Table 1 Characteristics of Prospective Studies on Weight Loss and Hip Fracture.

From: The relationship between weight change and risk of hip fracture: meta-analysis of prospective studies

Source

No. of participants

Location/Period

Gender

Age (years)

No. of casesa

Measure/Range of Loss

Study Qualityb

Adjustment for Covariatesc

Langlois et al. 1998

2413

United States 1985–1992

M

67–104

72 HF

Weight Loss: Q1≤5% 5% < Q2 < 10% Q3≥10%

7

BMI at age 50 year, age, number of medical conditions, low mental status score, physical disability.

Langloiset al. 2001

2180

United States 1982–1992

F

50–74

171 HF

Weight Loss: Q1≤5% 5% < Q2 < 10% Q3≥10%

8

BMI, age at baseline; cigarette smoking (current, former, never); history of chronic diseases based on self-reported doctors’ diagnoses of bronchitis, thyroid disease, diabetes, kidney disease, heart disease or stroke; and alcohol consumption (none or any consumed in the past year).

Meyer et al. 1998

39089

Norway 1974–1978

F:19938 M:19151

37–58

207HF

Weight Loss (kg/12 years): F:Q1:Loss of 1.3 to gain of 1.5 Q2:Loss of >1.3 M:Q1:Loss of 0.9 to gain of 2.0 Q2:Loss of >0.9

9

Age at screening, weight variability (root mean square error), mean body mass index, body height, self-reported physical activity at work and during leisure, diabetes mellitus, disability pension, marital status and smoking habits.

Amador et al. 2006

1749

United States 1993–2001

F: 1008 M: 741

≥65

18HF

Weight Loss: Q1≤10% Q2 > 10%

7

Sociodemographic variables included age and gender, smoking status, medical conditions, depressed symptomatology, BMI, waist circumference, grip strength.

Langlois et al. 1996

3683

United States 1983–1992

F

67–104

253HF

Weight Loss: Q1≤5% 5% < Q2 < 10% Q3≥10%

8

Age at baseline, body mass index at age 50 years, cigarette smoking, alcoholconsumption in the past year, number of medical conditions, impaired mobility and use of thiazide diuretics.

Ensrud et al. 2003

6785

United States 1986–2001

F

≥65

400HF

Weight Loss: Q1<5% Q2≥5%

8

Age, health status, smoking, physical activity, medical conditions, history of fracture, BMI, neuromuscular function and hipbone density.

Mussolino et al. 1998

2879

United States 1982–1992

M

45–74

71HF

Weight Loss: Q1≤5% 5%<Q2<10% Q3≥10%

8

Self-reported data on age at baseline, previous fractures other than hip (none, any), smoking status (current, not current), alcohol consumption in the past year (none, any), nonrecreational physical activity (much, moderate, little or no exercise), chronic disease prevalence, calcium intake (mg/day), calories (kcal/day), protein consumption (g/day) and weight loss from maximum.

French et al. 1996

33834

United States 1986–1992

F

55–69

182HF

Weight loss: Q1≤10% Q2>10%

7

Baseline values of age, waist/hip ratio, BMI, BMI2, smoking status (never, former, current), pack years of cigarettes, education (<high school, high school, >high school), physical activity (low, medium, high), alcohol (0, <4, ≥4 g/d), marital status (yes/no), hormone replacement (never, former, current).

  1. aHF: Hip fracture.
  2. bStudy quality was judged based on the Newcastle-Ottawa Scale (range, 1–9 stars).
  3. cBMI: body mass index; BMD: Bone mineral density.