Evidence map›Paper›PMID 30383210›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2019

The Relationships Between Physical Performance, Activity Levels, and Falls in Older Men.

Eric S Orwoll, Nora F Fino, Thomas M Gill, Jane A Cauley, Elsa S Strotmeyer, Kristine E Ensrud, Deborah M Kado, Elizabeth Barrett-Connor, Douglas C Bauer, Peggy M Cawthon and 2 more

Open access · greenAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.4field-weighted citation impact, top 5% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 48 citations in OpenAlex.

  1. Global Positioning System Indicators of Community Mobility and Future Health Outcomes Among Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Trial
  2. Article
  3. Article
  4. Observational
  5. Article
  6. The association between sensor-based assessments of daily physical activity patterns and physical fitness in older adults: a systematic review and meta-analysis.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2025
    Review
  7. 24-hour activity composition is associated with lower fall and fracture risk in older men.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Role of Perceived Physical and Mental Fatigability Severity on Prospective, Recurrent, and Injurious Fall Risk in Older Men.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Article
  13. Race/ethnic differences in the prevalence of osteoporosis, falls and fractures: a cross-sectional analysis of the Canadian Longitudinal Study on Aging.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Management of osteoporosis in older men.Aging clinical and experimental research · 2021
    Review
  20. Physical Activity and Falls Among a National Cohort of Older Veterans.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021
    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

12 authors at 7 institutions in 1 country.

Eric S OrwollDepartment of Medicine, Bone and Mineral Unit, Oregon Health & Science University, Portland.
Nora F FinoDepartment of Biostatistics, School of Public Health and the Biostatistics and Design Program, Oregon Health & Science University, Portland.
Thomas M GillDepartment of Medicine, Yale School of Medicine, New Haven, Connecticut.
Jane A CauleyDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pennsylvania.
Elsa S StrotmeyerDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pennsylvania.
Kristine E EnsrudCenter for Chronic Disease Outcomes Research, Veterans Affairs Health Care System, Minneapolis.
Deborah M KadoDepartment of Family Medicine and Public Health, University of California, San Diego School of Medicine, San Francisco.
Elizabeth Barrett-ConnorDepartment of Family Medicine and Public Health, University of California, San Diego School of Medicine, San Francisco.
Douglas C BauerDepartment of Medicine, University of California, San Francisco.
Peggy M CawthonCalifornia Pacific Medical Center Research Institute and Department of Epidemiology and Biostatistics, University of California, San Francisco.
Jodi LapidusDepartment of Biostatistics, School of Public Health and the Biostatistics and Design Program, Oregon Health & Science University, Portland.
Osteoporotic Fractures in Men (MrOS) Study Research Group
Oregon Health & Science University · USUniversity of California, San Diego · USUniversity of Pittsburgh · USCalifornia Pacific Medical Center · USUniversity of California, San Francisco · USUniversity of Minnesota · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Caterina Rosano · 2004 to 2026
$28.6M
Osteoporotic Fractures in Men (MrOS) - MinneapolisU01AG042145 · NIA · UNIVERSITY OF MINNESOTA · PI ENSRUD, KRISTINE · 2013 to 2019
$5.3M
Osteporotic Fractures in Men (MrOS)- Admin CenterU01AG027810 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI ORWOLL, ERIC S. · 2006 to 2017
$5.1M
Osteoporotic Fractures in Men (MrOS) - PortlandU01AG042124 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI ORWOLL, ERIC S. · 2013 to 2019
$3.0M
Osteoporatic Fractures in Men (MrOS)U01AG042168 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KADO, DEBORAH · 2013 to 2017
$3.0M
Osteoporotic Fractures in Men (Mr. Os) Palo AltoU01AG042143 · NIA · STANFORD UNIVERSITY · PI STEFANICK, MARCIA L. · 2013 to 2017
$3.0M
Osteoporotic Fractures in Men (Mr.OS)U01AG042139 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CAULEY, JANE ANN · 2013 to 2017
$2.9M
Osteoporotic Fractures in Men_MrOS Renewal_BirminghamU01AG042140 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SHIKANY, JAMES M · 2013 to 2019
$2.7M
ACADEMIC LEADERSHIP AWARD IN DISABILITY AND DISABLING DISORDERSK07AG043587 · NIA · YALE UNIVERSITY · PI GILL, THOMAS MICHAEL · 2013 to 2017
$645k
NCATS NIH HHS UL1 TR001863NIA NIH HHS K07 AG043587NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG024827NIA NIH HHS U01 AG027810NIA NIH HHS U01 AG042124NIA NIH HHS U01 AG042139NIA NIH HHS U01 AG042140NIA NIH HHS U01 AG042143NIA NIH HHS U01 AG042145NIA NIH HHS U01 AG042168
6 · The paper itself

Abstract

backgroundPhysical performance and activity have both been linked to fall risk, but the way they are jointly associated with falls is unclear. We investigated how these two factors are related to incident falls in older men.

methodsIn 2,741 men (78.8 ± 5 years), we evaluated the associations between activity and physical performance and how they jointly contributed to incident falls. Activity was assessed by accelerometry. Physical performance was measured by gait speed, dynamic balance (narrow walk), chair stand time, grip strength, and leg power. Falls were ascertained by tri-annual questionnaires.

resultsMen were grouped into four categories based on activity and performance levels. The greatest number of falls (36%-43%) and the highest fall rate (4.7-5.4/y among those who fell) (depending on the performance test) occurred in men with low activity/low performance, but most falls (57%-64%) and relatively high fall rates (3.0-4.35/y) occurred in the other groups (low activity/high performance, high activity/high performance and high activity/low performance; 70% of men were in these groups). There were interactions between activity, performance (gait speed, narrow walk), and incident falls (p = .001-.02); predicted falls per year were highest in men with low activity/low performance, but there was also a peak of predicted falls in those with high activity.

conclusionsIn community-dwelling older men, many falls occur in those with the lowest activity/worst physical performance but fall risk is also substantial with better activity and performance. Activity/physical performance assessments may improve identification of older men at risk of falls, and allow individualized approaches to prevention.

Indexed as

ExercisePhysical Functional PerformanceAccidental FallsAgedAged, 80 and overAge FactorsGeriatric AssessmentHumansMaleProspective StudiesRisk AssessmentActivityAgingFunctionObservational

Identifiers

PMID30383210
PMCPMC6696710
OpenAlexW2898832373

What OpenQuestion holds

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Registered trials

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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.