Inferior physical performance test results of 10,998 men in the MrOS Study is associated with high fracture risk

• Published in: Age and ageing Vol. 41; no. 3; pp. 339 - 344
• Main Authors: Rosengren, B. E., Ribom, E. L., Nilsson, J.-A., Mallmin, H., Ljunggren, O., Ohlsson, C., Mellstrom, D., Lorentzon, M., Stefanick, M., Lapidus, J., Leung, P. C., Kwok, A., Barrett-Connor, E., Orwoll, E., Karlsson, M. K.
• Format: Journal Article
• Language: English
• Published: England Oxford University Press 01.05.2012; Oxford Publishing Limited (England)
• Subjects: Accidental falls; Accidental Falls - statistics & numerical data; Age; Age Factors; Aged; Aged, 80 and over; Aging; Analysis of Variance; Causes of; Chi-Square Distribution; Clinical Medicine; Confidence intervals; Cross-Sectional Studies; Deviation; elderly; Endocrinology and Diabetes; Endokrinologi och diabetes; Exercise; Exercise Test; Falls; Falls (Accidents); Fractures; Fractures (Injuries); Fractures, Bone - epidemiology; Geriatrics; Geriatrik; Grip strength; Hand Strength; Hands; Health aspects; Hong Kong - epidemiology; Human performance; Humans; Klinisk medicin; Logistic Models; Male; Males; Measurement; Medical and Health Sciences; Medicin och hälsovetenskap; Men; Men's Health; Odds Ratio; old; Orthopaedics; Orthopedics; Ortopedi; Physical Fitness; physical performance tests; Predictive Value of Tests; Research Papers; Risk Assessment; Risk Factors; Surveys and Questionnaires; Sweden; United States - epidemiology; Walking; Hong Kong; United States; Sweden
• ISSN: 0002-0729; 1468-2834; 1468-2834
• DOI: 10.1093/ageing/afs010

most fractures are preceded by falls. the aim of this study was to determine whether tests of physical performance are associated with fractures. a total of 10,998 men aged 65 years or above were recruited. questionnaires evaluated falls sustained 12 months before administration of the grip strength test, the timed stand test, the six-metre walk test and the twenty-centimetre narrow walk test. Means with 95% confidence interval (95% CI) are reported. P < 0.05 is a statistically significant difference. fallers with a fracture performed worse than non-fallers on all tests (all P < 0.001). Fallers with a fracture performed worse than fallers with no fractures both on the right-hand-grip strength test and on the six-metre walk test (P < 0.001). A score below -2 standard deviations in the right-hand-grip strength test was associated with an odds ratio of 3.9 (95% CI: 2.1-7.4) for having had a fall with a fracture compared with having had no fall and with an odds ratio of 2.6 (95% CI: 1.3-5.2) for having had a fall with a fracture compared with having had a fall with no fracture. the right-hand-grip strength test and the six-metre walk test performed by old men help discriminate fallers with a fracture from both fallers with no fracture and non-fallers.