{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T19:05:52Z","timestamp":1784574352137,"version":"3.55.0"},"reference-count":17,"publisher":"American Diabetes Association","issue":"8","license":[{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"funder":[{"DOI":"10.13039\/100015223","name":"Danish Diabetes and Endocrine Academy","doi-asserted-by":"publisher","award":["NNF22SA0079901"],"award-info":[{"award-number":["NNF22SA0079901"]}],"id":[{"id":"10.13039\/100015223","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To investigate the impact of diabetes on incidence rates (IRs), incidence rate ratios (IRRs), and site-specific fracture susceptibility of subtrochanteric\/femoral shaft (ST\/FS) and hip fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                    <jats:p>Using Danish registries, we estimated IRs, IRRs, and fracture site associations of ST\/FS and hip fracture (1997\u20132021) in adults \u226565 years old with type 1 diabetes, with type 2 diabetes, and without diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>IRRs were significantly higher in those with type 1 diabetes (ST\/FS 2.53, P &amp;lt; 0.001; hip 2.17, P &amp;lt; 0.001) and type 2 diabetes (ST\/FS 1.08, P = 0.002; hip 1.06, P = 0.008) compared with no diabetes. After age adjustment, only type 1 diabetes remained significantly increased. Adjusted analysis found both type 1 (odds ratio 1.14, P = 0.002) and type 2 (odds ratio 1.05, P = 0.008) diabetes to be significantly associated with higher odds of ST\/FS compared with hip fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Type 1 diabetes was associated with increased incidence of femoral fractures and slightly higher odds of ST\/FS than hip fractures after adjustment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2337\/dc25-2899","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T14:36:06Z","timestamp":1779892566000},"page":"1380-1383","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":0,"title":["Diabetes and Femoral Fracture Patterns: A Nationwide Registry Study (1997\u20132021)"],"prefix":"10.2337","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8281-2402","authenticated-orcid":false,"given":"Asger A.","family":"Bech","sequence":"first","affiliation":[{"name":"Steno Diabetes Center North Denmark, Aalborg University Hospital 1 , Gistrup, Denmark"},{"name":"Department of Clinical Medicine, Aalborg University 2 , Gistrup, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annika V.","family":"Kvist","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center North Denmark, Aalborg University Hospital 1 , Gistrup, Denmark"},{"name":"Department of Clinical Medicine, Aalborg University 2 , Gistrup, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Vestergaard","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center North Denmark, Aalborg University Hospital 1 , Gistrup, Denmark"},{"name":"Department of Clinical Medicine, Aalborg University 2 , Gistrup, Denmark"},{"name":"Department of Clinical Medicine and Endocrinology, Aalborg University Hospital 3 , Aalborg, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicklas H.","family":"Rasmussen","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center North Denmark, Aalborg University Hospital 1 , Gistrup, Denmark"},{"name":"Department of Clinical Medicine, Aalborg University 2 , Gistrup, Denmark"},{"name":"Department of Clinical Medicine and Endocrinology, Aalborg University Hospital 3 , Aalborg, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"2026072014522265800_B1","doi-asserted-by":"crossref","first-page":"52","DOI":"10.2174\/1574886315666200908110058","article-title":"Increased risk of falls, fall-related injuries and fractures in people with type 1 and type 2 diabetes - a nationwide cohort 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