{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:24:43Z","timestamp":1747185883177,"version":"3.40.5"},"reference-count":40,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,3,15]],"date-time":"2021-03-15T00:00:00Z","timestamp":1615766400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Diabetes Invest"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Diabetes and bone health are closely related. We examined the incidence and risk factors of hip fractures in Chinese patients with type 2 diabetes (T2D).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>In this prospective cohort, we consecutively enrolled 22,325 adults with T2D above the age of 40\u00a0years in the Hong Kong Diabetes Register between 1994 and 2015 with crude hip fracture incidence rate censored in 2017.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At baseline, the mean age of this cohort was 60.9\u00a0\u00b1\u00a010.5\u00a0years (mean duration of diabetes 6\u00a0years, 52.4% male). During a mean\u00a0\u00b1\u00a0standard deviation (SD) follow\u2010up period of 8.7\u00a0\u00b1\u00a05.2\u00a0years with 193,553 person\u2010years, 603 patients were hospitalized due to hip fractures with an incidence (95% confidence interval, CI) of 315.1 (290.4\u2013341.3) per 100,000 person\u2010years. On multivariable analysis with competing death risk adjusted, the independent hazard ratios (95% CI) for hip fractures in T2D were 2.01 (1.61\u20132.51) for female sex, 1.08 (1.07\u20131.09) for age, 0.93 (0.90\u20130.95) for body mass index, 1.52 (1.25\u20131.85) for albuminuria and 1.12 (1.02\u20131.23) for low density lipoprotein\u2010cholesterol. In men, the 30\u2010day, 1\u2010year and 5\u2010year post\u2010hip fracture mortality rate (95% CI) were 5.8 (2.4\u20139.1) %, 29.2 (22.3\u201335.5) % and 65.9 (57.3\u201372.8) % respectively. The corresponding rates in women were 3.4 (1.6\u20135.1) %, 18.6 (14.7\u201322.4) %, and 46.8 (40.9\u201352.1) %.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Southern Chinese patients with T2D have a high risk of hip fracture associated with suboptimal cardiometabolic\u2010renal risk factors and a high post\u2010fracture mortality rate. The effects of improving modifiable risk factors on bone health warrants further evaluation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdi.13529","type":"journal-article","created":{"date-parts":[[2021,2,19]],"date-time":"2021-02-19T03:02:11Z","timestamp":1613703731000},"page":"1739-1748","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of hip fractures with cardiometabolic\u2010renal risk factors in Southern Chinese patients with type 2 diabetes \u2013 the Hong Kong Diabetes Register"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0517-7265","authenticated-orcid":false,"given":"Elaine","family":"Yun\u2010Ning Cheung","sequence":"first","affiliation":[{"name":"Department of Medicine and Therapeutics The Chinese University of Hong Kong Hong Kong"},{"name":"Hong Kong Institute of Diabetes and Obesity The Chinese University of Hong Kong Hong 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