nach oben

Erschienen in:

01.02.2013 | Original Article

Physical performance, bone and joint diseases, and incidence of falls in Japanese men and women: a longitudinal cohort study

verfasst von: S. Muraki, T. Akune, H. Oka, Y. Ishimoto, K. Nagata, M. Yoshida, F. Tokimura, K. Nakamura, H. Kawaguchi, N. Yoshimura

Erschienen in: Osteoporosis International | Ausgabe 2/2013

Einloggen, um Zugang zu erhalten

Abstract

Summary

This study examined whether physical performance and bone and joint diseases were risk factors for falls in 745 men and 1,470 women from the Research on Osteoarthritis/osteoporosis Against Disability (ROAD) study (mean, 69.7 years). Slower walking speed was a risk factor for falls in men and women. Knee pain was a risk factor for falls in women.

Introduction

The objective of the present study was to clarify the incidence of falls by sex and age and to determine whether physical performance and bone and joint diseases are risk factors for falls in men and women using a large-scale population-based cohort of the ROAD.

Methods

A total of 745 men and 1,470 women were analyzed in the present study (mean age, 68.5 years). A questionnaire assessed the number of falls during 3 years of follow-up. Grip strength and walking speed were measured at baseline. Knee and lumbar spine radiographs were read by Kellgren–Lawrence (KL) grade; radiographic knee osteoarthritis and lumbar spondylosis were defined as KL = 3 or 4. Knee and lower back pain were estimated by an interview.

Results

During a mean follow-up of 3 years, 141 (18.9 %) men and 362 (24.6 %) women reported at least one fall. Slower walking speed was a risk factor for falls in men (0.1 m/s decrease; odds ratio [OR], 1.15; 95 % confidence interval [CI], 1.09–1.23) and women (0.1 m/s decrease; OR, 1.05; 95 % CI, 1.01–1.10). Knee pain was also a risk factor for falls (OR, 1.38; 95 % CI, 1.03–1.84) in women, but lower back pain was not.

Conclusion

We examined the incidence and risk factors for falls in men and women. Slower walking speed was a risk factor for falls in men and women. Knee pain was a risk factor for falls in women.

Baker S, O’Neill B, Karpf RS (1984) The injury fact book. Lexington Books, Lexington, Mass

Fife D, BarancikJI CMS (1984) Northeastern Ohio Trauma Study: II. Injury rates by age, sex and cause. Am J Public Health 74:473–478PubMedCrossRef

Ministry of Health, Labour and Welfare. The outline of the results of National Livelihood Survey 2007. Available at http://www.mhlw.go.jp/toukei/list/20-19-1.html

Dargent-Molina P, Favier F, Grandjean H, Baudoin C, Schott AM, Hausherr E, Meunier PJ, Breart G (1996) Fall-related factors and risk of hip fracture: the EPIDOS prospective study. Lancet 348:145–149PubMedCrossRef

Tinetti ME, Speechley M, Ginter SF (1988) Risk factors for falls among elderly persons living in the community. N Engl J Med 319:1701–1707PubMedCrossRef

Arden NK, Crozier S, Smith H, Anderson F, Edwards C, Raphael H, Cooper C (2006) Knee pain, knee osteoarthritis, and the risk of fracture. Arthritis Rheum 55:610–615PubMedCrossRef

Nevitt MC, Cummings SR, Kidd S, Black D (1989) Risk factors for recurrent nonsyncopal falls. A prospective study. JAMA 261:2663–2668PubMedCrossRef

Jones G, Nguyen T, Sambrook PN, Lord SR, Kelly PJ, Eisman JA (1995) Osteoarthritis, bone density, postural stability, and osteoporotic fractures: a population based study. J Rheumatol 22:921–925PubMed

Foley SJ, Lord SR, Srikanth V, Cooley H, Jones G (2006) Falls risk is associated with pain and dysfunction but not radiographic osteoarthritis in older adults: Tasmanian Older Adult Cohort study. Osteoarthr Cartil 14:533–539PubMedCrossRef

10.

Scott D, Blizzard L, Fell J, Jones G (2012) Prospective study of self-reported pain, radiographic osteoarthritis, sarcopenia progression, and falls risk in community-dwelling older adults. Arthritis Care Res (Hoboken) 64:30–37CrossRef

11.

Jackson DW, Simon TM, Aberman HM (2001) Symptomatic articular cartilage degeneration: the impact in the new millennium. Clin Orthop Relat Res 391(Suppl):S14–S25PubMedCrossRef

12.

Reginster JY (2002) The prevalence and burden of arthritis. Rheumatology (Oxford) 41(Supp 1):S3–S6CrossRef

13.

Buckwalter JA, Saltzman C, Brown T (2004) The impact of osteoarthritis: implications for research. Clin Orthop Relat Res 427(Suppl):S6–S15PubMedCrossRef

14.

