Diabetes and hip fracture
Hip fractures constitute one of the traumatological problems of the elderly.In women they are usually concurrent or conditioning factors such as overweight, osteoporosis and knee osteoarthritis.
But a matter not so widespread until now is the risk of fractures in type 1 and 2.General about this association.
However, due to certain contradictory results, a group of scientists from the Isfahan University of Medical Sciences (Iran), led by DR Mohsenb Kanghorbani, carried out a complete and exhaustive review of the studies in which the risk of hip fractures was analyzedAmong the diabetics.This careful analysis took into account the results observed in 836,941 patients, aged up to 98 years.
The conclusions were clear.In type 2 diabetics, regardless of sex, the risk of hip joint fractures was 70% greater than that of non -diabetic individuals.
In the case of type 1 diabetics, the risk was also increased, with values of up to 7 or 8 times greater than those of people without diabetes.These results were coincident, both in men and women, and it was also found that there were no differences in the results of European and American studies.
When analyzing the reasons for increasing the risk of fractures between diabetics, the authors mention:
alteration in bone quality
Diabetes related conditions, such as:
Diabetic retinopathy
Peripheral neuropathy
strokes
Hypoglycemia
All these factors can increase the risk of falls, which adds to the weakness of bone pieces.
An added risk factor can be sedentary lifestyle, unfortunately very frequent, particularly in older people.The lack of physical activity at the moment of life favors muscle weakness, and the balance and flexibility disorders of joints.
Therefore, adopting the precautions of the case, it is important to consider physical activity in younger diabetics as an additional preventive measure against fracture risks, which once produce significantly alter the quality of life.
Digital Medical Editor, October 2007
