ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2011
Fall mechanisms, bone strength, and hip fractures in elderly men and women in Taiwan.
Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Characteristics of fragility hip fracture-related falls in the older adults: A systematic review.The journal of nutrition, health & aging · 2024Pooled it
- Multivitamins and risk of fragility hip fracture: a systematic review and meta-analysis.Archives of osteoporosis · 2021Pooled it
- Article
- Social vulnerability index enhances FRAX prediction of hip fractures in fall patients.Scientific reports · 2025Article
- Relationship between typical fall patterns and fall-related fractures in older Japanese adults.Proceedings of the Japan Academy. Series B, Physical and biological sciences · 2025Article
- Association between falling direction and age in older patients with hip fractures.Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- Variations in situational risk factors for fractures of the distal forearm, hip, and vertebrae in older women.BMC geriatrics · 2021Article
- The Effect of Fall Biomechanics on Risk for Hip Fracture in Older Adults: A Cohort Study of Video-Captured Falls in Long-Term Care.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2020Article
- Influence of fall environment and fall direction on risk of injury among pre-frail and frail adults.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019Article
- The epidemiology and economic burden of hip fractures in Israel.Israel journal of health policy research · 2018Article
- Fracture Prediction by Computed Tomography and Finite Element Analysis: Current and Future Perspectives.Current osteoporosis reports · 2018Review
- Risk of hip fractures in patients with depressive disorders: A nationwide, population-based, retrospective, cohort study.PloS one · 2018Article
- Short and long-term effects of exergaming for the elderly.SpringerPlus · 2016Article
- Fracture predictive ability of physical performance tests and history of falls in elderly women: a 10-year prospective study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2015Article
- Comparison of the effectiveness of balance training using a reaching task between a sitting position and a standing position in the elderly.Journal of physical therapy science · 2015Article
- Neuropsychological mechanisms of falls in older adults.Frontiers in aging neuroscience · 2014Review
- Mechanisms of hip fracture in owerri, Nigeria, and its associated variables.Annals of medical and health sciences research · 2013Article
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5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledThree modifiable factors of fall direction, poor bone strength, and depression were associated with an increased risk of hip fractures for elderly men and women; fall direction was a much stronger predictor than the other two. When a fall occurs, changing fall direction may be most effective to prevent hip fractures.
introductionA matched case-control study was conducted to identify risk factors for hip fractures in elderly men and women in Taiwan.
methodsCases were defined as persons who visited the emergency room due to a fall and were diagnosed with a first hip fracture. For each case, a control was matched by gender and time of falling, selected from persons who sought care at the same emergency room due to a fall resulting in injury other than a hip fracture. In total, 85 paired men and 221 paired women were included.
resultsFor men, backward, straight-down, and sideways falls were associated with 10.8-, 13.6-, and 15.2-fold increased risks of hip fractures, respectively, compared with forward falls. Poor bone strength and depression were associated with 2.27- and 2.85-fold increased risks of hip fractures, respectively, while dependence in ≥3 activities of daily living was associated with a fivefold lower risk. For women, compared with forward falls, backward, straight-down, and sideways falls were associated with 10.2-, 9.86-, and 12.8-fold increased risks of hip fractures, respectively. Living in a rented house, poor bone strength, depression, and use of antidiabetics were associated with 1.65-, 2.78-, 1.89-, and 1.92-fold increased risks of hip fractures, respectively. Hormone replacement therapy was associated with a fivefold lower risk of hip fractures.
conclusionsWhile bone strength and depression can be risk factors for hip fractures in elderly people, the direction of the fall was the strongest predictor. Some risk factors differed between elderly men and women.
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