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Public Health Rep. 1996 Mar-Apr; 111(2): 146–151.
PMCID: PMC1381721

Downturn in hip fracture incidence.


Although there was evidence of a decline in hip fracture incidence in the northern United States between 1984 and 1987, most historical data in the United States and Northern Europe indicate that the age-adjusted incidence is rising. Analysis of data from Rochester, MN, from 1928 to 1992 demonstrates that age-adjusted hip fracture incidence rates rose in women from 1928 to 1950, and in men from 1928 to 1980, with falling rates thereafter. These trends were accounted for by initial hip fractures due to moderate trauma in the oldest age groups. Current data from this population show decreased incidence rates within 10% of the goals outlined in "Healthy People 2000," especially among women. A better understanding of the reasons for the decline of hip fracture incidence in Rochester, MN, may provide the basis for more focused interventions in similar populations.

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Selected References

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  • Chrischilles EA, Butler CD, Davis CS, Wallace RB. A model of lifetime osteoporosis impact. Arch Intern Med. 1991 Oct;151(10):2026–2032. [PubMed]
  • Schneider EL, Guralnik JM. The aging of America. Impact on health care costs. JAMA. 1990 May 2;263(17):2335–2340. [PubMed]
  • Melton LJ, 3rd, O'Fallon WM, Riggs BL. Secular trends in the incidence of hip fractures. Calcif Tissue Int. 1987 Aug;41(2):57–64. [PubMed]
  • Rodriguez JG, Sattin RW, Waxweiler RJ. Incidence of hip fractures, United States, 1970-83. Am J Prev Med. 1989 May-Jun;5(3):175–181. [PubMed]
  • Kurland LT, Molgaard CA. The patient record in epidemiology. Sci Am. 1981 Oct;245(4):54–63. [PubMed]
  • Martin AD, Silverthorn KG, Houston CS, Bernhardson S, Wajda A, Roos LL. The incidence of fracture of the proximal femur in two million Canadians from 1972 to 1984. Projections for Canada in the year 2006. Clin Orthop Relat Res. 1991 May;(266):111–118. [PubMed]
  • Ray WA, Griffin MR, West R, Strand L, Melton LJ., 3rd Incidence of hip fracture in Saskatchewan, Canada, 1976-1985. Am J Epidemiol. 1990 Mar;131(3):502–509. [PubMed]
  • Fisher ES, Baron JA, Malenka DJ, Barrett JA, Kniffin WD, Whaley FS, Bubolz TA. Hip fracture incidence and mortality in New England. Epidemiology. 1991 Mar;2(2):116–122. [PubMed]
  • Melton LJ, 3rd, Ilstrup DM, Riggs BL, Beckenbaugh RD. Fifty-year trend in hip fracture incidence. Clin Orthop Relat Res. 1982 Jan-Feb;(162):144–149. [PubMed]
  • Obrant KJ, Bengnér U, Johnell O, Nilsson BE, Sernbo I. Increasing age-adjusted risk of fragility fractures: a sign of increasing osteoporosis in successive generations? Calcif Tissue Int. 1989 Mar;44(3):157–167. [PubMed]
  • Maggi S, Kelsey JL, Litvak J, Heyse SP. Incidence of hip fractures in the elderly: a cross-national analysis. Osteoporos Int. 1991 Sep;1(4):232–241. [PubMed]
  • Meier B, Cross AR, Hancock JT, Kaup FJ, Jones OT. Identification of a superoxide-generating NADPH oxidase system in human fibroblasts. Biochem J. 1991 Apr 1;275(Pt 1):241–245. [PubMed]
  • Spector TD, Cooper C, Lewis AF. Trends in admissions for hip fracture in England and Wales, 1968-85. BMJ. 1990 May 5;300(6733):1173–1174. [PMC free article] [PubMed]
  • Gullberg B, Duppe H, Nilsson B, Redlund-Johnell I, Sernbo I, Obrant K, Johnell O. Incidence of hip fractures in Malmö, Sweden (1950-1991). Bone. 1993;14 (Suppl 1):S23–S29. [PubMed]
  • Jacobsen SJ, Goldberg J, Miles TP, Brody JA, Stiers W, Rimm AA. Seasonal variation in the incidence of hip fracture among white persons aged 65 years and older in the United States, 1984-1987. Am J Epidemiol. 1991 May 15;133(10):996–1004. [PubMed]
  • Madhok R, Melton LJ, 3rd, Atkinson EJ, O'Fallon WM, Lewallen DG. Urban vs rural increase in hip fracture incidence. Age and sex of 901 cases 1980-89 in Olmsted County, U.S.A. Acta Orthop Scand. 1993 Oct;64(5):543–548. [PubMed]
  • Ho SC, Bacon WE, Harris T, Looker A, Maggi S. Hip fracture rates in Hong Kong and the United States, 1988 through 1989. Am J Public Health. 1993 May;83(5):694–697. [PubMed]

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