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Shorter unipedal standing time and lower bone mineral density in women with distal radius fractures

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Abstract

Summary

Unipedal standing time was shorter and bone mineral density was lower in Japanese women aged 50 years and over with low-energy distal radius fractures resulting from falls than those in age-matched community-dwelling Japanese women without distal radius fractures.

Introduction

The aim of this study was to compare unipedal standing time and bone mineral density (BMD) of women ≥50 years of age with distal radius fractures with those of age-matched women without fractures.

Methods

Fracture group was 54 Japanese women with low-energy distal radius fractures resulting from fall. Non-fracture group was 52 community-dwelling Japanese women without fractures. Unipedal standing time and BMD were measured.

Results

There were no significant differences in age and body mass index between the two groups. The percentage of women with unipedal standing time <15 s was 44.4% in the fracture group and 13.5% in the non-fracture group, while the respective frequencies for >120 s were 20.4% and 50.0%. The T-score of BMD was significantly lower in the fracture than non-fracture group. Logistic regression analysis identified unipedal standing time <15 s and T-score <70% as significant factors associated with distal radius fractures. Notably, T-score <70% was significant in subjects <65 years, and unipedal standing time <15 s was significant in those ≥65 years.

Conclusion

Unipedal standing time was shorter and BMD was lower in women ≥50 years of age with distal radius fractures than those in age-matched women without fractures.

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References

  1. Jaglal SB, Weller I, Mamdani M et al (2005) Population trends in BMD testing, treatment, and hip and wrist fracture rates: are the hip fracture projections wrong? J Bone Miner Res 20:898–905

    Article  PubMed  Google Scholar 

  2. Hagino H, Yamamoto K, Ohshiro H et al (1999) Changing incidence of hip, distal radius, and proximal humerus fractures in Tottori Prefecture, Japan. Bone 24:265–270

    Article  CAS  PubMed  Google Scholar 

  3. Boufous S, Finch C, Lord S et al (2006) The epidemiology of hospitalised wrist fractures in older people, New South Wales, Australia. Bone 39:1144–1148

    Article  PubMed  Google Scholar 

  4. Kelsey JL, Browner WS, Seeley DG et al (1992) Risk factors for fractures of the distal forearm and proximal humerus. The Study of Osteoporotic Fractures Research Group. Am J Epidemiol 135:477–489

    CAS  PubMed  Google Scholar 

  5. Sakai A, Oshige T, Zenke Y et al (2008) Association of bone mineral density with deformity of the distal radius in low-energy Colles' fractures in Japanese women above 50 years of age. J Hand Surg 33A:820–826

    Google Scholar 

  6. Oshige T, Sakai A, Zenke Y et al (2007) A comparative study of clinical and radiological outcomes of dorsally angulated, unstable distal radius fractures in elderly patients: intrafocal pinning versus volar locking plating. J Hand Surg 32A:1385–1392

    Google Scholar 

  7. Nordvall H, Glanberg-Persson G, Lysholm J (2007) Are distal radius fractures due to fragility or to falls? A consecutive case-control study of bone mineral density, tendency to fall, risk factors for osteoporosis, and health-related quality of life. Acta Orthop 78:271–277

    Article  PubMed  Google Scholar 

  8. Kelsey JL, Prill MM, Keegan TH et al (2005) Reducing the risk for distal forearm fracture: preserve bone mass, slow down, and don't fall!. Osteoporos Int 16:681–690

    Article  PubMed  Google Scholar 

  9. Podsiadlo D, Richardson S (1991) The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 39:142–148

    CAS  PubMed  Google Scholar 

  10. Sakai A, Toba N, Takeda M et al (2009) Association of unipedal standing time and bone mineral density in community-dwelling Japanese women. Osteoporos Int 20:731–736

    Article  CAS  PubMed  Google Scholar 

  11. Hudak PL, Amadio PC, Bombardier C (1996) Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand). Am J Ind Med 29:602–608

    Article  CAS  PubMed  Google Scholar 

  12. Zenke Y, Sakai A, Oshige T et al (2009) The effects of an associated ulnar styloid fracture on the outcome after fixation of a fracture of the distal radius. J Bone Jt Surg [Br] 91-B:102–107

    Article  Google Scholar 

  13. Orimo H, Hayashi Y, Fukunaga M et al (2001) Diagnostic criteria for primary osteoporosis: year 2000 revision. J Bone Miner Metab 19:331–337

    Article  CAS  PubMed  Google Scholar 

  14. Ito M (2008) Diagnosis of musculoskeletal ambulation disability symptom complex (MADS). Clin Calcium 18:1560–1565

    PubMed  Google Scholar 

  15. Kita K, Hujino K, Nasu T et al (2007) A simple protocol for preventing falls and fractures in elderly individuals with musculoskeletal disease. Osteoporos Int 18:611–619

