Osteoporosis, bone & mineral

Impact of fragility fractures on activities of daily living and productivity in community-dwelling women: a multi-national study

Osteoporos IntPublished Cross-sectional study

Authors' conclusion

In this multi-national study, fragility fractures in community-dwelling ≥ 50 years women were associated with several outcomes indicating higher indirect burden and lower quality of life, including more difficulties performing ADL and higher levels of lost productivity and caregiver support.

Study context

Population
Community-dwelling women aged ≥ 50 years in South Korea, Spain, Germany, Australia and the United States
Participants
1,253 women41 sites5 countries
Exposure
Women with a recent fragility fracture vs fracture-free women
Outcome
Impact of fragility fractures on activities of daily living (ADL) (Lawton IADL, PSMS), productivity loss and caregiver support (iMTA Productivity Cost Questionnaire (iPCQ))
Methodological detailsmulti-centre, multi-national
  • Multi-centre
  • Multi-national

Main finding

As reported in the abstract

ADL, productivity loss and caregiver support
  • Fragility fracture vs Fracture free: P < 0.05 in all countries for Lawton Instrumental ADL (IADL), and in South Korea, Spain, Australia and the United States for Physical Self-Maintenance Scale (PSMS)
  • Fragility fracture vs Fracture free: P < 0.05, Spain, Germany, Australia
  • Fragility fracture vs Fracture free: P < 0.05, South Korea, Spain, Germany
  • Fragility fracture vs Fracture free: P < 0.05 South Korea, Spain and the United States
  • Fragility fracture vs Fracture free: P < 0.05, all countries

Observational data: associations, not effects.

Original publication

Impact of fragility fractures on activities of daily living and productivity in community-dwelling women: a multi-national study. Osteoporos Int. Published 19 June 2023. doi:10.1007/s00198-023-06822-7

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