[Skip to Navigation]
Views 622
Citations 0
Comment & Response
November 9, 2020

Factors Associated With the Declining Trends of Hip Fractures—Reply

Author Affiliations
  • 1Clinical Trials and Outcomes Branch, National Institute for Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, Maryland
  • 2Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts
JAMA Intern Med. 2021;181(2):296. doi:10.1001/jamainternmed.2020.6474

In Reply In their Letter in response to our Original Investigation,1 Fuller-Thompson and Munro provide an interesting insight that improvements in environmental factors, specifically the phase out of leaded gasoline, could have contributed to the reduction in hip fractures observed in the United States and Canada. The role of lead is biologically plausible and important for the future: lead paint continues to be a source of lead exposure in Massachusetts and the rest of the United States.

Add or change institution
Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words