Abstract
Introduction
Prior studies have focused only on the temporal component of one-leg standing, no reports have examined the relationship between the qualitative components of one-leg standing and femoral BMD. Thus, this study investigated whether quality (i.e., movement control) of one-leg standing also associated femoral BMD.
Materials and methods
A total of 80 patients with unilateral hip fracture were included in a cross-sectional study. Basic and medical information and physical functions including movement control during one-leg standing were assessed at admission and 2 weeks after surgery, respectively. Hierarchical multiple regression analysis was performed to identify predictors of femoral BMDs on the non-fractured side. Dependent variables included femoral neck and total hip BMDs in models 1 and 2, respectively.
Results
Hierarchical multiple regression analysis (standardized partial regression coefficients) in model 1 identified age (− 0.18), sex (0.38), body mass index (BMI) (0.41), movement control during one-leg standing on the non-fractured side (0.19), and life-space assessment (0.17) as factors associating femoral neck BMD. Meanwhile, hierarchical multiple regression analysis (standardized partial regression coefficients) in model 2 identified age (− 0.12), sex (0.36), BMI (0.37), and movement control during one-leg standing on the non-fractured side (0.25) as factors associating total hip BMD. The coefficients of determination adjusted for degrees of freedom (R2) were 0.529 and 0.470 for models 1 and 2, respectively.
Conclusion
Our results suggest that improving movement control during one-leg standing may be important for maintaining and improving femoral BMD on the non-fractured side.
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Acknowledgements
We thank Matsumoto K, Masudome K, Ito N, Kinoshita Y, Tao Y, Higaki N, Yoneda S (Kure Kyosai Hospital, Kure, Japan) for their support in data collection.
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All authors contributed to the conception and design of the study. Material preparation and analysis were performed by TU, AK, and YI. The first draft of the manuscript was written by TU, and all authors commented on previous versions of the manuscript. MK and NK supervised and reviewed the manuscript. Data collection were performed by KW, AI, DK, and RK. NM assisted with the Bone Mineral Density and bone metabolic markers. All authors read and approved the final submitted manuscript.
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Umehara, T., Kaneguchi, A., Watanabe, K. et al. Association between movement control during one-leg standing and femoral BMD in patients with hip fractures. J Bone Miner Metab 39, 474–483 (2021). https://doi.org/10.1007/s00774-020-01185-z
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DOI: https://doi.org/10.1007/s00774-020-01185-z