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- W2034121143 abstract "Background Cardiovascular diseases are associated with disturbances in calcium metabolism, including increased urinary calcium, vitamin D insufficiency, and decreased bone mineral density. Antihypertensive drugs may increase the risk of falling. However, risk of fracture in patients treated with non-diuretic cardiovascular drugs is largely unknown. Aim We investigated associations between fracture risk and treatment with commonly used cardiovascular drugs: beta-blockers, angiotensin-converting enzyme (ACE) inhibitors, and calcium-channel blockers. Design A population-based pharmaco-epidemiological case–control study with fracture in year 2000 as outcome and drug use during the previous 5 years as exposure. We used nationwide computerized registers to assess individual use of drugs and related these data to individual fracture records and information on socio-economic and health-related confounders. Results We included 124 655 cases that sustained a fracture and 373 962 age and gender-matched controls. After adjustment for potential confounders, risk of any fracture was reduced by 9% [odds ratio (OR) 0.91; 95% confidence interval (CI), 0.88–0.93] in users of beta-blockers, by 6% (OR, 0.94; 95%CI, 0.91–0.96) in users of calcium-channel blockers, and by 7% (OR, 0.93; 95%CI, 0.90–0.96) in users of ACE inhibitors. Moreover, risk of hip fractures was reduced significantly by 7–14% in users of the three groups of drugs. No major differences were found between men and women or in subjects younger or older than 70 years of age. Sub-analyses indicated differences between groups of calcium-channel blockers, as use of non-dihydropyridine drugs was associated with a larger risk reduction than use of dihydropyridine drugs. Conclusion Treatment with beta-blockers, ACE inhibitors, and calcium-channel blockers is associated with a small but significantly reduced risk of fracture." @default.
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- W2034121143 date "2006-03-01" @default.
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- W2034121143 title "Treatment with beta-blockers, ACE inhibitors, and calcium-channel blockers is associated with a reduced fracture risk: a nationwide case–control study" @default.
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- W2034121143 doi "https://doi.org/10.1097/01.hjh.0000203845.26690.cb" @default.
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