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

Björn E. Rosengren, Eva L. Ribom, Jan Åke Nilsson, Hans Mallmin, Östen Ljunggren, Claes Ohlsson, Dan Mellström, Mattias Lorentzon, Marcia Stefanick, Jodi Lapidus, Ping Chung Leung, Anthony Kwok, Elizabeth Barrett-Connor, Eric Orwoll, Magnus K. Karlsson

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Background: most fractures are preceded by falls. Objective: the aim of this study was to determine whether tests of physical performance are associated with fractures. Subjects: a total of 10,998 men aged 65 years or above were recruited. Methods: 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. Results: 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.Conclusion: 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.

Original languageEnglish (US)
Article numberafs010
Pages (from-to)339-344
Number of pages6
JournalAge and Ageing
Volume41
Issue number3
DOIs
StatePublished - May 2012

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Hand Strength
Confidence Intervals
Odds Ratio
Walk Test

Keywords

  • Elderly
  • Falls
  • Fractures
  • Men
  • Old
  • Physical performance tests

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

Cite this

Rosengren, B. E., Ribom, E. L., Nilsson, J. Å., Mallmin, H., Ljunggren, Ö., Ohlsson, C., ... Karlsson, M. K. (2012). Inferior physical performance test results of 10,998 men in the MrOS Study is associated with high fracture risk. Age and Ageing, 41(3), 339-344. [afs010]. https://doi.org/10.1093/ageing/afs010

Inferior physical performance test results of 10,998 men in the MrOS Study is associated with high fracture risk. / Rosengren, Björn E.; Ribom, Eva L.; Nilsson, Jan Åke; Mallmin, Hans; Ljunggren, Östen; Ohlsson, Claes; Mellström, Dan; Lorentzon, Mattias; Stefanick, Marcia; Lapidus, Jodi; Leung, Ping Chung; Kwok, Anthony; Barrett-Connor, Elizabeth; Orwoll, Eric; Karlsson, Magnus K.

In: Age and Ageing, Vol. 41, No. 3, afs010, 05.2012, p. 339-344.

Research output: Contribution to journalArticle

Rosengren, BE, Ribom, EL, Nilsson, JÅ, Mallmin, H, Ljunggren, Ö, Ohlsson, C, Mellström, D, Lorentzon, M, Stefanick, M, Lapidus, J, Leung, PC, Kwok, A, Barrett-Connor, E, Orwoll, E & Karlsson, MK 2012, 'Inferior physical performance test results of 10,998 men in the MrOS Study is associated with high fracture risk', Age and Ageing, vol. 41, no. 3, afs010, pp. 339-344. https://doi.org/10.1093/ageing/afs010
Rosengren BE, Ribom EL, Nilsson JÅ, Mallmin H, Ljunggren Ö, Ohlsson C et al. Inferior physical performance test results of 10,998 men in the MrOS Study is associated with high fracture risk. Age and Ageing. 2012 May;41(3):339-344. afs010. https://doi.org/10.1093/ageing/afs010
Rosengren, Björn E. ; Ribom, Eva L. ; Nilsson, Jan Åke ; Mallmin, Hans ; Ljunggren, Östen ; Ohlsson, Claes ; Mellström, Dan ; Lorentzon, Mattias ; Stefanick, Marcia ; Lapidus, Jodi ; Leung, Ping Chung ; Kwok, Anthony ; Barrett-Connor, Elizabeth ; Orwoll, Eric ; Karlsson, Magnus K. / Inferior physical performance test results of 10,998 men in the MrOS Study is associated with high fracture risk. In: Age and Ageing. 2012 ; Vol. 41, No. 3. pp. 339-344.
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AU - Ribom, Eva L.

AU - Nilsson, Jan Åke

AU - Mallmin, Hans

AU - Ljunggren, Östen

AU - Ohlsson, Claes

AU - Mellström, Dan

AU - Lorentzon, Mattias

AU - Stefanick, Marcia

AU - Lapidus, Jodi

AU - Leung, Ping Chung

AU - Kwok, Anthony

AU - Barrett-Connor, Elizabeth

AU - Orwoll, Eric

AU - Karlsson, Magnus K.

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N2 - Background: most fractures are preceded by falls. Objective: the aim of this study was to determine whether tests of physical performance are associated with fractures. Subjects: a total of 10,998 men aged 65 years or above were recruited. Methods: 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. Results: 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.Conclusion: 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.

AB - Background: most fractures are preceded by falls. Objective: the aim of this study was to determine whether tests of physical performance are associated with fractures. Subjects: a total of 10,998 men aged 65 years or above were recruited. Methods: 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. Results: 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.Conclusion: 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.

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