Osteoporosis, bone & mineral

Sarcopenia definitions and their association with injurious falls in older Swedish women from the Sahlgrenska University Hospital Prospective Evaluation of Risk of Bone fractures (SUPERB) study

Osteoporos IntPublished Prospective cohort study

Authors' conclusion

Sarcopenia definitions confined to muscle function and strength such as SDOC, rather than including DXA-determined ALMI (EWGSOP2 and AWGS), are associated with incident injurious falls with and without fractures in older women.

Study context

Population
Women aged 75–80 years with complete data on sarcopenia definitions, Swedish SUPERB cohort
Participants
2,883 women
Exposure
Sarcopenia by Sarcopenia Definitions and Outcomes Consortium (SDOC), EWGSOP2 and AWGS definitions vs no sarcopenia
Outcome
Incident injurious falls (with and without fracture), identified via national registers
Follow-up
Median 7.06 (IQR 6.2-7.9) years
Methodological detailspopulation-based, Cox regression, unadjusted and adjusted for age, BMI, previous falls and Charlson comorbidity index
  • Population-based
  • Cox regression, unadjusted and adjusted for age, BMI, previous falls and Charlson comorbidity index

Main finding

As reported in the abstract

Injurious falls · median 7.06 years
SDOCHazard ratio (95% CI)
Injurious falls including fracture
2.11(1.63–2.73)
Injurious falls without fracture
2.16(1.55–3.02)
Injurious falls without fracture
491
Injurious falls incl. fracture
962

Observational data: associations, not effects.

Original publication

Sarcopenia definitions and their association with injurious falls in older Swedish women from the Sahlgrenska University Hospital Prospective Evaluation of Risk of Bone fractures (SUPERB) study. Osteoporos Int. Published 6 August 2024. doi:10.1007/s00198-024-07196-0

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