Table 4.
Univariate and Multivariate HRs* for the Development of Any New Fracture (N = 1369) Among 1964 Rochester, MN, Residents After Recognition of Diabetes Mellitus in 1970–1994
| Risk factor† | Univariate [HR (95% CI)] | Age-adjusted [HR (95% CI)] | Multivariate [HR (95% CI)] |
| Age at recognition (per 10 yr) | 1.5 (1.4–1.6) | — | 1.3 (1.2–1.4) |
| Female sex | 1.7 (1.5–2.0) | 1.6 (1.3–1.9) | 1.6 (1.3–1.9) |
| Prior osteoporotic fracture | 2.5 (1.6–3.8) | 1.8 (1.2–2.7) | 1.6 (1.03–2.4) |
| Physically active | 0.4 (0.3–0.5) | 0.5 (0.4–0.7) | 0.6 (0.5–0.8) |
| BMI (per unit increase) | 0.97 (0.95–0.98) | 0.98 (0.97–0.99) | |
| Secondary osteoporosis | 1.5 (1.3–1.8) | 1.4 (1.2–1.6) | 1.2 (1.1–1.5) |
| Renal failure | 1.8 (1.4–2.5) | 1.6 (1.2–2.2) | |
| Falling factors | 1.5 (1.2–1.7) | ||
| Neuropathy | 1.4 (1.2–1.7) | 1.4 (1.2–1.7) | 1.3 (1.1–1.6) |
| Neuropathy | 1.3 (1.1–1.5) | 1.5 (1.3–1.7) | 1.3 (1.1–1.5) |
| Use of biquanides | 0.6 (0.5–0.8) | 0.7 (0.6–0.95) | 0.7 (0.6–0.96) |
| Use of thiazolidinediones | 0.6 (0.4–0.9) | ||
| Use of corticosteroids | 2.0 (1.6–2.4) | 1.9 (1.6–2.3) | 1.6 (1.3–2.0) |
| Use of osteoporosis drugs | 3.1 (2.1–4.6) | 2.5 (1.7–3.7) | 2.0 (1.4–2.9) |
| Use of estrogens | 1.4 (1.1–1.7) | 1.5 (1.2–1.8) | |
| Use of progestins | 2.2 (1.4–3.5) | ||
| Use of SERMS | 3.1 (1.6–6.2) | 2.6 (1.3–5.3) | |
| Use of diuretics | 1.3 (1.1–1.6) | ||
| Use of anticoagulants | 1.5 (1.3–1.8) | 1.3 (1.1–1.5) | |
| Use of thyroid replacement | 1.4 (1.2–1.7) | 1.4 (1.2–1.7) |
* Proportional hazards models where the event is a fracture and the dependent variable is survival time (days) free of fracture.
† Only risk factors that were significant in the univariate and/or multivariate analysis are included in the table.