Company, Boston, 1986.
Sernbo I., Gullberg B., Johnell O.: Hip fracture in Malmo over three decades. Bone 14: S19–S22, 1993.
Hagino H., Yamamoto K., Ohshiro H., Nakamura T., Kishimoto H., Nose T.: Changing incidence of hip, distal radius, and proximal humerus fractures in Tottori, Japan. Bone 24: 265–270, 1999.
Iga T., Dohmae Y., Endo N., Takahashi H.E.: Increase in the incidence of cervical and trochanteric fractures of the proximal femur in Niigata Prefecture, Japan. J. Bone Miner. Metab. 17: 224–231, 1999.
Wildner M., Casper W., Bergmann K.E.: A secular trend in hip fracture incidence in East germany. Osteoporos. Int. 9: 144–150, 1999.
Cummings S.R., Cauley J., Palermo L., Ross P.D., Wasnich R.D., Black D., Faulkner K.: Racial differences in hip axis length might explain racial differences in rates of hip fracture. Osteoporos. Int. 4: 226–229, 1994.
Nakamura T., Turner C.H., Yoshikawa T., Slemenda C.W., Peacock M., Burr D.B., Mizuno Y., Orimo Y., Johnston C.C. Jr.: Do variations in hip geometry explain differences in hip fracture risk between Japanese and White Americans? J. Bone Miner. Res. 9: 1071–1076, 1994.
Duboeuf F., Hans D., Schott A.M., Kotzki P.O., Favier F., Marcelli C., Meunier P.J., Delmas P.D.: Different morpho-metric and densitometric parameters predict cervical and trochanteric hip fracture: The EPIDOS study. J. Bone Miner. Res. 12: 1895–1902, 1997.
Michaelsson K., Weiderpass E., Faramand B.Y., Baron J.A., Persson P-G., Ziden L., Zetterberg C., Ljunghall S., for the Swedish Hip Fracture Study group: Differences in risk factor patterns between cervical and trochanteric hip fractures. Osteoporos. Int. 10: 487–494, 1999.
Mautalen C.A., Vega E.M.: Different characteristics of cervical and trochanteric hip fractures. Osteoporos. Int. 3 (Suppl. 1): S102–S106, 1993.
Greenspan S.L., Myers E.R., Maitland L.A., Kido T.H., Krasnow M.B., Hayes W.C.: Trochanteric bone mineral density is associated with type of hip fracture in the elderly. J. Bone Miner. Res. 9: 1889–1894, 1994.
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Portions of these data were presented at the 19th Annual Meeting of the American Society for Bone and Mineral Research, Cincinnati, Ohio, September 10–14, 1997; and at the Second International Conference on Osteoporosis, Osaka, Japan, November 13–16, 1997.
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Ross, P.D., Huang, C. Hip fracture incidence among Caucasians in Hawaii is similar to Japanese. A population-based study. Aging Clin Exp Res 12, 356–359 (2000). https://doi.org/10.1007/BF03339860
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DOI: https://doi.org/10.1007/BF03339860