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Movement control during one-leg standing is important for the bone mineral density maintenance or improvement

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Journal of Bone and Mineral Metabolism Aims and scope Submit manuscript

A Correction to this article was published on 27 August 2022

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Abstract

Introduction

Both hip fracture and bone mineral density (BMD) decline on the non-fractured side are more likely to occur within 1 year. However, there are no longitudinal study reports on the factors associated with BMD maintenance or improvement within the first year after hip fracture. This study aimed to investigate the factors influencing the neck BMD maintenance or improvement in patients with hip fractures from within 2 weeks–6 months after surgery.

Materials and methods

Patients were hip fracture after surgery and were divided into two groups: Among neck BMD changes (6 months minus 2 weeks after surgery) were calculated. Based on among neck BMD change, patients were classified into the BMD maintenance or improvement (change ≥ 0) and the BMD decrease groups (change < 0). Propensity score matching was performed to adjust for confounding factors. To predict the factors affecting neck BMD, hierarchical logistic regression analysis was performed. The dependent variable was the BMD maintenance or improvement group and the BMD decrease group. The independent variables were basic and medical information, and physical functions.

Results

The hierarchical logistic regression analysis results showed that movement control during one-leg standing affected femoral neck BMD independently from age, sex. The odds ratio for movement control during one-leg standing was 8.22. The discrimination rate of the model was 69.7%.

Conclusion

This study suggested that adequate movement control during one-leg standing is important to maintain or improve neck BMD.

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Acknowledgements

We thank Nitta K, Matsumoto K, Masudome K, Matsuda N, Nakashima Y, Kinoshita Y, Tao Y, Higaki N, Yoneda S, Fujihara S (Kure Kyosai Hospital, Kure, Japan) and Inukai A (Saiseikai Kure Hospital, Kure, Japan) for their support in data collection.

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Authors and Affiliations

  1. Department of Rehabilitation, Faculty of Rehabilitation, Hiroshima International University, Kurose-Gakuendai 555-36, Higashi-Hiroshima, Hiroshima, Japan

    Takuya Umehara, Akinori Kaneguchi & Nobuhiro Kito

  2. Department of Rehabilitation, Kure Kyosai Hospital, Nishichuo 2-3-28, Kure, Hiroshima, Japan

    Keita Watanabe & Nobuhisa Katayama

  3. Department of Rehabilitation, Saiseikai Kure Hospital, Sanjo 2-1-13, Kure, Hiroshima, Japan

    Daisuke Kuwahara & Ryo Kaneyashiki

  4. Department of Health Informatics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3, Hiroshima Minami-ku, Hiroshima, Hiroshima, Japan

    Masayuki Kakehashi

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  1. Takuya Umehara
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Contributions

All authors contributed to the conception and design of the study. Material preparation and analysis were performed by TU and AK. The first draft of the manuscript was written by TU, and all authors commented on previous versions of the manuscript. NK and MK supervised and reviewed the manuscript. Data collection was performed by KW, NK, DK, and RK. All authors read and approved the final submitted manuscript.

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Correspondence to Takuya Umehara.

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The original online version of this article was revised due to the following section heading “Factors influencing BMD maintenance or improvement at 6 months (after propensity score matching)” was missing and included in this version.

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Umehara, T., Kaneguchi, A., Watanabe, K. et al. Movement control during one-leg standing is important for the bone mineral density maintenance or improvement. J Bone Miner Metab 40, 801–809 (2022). https://doi.org/10.1007/s00774-022-01348-0

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  • DOI: https://doi.org/10.1007/s00774-022-01348-0

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