Sharma L, Kapoor D (2007) Epidemiology of osteoarthritis. In: Moskowitz RW, Altman RD, Hochberg MC, Buckwalter JA, Goldberg VM (eds) Osteoarthritis: diagnosis and medical/surgical management, 4th edn. Lippincott Williams & Wilkins, Philadelphia, pp 3–26

15.

Hadjipavlou AG, Simmons JW, Pope MH, Necessary JT, Goel VK (1999) Pathomechanics and clinical relevance of disc degeneration and annular tear: a point-of-view review. Am J Orthop 28:561–571PubMed

16.

Emery SE, Ringus VM (2007) Osteoarthritis of the spine. In: Moskowitz RW, Altman RD, Hochberg MC, Buckwalter JA, Goldberg VM (eds) Osteoarthritis: diagnosis and medical/surgical management, 4th edn. Lippincott Williams & Wilkins, Philadelphia, pp 427–452

17.

Muraki S, Oka H, Akune T, Mabuchi A, En-yo Y, Yoshida M, Saika A, Suzuki T, Yoshida H, Ishibashi H, Yamamoto S, Nakamura K, Kawaguchi H, Yoshimura N (2009) Prevalence of radiographic knee osteoarthritis and its association with knee pain in the elderly of Japanese population-based cohorts: the ROAD study. Osteoarthr Cartil 17:1137–1143PubMedCrossRef

18.

Muraki S, Oka H, Mabuchi A, Akune T, En-yo Y, Yoshida M, Saika A, Suzuki T, Yoshida H, Ishibashi H, Yamamoto S, Nakamura K, Kawaguchi H, Yoshimura N (2009) Prevalence of radiographic lumbar spondylosis and its association with low back pain in the elderly of population-based cohorts: the ROAD study. Ann Rheum Dis 68:1401–1406PubMedCrossRef

19.

Yoshimura N, Muraki S, Oka H, Mabuchi A, En-Yo Y, Yoshida M, Saika A, Yoshida H, Suzuki T, Yamamoto S, Ishibashi H, Kawaguchi H, Nakamura K, Akune T (2009) Prevalence of knee osteoarthritis, lumbar spondylosis and osteoporosis in Japanese men and women: the Research on Osteoarthritis/osteoporosis Against Disability (ROAD). J Bone Miner Metab 27:620–628PubMedCrossRef

20.

Linaker CH, Walker-Bone K, Palmer K, Cooper C (1999) Frequency and impact of regional musculoskeletal disorders. Baillieres Clin Rheumatol 13:197–215PubMedCrossRef

21.

Summers MN, Haley WE, Reveille JD, Alarcon GS (1988) Radiographic assessment and psychologic variables as predictors of pain and functional impairment in osteoarthritis of the knee or hip. Arthritis Rheum 31:204–209PubMedCrossRef

22.

Cicuttini FM, Baker J, Hart DJ, Spector TD (1996) Association of pain with radiological changes in different compartments and views of the knee joint. Osteoarthr Cartil 4:143–147PubMedCrossRef

23.

Wluka AE, Wolfe R, Stuckey S, Cicuttini FM (2004) How does tibial cartilage volume relate to symptoms in subjects with knee osteoarthritis? Ann Rheum Dis 63:264–268PubMedCrossRef

24.

Muraki S, Akune T, Oka H, En-yo Y, Yoshida M, Nakamura K, Kawaguchi H, Yoshimura N (2011) Prevalence of falls and its association with knee osteoarthritis and lumbar spondylosis as well as knee and lower back pain in Japanese men and women. Arthritis Care Res 63:1425–1431CrossRef

25.

Ganz DA, Bao Y, Shekelle PG, Rubenstein LZ (2007) Will my patient fall? JAMA 297:77–86PubMedCrossRef

26.

Studenski S, Perera S, Wallace D, Chandler JM, Duncan PW, Rooney E, Fox M, Guralnik JM (2003) Physical performance measures in the clinical setting. J Am Geriatr Soc 51:314–322PubMedCrossRef

27.

Cesari M, Kritchevsky SB, Penninx BW, Nicklas BJ, Simonsick EM, Newman AB, Tylavsky FA, Brach JS, Satterfield S, Bauer DC, Visser M, Rubin SM, Harris TB, Pahor M (2005) Prognostic value of usual gait speed in well-functioning older people—results from the Health, Aging and Body Composition Study. J Am Geriatr Soc 53:1675–1680PubMedCrossRef

28.

Campbell AJ, Borrie MJ, Spears GF (1989) Risk factors for falls in a community-based prospective study of people 70 years and older. J Gerontol 44:M112–M117PubMed

29.

Lipsitz LA, Jonsson PV, Kelley MM, Koestner JS (1991) Causes and correlates of recurrent falls in ambulatory frail elderly. J Gerontol 46:M114–M122PubMedCrossRef

30.

