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Effects of smoking habit change on hospitalized fractures: a retrospective cohort study in a male population
- Source :
- Archives of osteoporosis. 15(1)
- Publication Year :
- 2019
-
Abstract
- We examined effects of smoking habit change on fracture risk in men. Long-term quitters and never smokers showed decreased risk for overall fractures, lumbar fractures, and other site fractures. Short-term quitters did not show decreased risk. Longer time since smoking cessation may lead to decreased fracture risk in men. Cigarette smoking is a well-known modifiable risk factor of osteoporosis and fractures. This study investigated the effects of change in smoking habits on risks of all types of fractures in men using a nationwide health claims database. Retrospective study was performed using the Korean National Health Insurance Service-National Sample Cohort Data. Cox proportional hazards regression analyses were performed to estimate risks of all types of hospitalized fractures, hip fractures, lumbar fractures, and other site fractures (all other fractures excluding the lumbar and hip areas). Compared to continued smokers, long-term quitters and never smokers showed decreased risk for all types of fractures (adjusted hazard ratio (aHR) 0.83, 95% confidence interval (CI) 0.78–0.88 and aHR 0.84, 95% CI 0.80–0.89, respectively). According to skeletal site, long-term quitters and never smokers showed decreased risk for lumbar fractures (aHR 0.82, 95% CI 0.68–0.98 and aHR 0.85, 95% CI 0.73–0.99, respectively) and other site fractures (aHR 0.83, 95% CI 0.78–0.89 and aHR 0.85, 95% CI 0.81–0.90, respectively). Hip fractures were decreased in never smokers (aHR 0.77, 95% CI 0.62–0.94). Short-term quitters did not show decreased risk for fractures. Longer time since smoking cessation in men may lead to decreased risk for fractures, especially lumbar and other site fractures. Physicians should counsel patients at risk for fractures both to quit smoking and to maintain abstinence from smoking. Further studies may be required to help comprehend how smoking cessation can affect fracture risk.
- Subjects :
- 0301 basic medicine
Adult
Male
medicine.medical_specialty
Time Factors
medicine.medical_treatment
media_common.quotation_subject
Osteoporosis
030209 endocrinology & metabolism
Cohort Studies
03 medical and health sciences
Fractures, Bone
0302 clinical medicine
Risk Factors
Internal medicine
medicine
Humans
Orthopedics and Sports Medicine
Risk factor
media_common
Aged
Proportional Hazards Models
Retrospective Studies
business.industry
Hip Fractures
Hazard ratio
Smoking
Retrospective cohort study
Abstinence
Middle Aged
medicine.disease
Confidence interval
Cohort
Smoking cessation
Spinal Fractures
Smoking Cessation
030101 anatomy & morphology
business
Risk Reduction Behavior
Osteoporotic Fractures
Subjects
Details
- ISSN :
- 18623514
- Volume :
- 15
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Archives of osteoporosis
- Accession number :
- edsair.doi.dedup.....82dfb1cd19287bde97ccbff24eba3604