Impaired Functional Status Increases Fracture Incidence in 10-year Follow-Up : The Results from RAC-OST-POL Study

Copyright © 2022 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved..

INTRODUCTION: The aim of study was to establish the influence of baseline functional status on fracture incidence.

METHODOLOGY: In a prospective 10-years observation in epidemiological sample of postmenopausal women from RAC-OST-POL Study a thesis that affected functional status enhance fracture incidence was verified. At baseline, data were collected in 978 women at mean age 66.48±7.6 years and after 10 years of follow-up 640 subjects at mean age 75.04±6.95 years remained in the study. Functional status at baseline was established using Stand up and Go test (SAG) and Activity of Daily Living (IADL). Afterwards, annually data on fracture incidence were collected by phone interviews.

RESULTS: In the period of observation 190 low-energy fractures in 129 women were noted. The whole group was divided into subgroups: without fracture (n=511), with one fracture (n=91) and those ones who had more than one fracture (n=38). In fractured and unfractured subgroup mean SAG results were 11.36±4.28 and 10.36±2.76, respectively and differed significantly (p<0.01). With increasing number of fractures the SAG time was longer - it was 11.15±4.49 in one fracture subgroup and 11.87±3.73 in multiple fractures subgroup, with both values significantly higher than in no fracture subjects. The mean value of IADL was 23.56±1.60. In 576 (90%) women IADL reached maximal value of 24 points. In the rest of them (n=64) IADL score was between 11 and 23 points. Mean value of IADL in fractured and unfractured subgroup were 23.27±1.97 and 23.64±1.47, respectively and differed significantly (p<0.01).

CONCLUSION: The measures of functional status predict fractures in a prospective observation of representative epidemiological female sample.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:26

Enthalten in:

Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry - 26(2023), 1 vom: 23. Jan., Seite 104-108

Sprache:

Englisch

Beteiligte Personen:

Pluskiewicz, Wojciech [VerfasserIn]
Adamczyk, Piotr [VerfasserIn]
Drozdzowska, Bogna [VerfasserIn]

Links:

Volltext

Themen:

Female
Fracture incidence
Functional status
Journal Article

Anmerkungen:

Date Completed 13.02.2023

Date Revised 02.04.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jocd.2022.12.009

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM350786550