Osteoporosis, bone & mineral

Associations Between Balance Measures and Risk of Fractures in 70-Year-Old Individuals

J Clin Endocrinol MetabPublished Population-based cohort study

Authors' conclusion

Higher body sway velocity and larger variation in sway velocity were associated with a higher risk of fractures both in 70-year-old men and women, especially under more challenging testing conditions.

Study context

Population
Community-dwelling 70-year-old individuals in a population-based health examination, Umeå municipality, Sweden
Participants
5,437 participants
Exposure
Body sway (Wii balance board) under eyes open, dual-tasking and eyes closed conditions and later fracture risk
Outcome
Fractures ascertained using nationwide registers
Follow-up
Mean 4.8 (range 0.0-10.6) years

Main finding

As reported in the abstract

mean follow-up 4.8 years
Women: anterior-posterior sway velocity, dual-tasking, adjusted HR per mm/s increase
1.05; 95% CI, 1.01-1.08
Women: variation in sway velocity, dual-tasking, adjusted HR per SD increase
1.05; 95% CI, 1.01-1.09
Women: all measures of lateral sway, eyes closed, associated with fracture risk
P < .01 for all
Men: variation in lateral sway velocity, dual-tasking, HR per SD increase
1.03; 95% CI, 1.00-1.07
Men: variation in anterior-posterior sway velocity, dual-tasking, HR per SD increase
1.05; 95% CI, 1.01-1.10

Observational data: associations, not effects.

Further findings

Fracture incidence · mean follow-up 4.8 years

Women with fracture
348 (12.3%)
Men with fracture
149 (5.7%)

Original publication

Associations Between Balance Measures and Risk of Fractures in 70-Year-Old Individuals. J Clin Endocrinol Metab. Published 29 October 2024. doi:10.1210/clinem/dgae766

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