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Adulthood fracture and quality of life : A population-based study of Australian men
journal contribution
posted on 2014-01-01, 00:00 authored by A G Dobbins, Sharon Brennan-OlsenSharon Brennan-Olsen, Lana WilliamsLana Williams, Kara KewKara Kew, Julie PascoJulie PascoBackground: Our objective was to investigate associations between adulthood fracture and quality of life (QOL) in men. Methods: For 448 men aged 50-85 years and enrolled in the Geelong Osteoporosis Study, we measured QOL using the validated (Australian) World Health Organization Quality of Life-Brief Version (WHOQOL-Bref) in the domains of physical health, psychological health, social relationships, and the environment. Self-reported adulthood fractures were categorized as recent or non-recent ( ≤ 10 years or > 10 years pre-QOL assessment, respectively). Lifestyle and health information were self-reported. Results: One hundred seventy four men (38.8%) sustained at least one fracture, 26% of which had occurred within the last 10 years. Compared with men who had never had an adulthood fracture, a non-recent fracture was more likely associated with poorer QOL in the physical health domain (age-adjusted odds ratio [OR] 0.47, 95% confidence interval [95%CI] 0.27-0.83), but not in any other domain. Men who had sustained a recent fracture reported a lower QOL in the domain of psychological health (age-adjusted OR 0.48, 95%CI 0.24-0.97), with a trend observed for lower QOL in the domains of physical health and environment. No further associations were observed. All results were sustained in further models that were adjusted for smoking, alcohol, physical inactivity, and body mass index. Conclusions: We present novel data examining associations between fracture status and QOL in a populationbased sample of Australian men using the WHOQOL-Bref. Recent fractures were associated with poorer QOL in the domain of psychological health while non-recent fractures were more likely associated poorer QOL for physical health. These findings have important implications for healthcare post-fracture.
History
Journal
Journal of Men's HealthVolume
11Issue
4Pagination
171 - 176Publisher
Mary Ann Liebert Inc.Location
New Rochelle, NYPublisher DOI
ISSN
1875-6867eISSN
1875-6859Language
engPublication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2014, Mary Ann Liebert Inc.Usage metrics
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