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01-02-2013 | Original Article

Physical performance, bone and joint diseases, and incidence of falls in Japanese men and women: a longitudinal cohort study

Authors: S. Muraki, T. Akune, H. Oka, Y. Ishimoto, K. Nagata, M. Yoshida, F. Tokimura, K. Nakamura, H. Kawaguchi, N. Yoshimura

Published in: Osteoporosis International | Issue 2/2013

Abstract

Summary

This study examined whether physical performance and bone and joint diseases were risk factors for falls in 745 men and 1,470 women from the Research on Osteoarthritis/osteoporosis Against Disability (ROAD) study (mean, 69.7 years). Slower walking speed was a risk factor for falls in men and women. Knee pain was a risk factor for falls in women.

Introduction

The objective of the present study was to clarify the incidence of falls by sex and age and to determine whether physical performance and bone and joint diseases are risk factors for falls in men and women using a large-scale population-based cohort of the ROAD.

Methods

A total of 745 men and 1,470 women were analyzed in the present study (mean age, 68.5 years). A questionnaire assessed the number of falls during 3 years of follow-up. Grip strength and walking speed were measured at baseline. Knee and lumbar spine radiographs were read by Kellgren–Lawrence (KL) grade; radiographic knee osteoarthritis and lumbar spondylosis were defined as KL = 3 or 4. Knee and lower back pain were estimated by an interview.

Results

During a mean follow-up of 3 years, 141 (18.9 %) men and 362 (24.6 %) women reported at least one fall. Slower walking speed was a risk factor for falls in men (0.1 m/s decrease; odds ratio [OR], 1.15; 95 % confidence interval [CI], 1.09–1.23) and women (0.1 m/s decrease; OR, 1.05; 95 % CI, 1.01–1.10). Knee pain was also a risk factor for falls (OR, 1.38; 95 % CI, 1.03–1.84) in women, but lower back pain was not.

Conclusion

We examined the incidence and risk factors for falls in men and women. Slower walking speed was a risk factor for falls in men and women. Knee pain was a risk factor for falls in women.

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Title: Physical performance, bone and joint diseases, and incidence of falls in Japanese men and women: a longitudinal cohort study
Authors: S. Muraki
T. Akune
H. Oka
Y. Ishimoto
K. Nagata
M. Yoshida
F. Tokimura
K. Nakamura
H. Kawaguchi
N. Yoshimura
Publication date: 01-02-2013
Publisher: Springer-Verlag
Published in: Osteoporosis International / Issue 2/2013
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-012-1967-0

At a glance: The STEP trials

Springer Medicine

Physical performance, bone and joint diseases, and incidence of falls in Japanese men and women: a longitudinal cohort study

Abstract

Summary

Introduction

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Summary

Introduction

Methods

Results

Conclusion

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