Table 3.
Association Between Humeral Geometry, Biomechanical Properties, and Estimated Volumetric Density at 9.9 Years of Age and Fracture Risk Over the Following 2 Years
| Variable | OR for risk of fracture (minimally adjusted) [OR (95% CI) p value] |
OR for risk of fracture (size-adjusted) [OR (95% CI) p value] |
|---|---|---|
| Measures of humeral geometry | ||
| Humeral area | 0.95 (0.85, 1.07) 0.427 | 1.04 (0.86, 1.25) 0.701 |
| Humeral length | 0.99 (0.89, 1.12) 0.935 | 1.19 (0.98, 1.44) 0.083 |
| Humeral width | 0.93 (0.83, 1.05) 0.237 | 0.96 (0.83, 1.11) 0.568 |
| Humeral CSA | 0.94 (0.83, 1.05) 0.265 | 0.96 (0.84, 1.11) 0.625 |
| Humeral AR | 1.08 (0.96, 1.21) 0.212 | 1.08 (0.96, 1.22) 0.190 |
| Measures of humeral biomechanical properties | ||
| Humeral CSMI | 0.98 (0.88, 1.11) 0.787 | 1.05 (0.90, 1.22) 0.541 |
| Relative bone strength | 0.93 (0.83, 1.04) 0.215 | 0.91 (0.81, 1.03) 0.133 |
| Measures of humeral vBMD | ||
| aBMD | 1.22 (1.08, 1.37) 0.001 | 1.40 (1.21, 1.62) <0.001 |
| vBMD | 1.29 (1.14, 1.45) <0.001 | 1.28 (1.14, 1.45) <0.001 |
Associations between indices of humeral geometry, humeral biomechanical properties, and humeral vBMD, as measured in a subset of 1317 children at 9.9 years of age, and the risk of fracture in children over the following 2 years. Table shows ORs for fracture per SD decrease, as calculated by logistic regression. In minimally adjusted analyses, results are adjusted for age, sex, ethnicity, maternal education, and paternal social class. In size-adjusted analyses, results are further adjusted for height and log-transformed weight.