Observational studyPreventive medicine2017
Changes in physical activity, sedentary time, and risk of falling: The Women's Health Initiative Observational Study.
Observational study in Preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- The association between sedentary behavior and falls in older adults: A systematic review and meta-analysis.Frontiers in public health · 2022Pooled it
- Abdominal visceral and subcutaneous adipose tissue associations with postmenopausal breast cancer incidence.JNCI cancer spectrum · 2025Trial
- Associations of Accelerometer-Measured Physical Activity and Sedentary Behavior With Incident Clinical Osteoporotic Fractures Among Older Women: The Objective Physical Activity and Cardiovascular Health Study.Journal of aging and physical activity · 2026Article
- Bidirectional Associations Between Obesity and Depressive Symptoms: Results From the Multiethnic Postmenopausal Cohort of the Women's Health Initiative Study.The American journal of geriatric psychiatry. Open science, education, and practice · 2025Article
- Association between obesity, physical activity and falls among elderly patients attending the family medicine clinics of a teaching hospital in Southern Nigeria.BMC geriatrics · 2025Article
- The impact of regular physical activity on vertebral fractures: Korean nationwide population-based cohort study.BMC musculoskeletal disorders · 2025Observational
- "If I want to be able to keep going, I must be active." Exploring older adults' perspectives of remote physical activity supports: a mixed-methods study.Frontiers in public health · 2024Article
- Sedentary Behaviour and Fall-related Injuries in Aging Adults: Results from the Canadian Longitudinal Study on Aging (CLSA).JAR life · 2024Article
- Physical activity and risk of benign proliferative epithelial disorders of the breast, in the Women's Health Initiative.International journal of epidemiology · 2022Article
- Associations between Daily Movement Distribution, Bone Structure, Falls, and Fractures in Older Adults: A Compositional Data Analysis Study.International journal of environmental research and public health · 2021Article
- Accelerometer-Measured Sedentary Patterns are Associated with Incident Falls in Older Women.Journal of the American Geriatrics Society · 2021Article
- The Relationships Between Physical Performance, Activity Levels, and Falls in Older Men.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019Article
- Association Between Sarcopenic Obesity and Falls in a Multiethnic Cohort of Postmenopausal Women.Journal of the American Geriatrics Society · 2018Article
- Body composition and physical function in the Women's Health Initiative Observational Study.Preventive medicine reports · 2018Article
- Accelerometer-Measured Moderate to Vigorous Physical Activity and Incidence Rates of Falls in Older Women.Journal of the American Geriatrics Society · 2017Article
- Association of Physical Activity and Physical Functioning Phenotypes With Fall Risk Among Women.Journal of aging and healthArticle
- Neighborhood Socioeconomic Status, Green Space, and Walkability and Risk for Falls Among Postmenopausal Women: The Women's Health Initiative.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 9 institutions in 1 country.
Funding
Abstract
Falling significantly affects quality of life, morbidity, and mortality among older adults. We sought to evaluate the prospective association between sedentary time, physical activity, and falling among post-menopausal women aged 50-79years recruited to the Women's Health Initiative Observational Study between 1993 and 1998 from 40 clinical centers across the United States. Baseline (B) and change in each of the following were evaluated at year 3 (Y3) and year 6 (Y6; baseline n=93,676; Y3 n=76,598; Y6 n=75,428): recreational physical activity (MET-h/wk), sitting, sleeping (min/day), and lean body mass by dual energy X-ray absorptiometry (subset N=6475). Falls per year (0, 1, 2, ≥3) were assessed annually by self-report questionnaire and then dichotomized as ≤1 and ≥2falls/year. Logistic regression models were adjusted for demographics, body mass index, fall history, tobacco and alcohol use, medical conditions, and medications. Higher baseline activity was associated with greater risk of falling at Y6 (18%; p for trend <0.0001). Increasing sedentary time minimally decreased falling (1% Y3; 2% Y6; p<0.05). Increasing activity up to ≥9MET-h/wk. (OR: 1.12, 95% CI: 1.03-1.22) or maintaining ≥9MET-h/wk. (OR: 1.20, 95% CI: 1.13-1.29) increased falling at Y3 and Y6 (p for trend <0.001). Adding lean body mass to the models attenuated these relationships. Physically active lifestyles increased falling among post-menopausal women. Additional fall prevention strategies, such as balance and resistance training, should be evaluated to assist post-menopausal women in reaching or maintaining levels of aerobic activity known to prevent and manage several chronic diseases.
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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.