Table 2.
Hazard Ratio (95% CI) of Hip Fracture: Base Model (Age, Race, Clinic), Base Model +Femoral Neck Bone Mineral Density (FNBMD), Multivariate Model (MV), and Competing Risk MV Model
Variable | Referent/unit for HRa | Base | Base +FNBMD | MV model HR (95% CI) | MV model (competing risk) |
---|---|---|---|---|---|
Age (≥75 years) | <75 years | 4.56 (3.25, 6.39) | 3.20 (2.27, 4.50) | 2.30 (1.57, 3.36) | 2.01 (1.35, 2.99) |
Femoral neck BMD | −0.128 g/cm2 | — | 3.26 (2.70, 3.93) | 3.04 (2.47, 3.73) | 3.01 (2.40, 3.76) |
Chair stands (highest quartile or unable) | Quartiles 1, 2, 3 | 2.06 (1.52, 2.79) | 1.87 (1.38, 2.54) | 1.31 (0.94, 1.82) | 1.17 (0.84, 1.65) |
Current smoker | No | 3.09 (1.66, 5.76) | 2.27 (1.22, 4.25) | 2.05 (1.05, 3.98) | 1.78 (0.91, 3.48) |
Protein (% total energy) | 2.9% | 0.76 (0.64, 0.89) | 0.82 (0.70, 0.97) | 0.81 (0.69, 0.96) | 0.82 (0.69, 0.97) |
Any fracture (≥50 years) | No | 2.15 (1.59, 2.90) | 1.59 (1.17, 2.16) | 1.48 (1.07, 2.04) | 1.41 (1.02, 1.95) |
Height (average) | 6.89 cm | 0.98 (0.84, 1.14) | 1.12 (0.96, 1.30) | 1.24 (1.05, 1.47) | 1.24 (1.05, 1.45) |
Height loss (since age 25 years) | −2.95 cm | 1.38 (1.22, 1.55) | 1.34 (1.17,1.53) | 1.34 (1.16, 1.56) | 1.26 (1.09, 1.46) |
Medications | |||||
Hypoglycemic use | No | 1.20 (0.71, 2.06) | 1.69 (0.99, 2.88) | 1.59 (0.92, 2.74) | 1.31 (0.73, 2.33) |
Long-acting benzodiazepine | No | 2.03 (0.75, 5.50) | 2.96 (1.09, 8.06) | 2.50 (0.90, 6.98) | 2.60 (1.00, 6.76) |
Tricyclic antidepressant | No | 2.56 (1.20, 5.48) | 2.93 (1.37, 6.27) | 2.77 (1.27, 6.04) | 2.29 (1.04, 5.08) |
Medical history | |||||
Hyperthyroidism | No | 2.83 (1.33, 6.02) | 2.86 (1.34, 6.10)) | 2.86 (1.32, 6.20) | 2.27 (0.93, 5.52) |
Parkinson’s disease | No | 4.95 (2.03, 12.06) | 3.77 (1.55, 9.21) | 3.32 (1.21, 9.07) | 2.29 (0.81, 6.52) |
Stroke | No | 2.41 (1.56, 3.73) | 1.97 (1.26, 3.06) | 1.56 (0.96, 2.56) | 1.40 (0.82, 2.38) |
Myocardial infarction or Angina | No | 1.71 (1.25, 2.33) | 1.90 (1.38, 2.60) | 1.59 (1.13, 2.23) | 1.45 (1.02, 2.08) |
Executive function (Trails B/s) | 58.8 seconds | 1.46 (1.24, 1.68) | 1.41 (1.23, 1.62) | 1.33 (1.15, 1.53) | 1.21 (1.04, 1.41) |
Unit for HR for continuous variable: 1 SD.
Bold =statistically significant.