Table 5.
Relationship between risk of major osteoporotic fracture and FI and FRAX stratified by participants’ use of antiosteoporotic treatment, calcium and/or vitamin D supplementation.
| Model | Major osteoporotic fracturea
|
|||
|---|---|---|---|---|
| Participants with antiosteoporotic treatment and/or supplementation (n = 2912)b
|
Participants without antiosteoporotic treatment or supplementation (n = 1073)c
|
|||
| HR (95% CI) | p-Value | HR (95% CI) | p-Value | |
| Models with per-0.01 increment | ||||
| FRAX | 1.03 (1.01–1.05) | <0.001 | 1.04 (1.01–1.08) | 0.019 |
| FId | 1.02 (1.01–1.04) | 0.001 | 1.02 (1.00–1.05) | 0.033 |
| Models with categorized groups | ||||
| FRAXe | ||||
| Medium-risk | ||||
| <365 days | 1.54 (0.78–3.08) | 0.22 | 0.92 (0.30–2.78) | 0.87 |
| 365–550 days | 1.52 (0.66–3.53) | 0.33 | 0.62 (0.12–3.29) | 0.58 |
| >550 days | 1.89 (0.98–3.65) | 0.051 | 2.35 (0.64–8.64) | 0.20 |
| High-risk | ||||
| <365 days | 1.97 (0.76–5.11) | 0.17 | 1.26 (0.26–6.03) | 0.77 |
| 365–550 days | 1.94 (0.84–4.48) | 0.12 | 0.86 (0.16–4.83) | 0.87 |
| >550 days | 2.42 (1.25–4.71) | 0.009 | 3.26 (1.10–9.67) | 0.034 |
| FId,f | ||||
| Medium-risk | 1.21 (0.76–1.93) | 0.43 | 1.29 (0.58–2.88) | 0.54 |
| High-risk | 2.00 (1.24–3.23) | 0.004 | 2.14 (1.03–4.45) | 0.041 |
HR: hazard ratio; CI: confidence interval; FRAX: fracture risk assessment tool; FI: frailty index.
Hip, upper arm or shoulder, spine, or wrist.
There were 108 incident major osteoporotic fracture reported.
There were 41 incident major osteoporotic fracture reported.
Adjusted for age.
Low-risk group taken as reference group; the cut-points were 10% and 20% for major osteoporotic fracture, while the cut-point was 3% for hip fracture; comparisons of high-risk versus low-risk and medium-risk versus low-risk group were within the same follow-up duration strata.
Low-risk group taken as reference group; the cut-points were 0.20 and 0.35 for major osteoporotic fracture, while the cut-point was 0.22 for hip fracture; comparisons of high-risk versus low-risk and medium-risk versus low-risk group were within the same follow-up duration strata.