Evidence map›Paper›PMID 24349484›Full record

Trial reportPloS one2013

When, where and how osteoporosis-associated fractures occur: an analysis from the Global Longitudinal Study of Osteoporosis in Women (GLOW).

Aline G Costa, Allison Wyman, Ethel S Siris, Nelson B Watts, Stuart Silverman, Kenneth G Saag, Christian Roux, Maurizio Rossini, Johannes Pfeilschifter, Jeri W Nieves and 14 more

Registry-linked trialAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05541432 (Finding the Optimal Resistance Training Intensity For Your Bones), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05541432 nacompletednot on this mapstarted 2022, after this paper: background citation

Finding the Optimal Resistance Training Intensity For Your Bones: A Randomized Controlled Trial (FORTIFY Bones)

TypeinterventionalSponsorUniversity of WaterlooRan2022 to 2026Enrolled324ConditionsOsteoporosis, OsteopeniaArmsSupervised strength training (group 1), Supervised strength training (group 2), Home exercise
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Pooled it
  2. Circumstances of fall-related fracture events among men in late life.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  3. Article
  4. Article
  5. Among people on osteoporosis medication, loss of appendicular or total body lean mass is an independent risk factor for hip and major osteoporotic fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Article
  6. Cyclic testing of standalone ALIF versus TLIF in lumbosacral spines of low bone mineral density: an ex vivo biomechanical study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Article
  7. Polypharmacy of Older Surgical Patients With Extremity Fractures.Geriatric orthopaedic surgery & rehabilitation · 2024
    Article
  8. [Osteoporotic vertebral body fractures].Orthopadie (Heidelberg, Germany) · 2023
    Review
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  10. Observational
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  14. Observational
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  20. Is the association between hip fractures and seasonality modified by influenza vaccination? An ecological study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Aline G CostaDepartment of Medicine, Division of Endocrinology, College of Physicians and Surgeons, Columbia University, New York, United States of America ; Department of Medicine, Division of Endocrinology, São Paulo Federal University, São Paulo, Brazil.
Allison WymanCenter for Outcomes Research, University of Massachusetts Medical School, Worcester, Massachusetts, United States of America.
Ethel S SirisDepartment of Medicine, Columbia University Medical Center, New York, United States of America.
Nelson B WattsMercy Health Osteoporosis and Bone Health Services, Cincinnati, Ohio, United States of America.
Stuart SilvermanDepartment of Rheumatology, Cedars-Sinai Medical Center, Los Angeles, California, United States of America.
Kenneth G SaagDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, Alabama, United States of America.
Christian RouxParis Descartes University, Cochin Hospital, Paris, France.
Maurizio RossiniRheumatology Section, Department of Medicine, University of Verona, Italy.
Johannes PfeilschifterDepartment of Internal Medicine III, Alfried Krupp Krankenhaus, Essen, Germany.
Jeri W NievesHelen Hayes Hospital and Columbia University, West Haverstraw, New York, United States of America.
J Coen NetelenbosDepartment of Endocrinology, VU University Medical Center, Amsterdam, The Netherlands.
Lyn MarchUniversity of Sydney Institute of Bone and Joint Research and Department of Rheumatology, Royal North Shore Hospital, Australia.
Andrea Z LaCroixFred Hutchinson Cancer Research Center, Seattle, Washington, United States of America.
Frederick H HoovenCenter for Outcomes Research, University of Massachusetts Medical School, Worcester, Massachusetts, United States of America.
Susan L GreenspanUniversity of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Stephen H GehlbachCenter for Outcomes Research, University of Massachusetts Medical School, Worcester, Massachusetts, United States of America.
Adolfo Díez-PérezHospital del Mar-IMIM-Autonomous University of Barcelona, Barcelona, Spain ; RETICEF, ISCIII Madrid; Spain.
Cyrus CooperMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, United Kingdom.
Juliet E CompstonCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Roland D ChapurlatDivision of Rheumatology, INSERM UMR 1033, Université de Lyon, Hospices Civils de Lyon, Hôpital E Herriot, Lyon, France.
Steven BoonenUniversiteit Leuven, Leuven, Belgium.
Frederick A AndersonCenter for Outcomes Research, University of Massachusetts Medical School, Worcester, Massachusetts, United States of America.
Jonathan D AdachiSt Joseph's Healthcare, McMaster University, Hamilton, Ontario, Canada.
Silvano AdamiRheumatology Section, Department of Medicine, University of Verona, Italy.

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_UP_A620_1014Medical Research Council MC_UU_12011/1NIA NIH HHS P30 AG024827
6 · The paper itself

Abstract

objectiveTo examine when, where and how fractures occur in postmenopausal women.

methodsWe analyzed data from the Global Longitudinal Study of Osteoporosis in Women (GLOW), including women aged ≥55 years from the United States of America, Canada, Australia and seven European countries. Women completed questionnaires including fracture data at baseline and years 1, 2 and 3.

resultsAmong 60,393 postmenopausal women, 4122 incident fractures were reported (86% non-hip, non-vertebral [NHNV], 8% presumably clinical vertebral and 6% hip). Hip fractures were more likely to occur in spring, with little seasonal variation for NHNV or spine fractures. Hip fractures occurred equally inside or outside the home, whereas 65% of NHNV fractures occurred outside and 61% of vertebral fractures occurred inside the home. Falls preceded 68-86% of NHNV and 68-83% of hip fractures among women aged ≤64 to ≥85 years, increasing with age. About 45% of vertebral fractures were associated with falls in all age groups except those ≥85 years, when only 24% occurred after falling.

conclusionIn this multi-national cohort, fractures occurred throughout the year, with only hip fracture having a seasonal variation, with a higher proportion in spring. Hip fractures occurred equally within and outside the home, spine fractures more often in the home, and NHNV fractures outside the home. Falls were a proximate cause of most hip and NHNV fractures. Postmenopausal women at risk for fracture need counseling about reducing potentially modifiable fracture risk factors, particularly falls both inside and outside the home and during all seasons of the year.

Indexed as

Accidental FallsSeasonsAgedAged, 80 and overAge FactorsHip FracturesHumansMaleMiddle AgedOsteoporosis, PostmenopausalRetrospective Studies

Identifiers

PMID24349484
PMCPMC3859637

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.