Environment International

Air pollution linked to higher fracture rates in Norway

Forearm fracture rates were 1.22 times as high in men and 1.24 times in women in the highest versus lowest thirds of fine-particle pollution.

Graphical abstract from Environment International
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Graphical abstract. Dahl et al.
Cohort study of older adults in Norway, against people in lowest fine-particle pollution thirdPopulations

127,799 participants

Limit: The reported risk ratios weakened after adjustment for annual temperature and geography

Edited by Boris Djordjevic · AgingResearch.News

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In Norway, an observational study examined forearm fractures in people aged 40 and older and hip fractures in people aged 50 and older. Researchers linked records of 127,799 forearm fractures and 103,754 hip fractures to population data from 2008–2018. They compared fracture rates with modeled annual levels of fine-particle pollution and nitrogen dioxide, an air-polluting gas.

The forearm comparisons accounted for age and year. Further adjustment for annual temperature and geographic factors partly weakened those associations. Links involving nitrogen dioxide and hip fractures were similar but weaker. The most consistent finding was a stronger association among people aged 80 and older, particularly between nitrogen dioxide and hip fractures. The researchers reported associations even at low pollution levels.

Why it matters

The age comparisons address whether the link between air quality and bone fractures differs in later life.

Caveats

This observational study could not establish that pollution caused fractures. It covered Norway, with forearm fractures studied from age 40 and hip fractures from age 50, not younger people.