Osteoporosis International

, Volume 24, Issue 2, pp 533–540

Active commuting reduces the risk of wrist fractures in middle-aged women—the UFO study

  • U. Englund
  • P. Nordström
  • J. Nilsson
  • G. Hallmans
  • O. Svensson
  • U. Bergström
  • U. Pettersson-Kymmer
Original Article

DOI: 10.1007/s00198-012-1988-8

Cite this article as:
Englund, U., Nordström, P., Nilsson, J. et al. Osteoporos Int (2013) 24: 533. doi:10.1007/s00198-012-1988-8

Abstract

Summary

Middle-aged women with active commuting had significantly lower risk for wrist fracture than women commuting by car/bus.

Introduction

Our purpose was to investigate whether a physically active lifestyle in middle-aged women was associated with a reduced risk of later sustaining a low-trauma wrist fracture.

Methods

The Umeå Fracture and Osteoporosis (UFO) study is a population-based nested case–control study investigating associations between lifestyle and fragility fractures. From a cohort of ~35,000 subjects, we identified 376 female wrist fracture cases who had reported data regarding their commuting habits, occupational, and leisure physical activity, before they sustained their fracture. Each fracture case was compared with at least one control drawn from the same cohort and matched for age and week of reporting data, yielding a total of 778 subjects. Mean age at baseline was 54.3 ± 5.8 years, and mean age at fracture was 60.3 ± 5.8 years.

Results

Conditional logistic regression analysis with adjustments for height, body mass index, smoking, and menopausal status showed that subjects with active commuting (especially walking) were at significantly lower risk of sustaining a wrist fracture (OR 0.48; 95 % CI 0.27–0.88) compared with those who commuted by car or bus. Leisure time activities such as dancing and snow shoveling were also associated with a lower fracture risk, whereas occupational activity, training, and leisure walking or cycling were unrelated to fracture risk.

Conclusion

This study suggests that active commuting is associated with a lower wrist fracture risk, in middle-aged women.

Keywords

Epidemiology Physical activity Risk factors Women Wrist fracture 

Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2012

Authors and Affiliations

  • U. Englund
    • 1
  • P. Nordström
    • 1
  • J. Nilsson
    • 2
  • G. Hallmans
    • 3
  • O. Svensson
    • 4
  • U. Bergström
    • 4
  • U. Pettersson-Kymmer
    • 5
  1. 1.Division of Geriatric Medicine, Department of Community Medicine and RehabilitationUmeå UniversityUmeåSweden
  2. 2.Division of Occupational Medicine, Department of Public Health and Clinical MedicineUmeå UniversityUmeåSweden
  3. 3.Division of Nutritional Research, Department of Public Health and Clinical MedicineUmeå UniversityUmeåSweden
  4. 4.Division of Orthopedics, Department of Surgical and Perioperative ScienceUmeå UniversityUmeåSweden
  5. 5.Division of Clinical Pharmacology, Department of Pharmacology and Clinical NeuroscienceUmeå UniversityUmeåSweden

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