Wolfson L, Whipple R, Amerman P, Tobin JN (1990) Gait assessment in the elderly: a gait abnormality rating scale and its relation to falls. J Gerontol 45:M12–M19PubMedCrossRef

31.

Luukinen H, Koski K, Laippala P, Kivela SL (1995) Predictors for recurrent falls among the home-dwelling elderly. Scand J Prim Health Care 13:294–299PubMedCrossRef

32.

Chan BK, Marshall LM, Winters KM, Faulkner KA, Schwartz AV, Orwoll ES (2007) Incident fall risk and physical activity and physical performance among older men: the Osteoporotic Fractures in Men Study. Am J Epidemiol 165:696–703PubMedCrossRef

33.

Yoshimura N, Muraki S, Oka H, Kawaguchi H, Nakamura K, Akune T (2010) Cohort profile: Research on Osteoarthritis/osteoporosis Against Disability (ROAD) Study. Int J Epidemiol 39:988–995PubMedCrossRef

34.

Shimada H, Lord SR, Yoshida H, Kim H, Suzuki T (2007) Predictors of cessation of regular leisure-time physical activity in community-dwelling elderly people. Gerontology 53:293–297PubMedCrossRef

35.

Tinetti M, Baker D, Dutcher J (1997) Reducing the risk of falls among older adults in the community. Peacable Kingdom Press, Berkeley

36.

Kellgren JH, Lawrence JS (eds) (1963) The epidemiology of chronic rheumatism: atlas of standard radiographs of arthritis. Blackwell Scientific, Oxford

37.

Judge JO, Davis RB 3rd, Ounpuu S (1996) Step length reductions in advanced age: the role of ankle and hip kinetics. J Gerontol A Biol Sci Med Sci 51:M303–M312PubMedCrossRef

38.

Judge JO, Lindsey C, Underwood M, Winsemius D (1993) Balance improvements in older women: effects of exercise training. Phys Ther 73:254–264PubMed

39.

Steffan TM, Hacker TA, Mollinger L (2002) Age- and gender-related test performance in community-dwelling older people: six-minute walk test, Berg balance scale, timed up and go test, and gait speeds. Phys Ther 82:128–137

40.

Wegener L, Kisner C, Nichols D (1997) Static and dynamic balance responses in persons with bilateral knee osteoarthritis. J Orthop Sports Phys Ther 25:13–18PubMed

41.

Campbell AJ, Borrie MJ, Spears GF (1989) Risk factors for falls in a community-based prospective study of people 70 years and older. J Gerontol 44:Ml12–Ml17

42.

Sinaki M, Nwaogwugwu NC, Phillips BE (2001) Mokri MP (2001) Effect of gender, age, and anthropometry on axial and appendicular muscle strength. Am J Phys Med Rehabil 80:330–338PubMedCrossRef

43.

Jones G, Cooley HM, Bellamy N (2001) A cross-sectional study of the association between Heberden’s nodes, radiographic osteoarthritis of the hands, grip strength, disability and pain. Osteoarthr Cartil 9:606–611PubMedCrossRef

44.

Verghese J, Holtzer R, Lipton RB, Wang C (2009) Quantitative gait markers and incident fall risk in older adults. J Gerontol 64:896–901

45.

Arden NK, Nevitt MC, Lane NE, Gore LR, Hochberg MC, Scott JC, Pressman AR, Cummings SR (1999) Osteoarthritis and risk of falls, rates of bone loss, and osteoporotic fractures. Study of Osteoporotic Fractures Research Group. Arthritis Rheum 42:1378–1385PubMedCrossRef

46.

Inoue K, Wicart P, Kawasaki T, Huang J, Ushiyama T, Hukuda S (2000) Prevalence of hip osteoarthritis and acetabular dysplasia in French and Japanese adults. Rheumatology (Oxford) 39:745–748CrossRef

Titel: Physical performance, bone and joint diseases, and incidence of falls in Japanese men and women: a longitudinal cohort study
verfasst von: S. Muraki
T. Akune
H. Oka
Y. Ishimoto
K. Nagata
M. Yoshida
F. Tokimura
K. Nakamura
H. Kawaguchi
N. Yoshimura
Publikationsdatum: 01.02.2013
Verlag: Springer-Verlag
Erschienen in: Osteoporosis International / Ausgabe 2/2013
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-012-1967-0

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Summary

Introduction

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2013

Bisphosphonate use and increased incidence of subtrochanteric fracture in South Korea: results from the National Claim Registry

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

Lack of response to teriparatide therapy for bisphosphonate-associated osteonecrosis of the jaw: reply to Subramanian and Quek

Can one or two high doses of oral vitamin D3 correct insufficiency in a non-supplemented rheumatologic population?

Fractures in users of antidepressants and anxiolytics and sedatives: effects of age and dose