Variables | Osteoporotic fracture group (cases) | Non-osteoporotic fracture group (controls) | P value | ||
---|---|---|---|---|---|
(n = 59,240) | (n = 296,200) | ||||
Cohort entry year, n (%) | 1.000 | ||||
 2006 | 29,139 | (49.2) | 145,695 | (49.2) |  |
 2007 | 13,356 | (22.6) | 66,780 | (22.6) | |
 2008 | 7103 | (12.0) | 35,515 | (12.0) | |
 2009 | 4450 | (7.5) | 22,250 | (7.5) | |
 2010 | 2511 | (4.2) | 12,555 | (4.2) | |
 2011 | 1378 | (2.3) | 6890 | (2.3) | |
 2012 | 790 | (1.3) | 3950 | (1.3) | |
 2013 | 364 | (0.6) | 1820 | (0.6) | |
 2014 | 137 | (0.2) | 685 | (0.2) | |
 2015 | 12 | 0.0 | 60 | 0.0 | |
Demographic characteristics | |||||
 Female sex, n (%) | 46,213 | (78.0) | 231,065 | (78.0) | 1.000 |
 Age, mean (SD), years | 64.8 (8.0) | 64.6 (8.1) | < 0.001 | ||
 Residence, n (%) |  |  |  |  | < 0.001 |
  Urban (large city) | 30,466 | (51.5) | 165,016 | (55.7) |  |
  Urban (small city) | 17,374 | (29.3) | 85,554 | (28.9) |  |
  Rural | 11,373 | (19.2) | 45,575 | (15.4) |  |
 Household income, n (%) |  |  |  |  | < 0.001 |
  Lowest quintile | 13,252 | (22.4) | 64,122 | (21.7) |  |
Health checkup/ structured questionnaire | |||||
 Height, median (IQR), cm | 155 (150–160) | 154 (150–160) | < 0.001 | ||
 Weight, median (IQR), kg | 58 (52–64) | 57 (51–63) | < 0.001 | ||
 BMI, median (IQR), kg/m2 | 24.0 (22.1–26.1) | 23.7 (21.6–25.9) | < 0.001 | ||
 BMI, n (%), kg/m2 |  |  | < 0.001 | ||
   < 18.5 | 2454 | (4.1) | 7809 | (2.6) |  |
  18.5–23 | 21,805 | (36.8) | 99,135 | (33.5) | |
  23–25 | 14,959 | (25.3) | 79,124 | (26.7) | |
  25–30 | 17,929 | (30.3) | 98,833 | (33.4) | |
   ≥ 30 | 2093 | (3.5) | 11,299 | (3.8) | |
 Current smoking, n (%) | 5852 | (9.9) | 24,306 | (8.2) | < 0.001 |
 Current alcohol drinking, n (%) | 11,669 | (19.7) | 59,453 | (20.1) | 0.038 |
 Regular exercise, n (%) | 20,962 | (35.4) | 118,472 | (40.0) | < 0.001 |
Concurrent disease/drug use, n (%) | |||||
 Bisphosphonates | 44,949 | (75.9) | 224,745 | (75.9) | 1.000 |
 Glucocorticoids | 48,134 | (81.3) | 219,574 | (74.1) | < 0.001 |
 Anticonvulsants | 14,735 | (24.9) | 49,906 | (16.9) | < 0.001 |
 HRT | 6061 | (10.2) | 21,707 | (7.3) | < 0.001 |
 Warfarin | 1114 | (1.9) | 3590 | (1.2) | < 0.001 |
 Heparin | 7193 | (12.1) | 20,023 | (6.8) | < 0.001 |
 Antacids | 48,175 | (81.3) | 215,413 | (72.7) | < 0.001 |
 SSRIs | 4605 | (7.8) | 15,323 | (5.2) | < 0.001 |
 Benzodiazepines | 46,995 | (79.3) | 207,468 | (70.0) | < 0.001 |
 TCAs | 11,024 | (18.6) | 38,293 | (12.9) | < 0.001 |
 Rheumatoid arthritis | 9994 | (16.9) | 33,677 | (11.4) | < 0.001 |
 Hyperthyroidism | 4023 | (6.8) | 15,451 | (5.2) | < 0.001 |
 Chronic kidney disease | 994 | (1.7) | 2990 | (1.0) | < 0.001 |
 COPD | 19,700 | (33.3) | 84,921 | (28.7) | < 0.001 |
 Testicular dysfunction | 29 | (0.1) | 111 | 0.0 | 0.199 |
 Pituitary dysfunction | 75 | (0.1) | 167 | (0.1) | < 0.001 |
 Hyperparathyroidism | 302 | (0.5) | 620 | (0.2) | < 0.001 |
 Cushing’s syndrome | 254 | (0.4) | 522 | (0.2) | < 0.001 |
 Hyperprolactinemia | 35 | (0.1) | 119 | 0.0 | 0.044 |
 Vitamin D deficiency | 575 | (1.0) | 1392 | (0.5) | < 0.001 |
 Idiopathic hypercalciuria | 1943 | (3.3) | 5058 | (1.7) | < 0.001 |
 Diabetes mellitus | 9692 | (16.4) | 42,790 | (14.5) | < 0.001 |
 Intestinal absorption disorder | 44 | (0.1) | 192 | (0.1) | 0.415 |
 Chronic liver disease | 5775 | (9.8) | 22,379 | (7.6) | < 0.001 |
 Anorexia nervosa | 115 | (0.2) | 349 | (0.1) | < 0.001 |
 Systemic erythema lupus | 183 | (0.3) | 508 | (0.2) | < 0.001 |
 Inflammatory bowel disease | 409 | (0.7) | 1661 | (0.6) | 0.000 |
 Secondary amenorrhea | 16 | 0.0 | 133 | 0.0 | 0.052 |
 Hypertensive disease | 27,839 | (47.0) | 132,871 | (44.9) | < 0.001 |
 Charlson comorbidity index |  |  |  |  | < 0.001 |
  0 | 19,228 | (32.5) | 107,655 | (36.4) |  |
  1 | 18,411 | (31.1) | 94,854 | (32.0) | |
  2 | 10,021 | (16.9) | 47,437 | (16.0) | |
   ≥ 3 | 11,580 | (19.6) | 46,254 | (15.6) | |
Follow-up period, median (IQR), years | 3.6 (1.8–5.7) | 3.6 (1.8–5.7) | 1.000 |