Table 2.
Hazard ratios for the linear effect of femoral neck BMD T-score or FRAX score on hip and non-spine fracture among older adults with and without diabetes in Health ABC, SOF, and MrOS
Without diabetes | With diabetes | ||||||
---|---|---|---|---|---|---|---|
Gender | Fracture site | No. with any fracture | HRa,b (95% CI) | C-index | No. with any fracture | HRa,b (95%CI) | C-index |
Femoral Neck BMD T-score | |||||||
Women | Hip | 1117 | 2.23 (2.06, 2.41) | 0.74 | 84 | 1.88 (1.43, 2.48) | 0.72 |
Non-Spine | 3231 | 1.53 (1.47, 1.60) | 0.62 | 262 | 1.52 (1.31, 1.75) | 0.64 | |
Men | Hip | 158 | 3.53 (2.84, 4.38) | 0.83 | 32 | 5.71 (3.42, 9.53) | 0.85 |
Non-Spine | 690 | 1.62 (1.47, 1.77) | 0.64 | 133 | 2.17 (1.75, 2.69) | 0.66 | |
| |||||||
FRAX score | |||||||
Women | Hip | 825 | 1.06 (1.05, 1.06) | 0.74 | 51 | 1.05 (1.03, 1.07) | 0.70 |
Non-Spine | 2383 | 1.04 (1.03, 1.04) | 0.62 | 161 | 1.04 (1.02, 1.05) | 0.64 | |
Men | Hip | 85 | 1.10 (1.08, 1.13) | 0.80 | 16 | 1.16 (1.07, 1.27) | 0.83 |
Non-Spine | 418 | 1.07 (1.06, 1.08) | 0.65 | 73 | 1.09 (1.04, 1.14) | 0.63 |
Abbreviation: HR = hazard ratio, CI = confidence interval.
Femoral neck BMD T-score models adjusted for age. HR per 1 unit decrease in T-score. FRAX score models are not adjusted for other variables. HR per 1 unit increase in FRAX score.
Diabetes status did not modify any of the associations (p for interaction>0.10) between FN T-score or FRAX score and fracture risk