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Increased fragility fracture risk in Korean women who snore: a 10-year population-based prospective cohort study

Authors
 Soo Beom Choi  ;  Il Suk Lyu  ;  Wanhyung Lee  ;  Deok Won Kim 
Citation
 BMC Musculoskeletal Disorders, Vol.18(236) : 1-7, 2017 
Journal Title
 BMC Musculoskeletal Disorders 
Issue Date
2017
MeSH
Adult ; Bone Density/physiology ; Cohort Studies ; Female ; Follow-Up Studies ; Fractures, Bone/diagnosis ; Fractures, Bone/epidemiology* ; Frailty/diagnosis ; Frailty/epidemiology* ; Humans ; Male ; Middle Aged ; Population Surveillance*/methods ; Prospective Studies ; Republic of Korea/epidemiology ; Risk Factors ; Sex Characteristics* ; Snoring/diagnosis ; Snoring/epidemiology* ; Surveys and Questionnaires ; Time Factors
Keywords
Cohort study ; Fracture ; Osteoporosis ; Pre-screening ; Snoring
Abstract
BACKGROUND: Snoring is frequently associated with obstructive sleep apnea (OSA). Previous studies have shown that bone mineral density was significantly lower in patients with OSA than in controls; however, these studies did not focus on fractures. Fragility fractures can lead to long-term disabilities and a decrease in quality of life. The present study aimed to investigate the association between snoring and fragility fractures. METHODS: This study included 2969 men and 3220 women aged 40 years and older from the Ansung and Ansan cohort studies in Korea. During a 10-year follow-up period, 129 and 273 fracture cases were reported in men and women, respectively. RESULTS: Severe snoring (6-7 nights per week or sleep disturbance by snoring in the next room) was a statistically significant risk factor for fracture (p = 0.006, hazard ratio 1.68, 95% confidence interval 1.16-2.43) after adjusting for covariates related to fragility fracture in women. However, both snoring and severe snoring groups did not show significant associations with the fracture risk in men. CONCLUSIONS: Thus, information on the frequency of snoring in women may improve the accuracy of fragility fracture risk prediction, which can help in deciding whether intervention or treatment is necessary.
Files in This Item:
T201701583.pdf Download
DOI
10.1186/s12891-017-1587-0
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Medical Engineering (의학공학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kim, Deok Won(김덕원)
Lee, Wan Hyung(이완형)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154443
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