Life style risk factors for femoral neck fracture in Dr. Sardjito General Hospital, Yogyakarta

Abstract

As life expentancy improved, the incidence of femoral neck fracture, as one of the most common traumatic injuries in the elderly, has also increased. Risk for fracture is not only determined by age and sex but also by the degree of osteoporosis and certain lifestyles. The purpose of this study was to investigate lifestyle risk factors for femoral neck fracture in Dr. Sardjito General Hospital, Yogyakarta. In this case-control study, all patients with femoral neck fractures admitted to the Orthopedic Division and Traumatology, Department of Surgery in 2013-2014 was included as cases. Controls were subjects without fracture of similar age and sex. Data of corticosteroid use, habitual coffee consumption, visual acuity disorders, habitual use of slippers and engagement in routine sport activity were collected with questionnaires. We invited 63 patients (51 females and 12 males) and 63 controls. Corticosteroid use, habitual coffee consumption, visual acuity disorder and habitual use of slippers were risks factors for fractures, OR (95% CI) = 7.5 (2.9-21.6), p < 0.001; 7.5 (2.9-21.6), p < 0.001; 3.2 (1.6-6.8), p < 0.001 and 5.7 (2.7-12.6), p < 0.001, respectively. Engagement in routine sport activity was a protecting factor, OR (95% CI) = 0.10 (0.02-0.33), p < 0.001. In conclusion, corticosteroid use, habitual coffee consumption, visual acuity disorder and habitual use of slippers are risk for fractures, while engagement in routine sport is a protecting factor.