ArticleJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2019
Characteristics of Self-Reported Sleep and the Risk of Falls and Fractures: The Women's Health Initiative (WHI).
Article in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.
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Who cites it
51 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.
- Pooled it
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- Sleep duration and prevalent osteoporosis among U.S. postmenopausal women: a cross-sectional analysis of NHANES 2007-2018 with assessment of potential effect modification by physical activity.BMC endocrine disorders · 2026Article
- Sleep Quality and Falls Risk in the ELSA Study: A Cross-Sectional and Prospective Cohort Study.Brain and behavior · 2026Article
- Associations of food security and food assistance with cardiovascular morbidity and mortality among postmenopausal women from the women's health initiative.Journal of epidemiology and community health · 2026Article
- Association of healthy sleep pattern with the risk of falls and fractures among individuals with cardiovascular disease: a UK Biobank study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Insomnia symptoms, sleep duration, and risk of falls in older adult women: findings from the Study of Women's Health Across the Nation.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Association Between Sleep Quality and Geriatric Hip Fracture: A Prospective Comparative Study.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- The weight of pills: medication use and fall incidence in Saudi community-dwelling adults aged 50 years and older: a 10-month longitudinal study.Frontiers in public health · 2026Article
- Factors Associated With Falls Among the Elderly With Type 2 Diabetes in Urban Shanghai: A Cross-Sectional Study.Journal of diabetes research · 2026Article
- Psychiatric disorders among older U.S. women by socioeconomic and veteran status.Journal of affective disorders · 2025Article
- Predicting Sleep Quality Based on Metabolic, Body Composition, and Physical Fitness Variables in Aged People: Exploratory Analysis with a Conventional Machine Learning Model.Journal of functional morphology and kinesiology · 2025Article
- Preventative approaches to falls and frailty.Osteoporosis and sarcopenia · 2025Review
- Sleep quality, daytime sleepiness, and risk of falling: results from an exploratory cross-sectional study.European geriatric medicine · 2025Article
- Construction of a risk prediction model for falls in elderly lung cancer patients with sarcopenia.Frontiers in oncology · 2025Article
- Preoperative psychological factors predict talonavicular fusion outcomes in Muller-Weiss disease.Frontiers in psychiatry · 2025Article
- 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 · 2024Article
- Pathways From Socioeconomic Factors to Major Cardiovascular Events Among Postmenopausal Veteran and Nonveteran Women: Findings From the Women's Health Initiative.Journal of the American Heart Association · 2024Article
- Relationship of psychotropic medication use with physical function among postmenopausal women.GeroScience · 2024Article
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Authors and funding
14 authors at 12 institutions in 3 countries.
Funding
Abstract
Sleep disturbances are common and may influence falls and fracture directly by influencing bone turnover and muscle strength or indirectly through high comorbidity or poor physical function. To investigate the association between self-reported sleep and falls and fractures, we prospectively studied 157,306 women in the Women's Health Initiative (WHI) using information on sleep quality, sleep duration, and insomnia from questionnaires. Annual self-report of falling two or more times (ie, "recurrent falling") during each year of follow-up was modeled with repeated measures logistic regression models fit by generalized estimating equations. Cox proportional hazards models were used to investigate sleep disturbance and time to first fracture. We examined the risks of recurrent falls and fracture by sleep duration with 7 hours as referent. We examined the risks across categories of sleep disturbance, insomnia status, and sleep quality. The average follow-up time was 7.6 years for falls and 12.0 years for fractures. In multivariable adjusted models, including adjustment for comorbidity, medications, and physical function, women who were short (≤5 hours) and long (≥10 hours) sleepers had increased odds of recurrent falls (odds ratio [OR] 1.28; 95% confidence interval [CI], 1.23 to 1.34 and OR 1.25; 95% CI, 1.09 to 1.43, respectively). Poor sleep quality, insomnia, and more sleep disturbances were also associated with an increased odds of recurrent falls. Short sleep was associated with an increased risk of all fractures, and upper limb, lower limb, and central body fractures, but not hip fractures, with hazard ratios ranging from 1.10 to 1.13 (p < 0.05). There was little association between other sleep characteristics and fracture. In conclusion, short and long sleep duration and poor sleep quality were independently associated with increased odds of recurrent falls. Short sleep was associated with modest increase in fractures. Future long-term trials of sleep interventions should include falls and fractures as endpoints. © 2018 American Society for Bone and Mineral Research.
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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.