    Article  CAS  PubMed  Google Scholar 

  16. Vellas BJ, Wayne SJ, Garry PJ et al (1998) A two-year longitudinal study of falls in 482 community-dwelling elderly adults. J Gerontol A Biol Sci Med Sci 53:M264–M274

    CAS  PubMed  Google Scholar 

  17. Vellas BJ, Wayne SJ, Romero L et al (1997) One-leg balance is an important predictor of injurious falls in older persons. J Am Geriatr Soc 45:735–738

    CAS  PubMed  Google Scholar 

  18. Hagino H, Fujiwara S, Nakashima E et al (2004) Case-control study of risk factors for fractures of the distal radius and proximal humerus among the Japanese population. Osteoporos Int 15:226–230

    Article  CAS  PubMed  Google Scholar 

  19. Hung LK, Wu HT, Leung PC et al (2005) Low BMD is a risk factor for low-energy Coles’ fractures in women before and after menopause. Clin Orthop Relat Res 435:219–225

    Article  PubMed  Google Scholar 

  20. Mallmin H, Ljunghall S (1994) Distal radius fracture is an early sign of general osteoporosis: bone mass measurements in a population-based study. Osteoporos Int 4:357–361

    Article  CAS  PubMed  Google Scholar 

  21. Hegeman JH, Oskam J, van der Palen J et al (2004) The distal radius fracture in elderly women and the bone mineral density of the lumbar spine and hip. J Hand Surg 29B:473–476

    Google Scholar 

  22. Adami S, Zamberian N, Gatti D et al (1996) Computed radiographic absorptiometry and morphometry in the assessment of postmenopausal bone loss. Osteoporos Int 6:8–13

    Article  CAS  PubMed  Google Scholar 

  23. Sili Scavalli A, Marini M, Spadaro A et al (1996) Comparison of ultrasound transmission velocity with computed metacarpal radiogrammetry and dual-photon absorptiometry. Eur Radiol 6:192–195

    CAS  PubMed  Google Scholar 

  24. Matsumoto C, Kushida K, Yamazaki K et al (1994) Metacarpal bone mass in normal and osteoporotic Japanese women using computed X-ray densitometry. Calcif Tissue Int 55:324–329

    Article  CAS  PubMed  Google Scholar 

  25. Yamamoto I, Yuu I, Morita R (1994) Computed X-ray densitometry. Nippon Rinsho 52:2323–2328

    CAS  PubMed  Google Scholar 

  26. Crepaldi G, Romanato G, Tonin P et al (2007) Osteoporosis and body composition. J Endocrinol Invest 30:42–47

    CAS  PubMed  Google Scholar 

  27. Misic MM, Rosengren KS, Woods JA et al (2007) Muscle quality, aerobic fitness and fat mass predict lower-extremity physical function in community-dwelling older adults. Gerontology 53:260–266

    Article  PubMed  Google Scholar 

  28. Mattila VM, Tallroth K, Marttinen M et al (2007) Physical fitness and performance. Body composition by DEXA and its association with physical fitness in 140 conscripts. Med Sci Sports Exerc 39:2242–2247

    Article  PubMed  Google Scholar 

  29. Taaffe DR, Simonsick EM, Visser M et al (2003) Lower extremity physical performance and hip bone mineral density in elderly black and white men and women: cross-sectional associations in the Health ABC Study. J Gerontol A Biol Sci Med Sci 58:M934–M942

    PubMed  Google Scholar 

  30. Crilly RG, Delaquerriére Richardson L, Roth JH et al (1987) Postural stability and Colles’ fracture. Age Ageing 16:133–138

    Article  CAS  PubMed  Google Scholar 

  31. Sakamoto K, Nakamura T, Hagino H et al (2006) Effects of unipedal standing balance exercise on the prevention of falls and hip fracture among clinically defined high-risk elderly individuals: a randomized controlled trial. J Orthop Sci 11:467–472

    Article  PubMed  Google Scholar 

  32. Grahn Kronhed AC, Blomberg C, Karlsson N et al (2005) Impact of a community-based osteoporosis and fall prevention program on fracture incidence. Osteoporos Int 16:700–706

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported in part by a Health and Labour Sciences Research Grant (Comprehensive Research on Aging and Health, project registered no. 031) from the Japan Ministry of Health, Labour and Welfare. No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

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Correspondence to A. Sakai.

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Sakai, A., Oshige, T., Zenke, Y. et al. Shorter unipedal standing time and lower bone mineral density in women with distal radius fractures. Osteoporos Int 21, 733–739 (2010). https://doi.org/10.1007/s00198-009-0992-0

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  • DOI: https://doi.org/10.1007/s00198-009-0992-0

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