ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2023
Lower Leg Power and Grip Strength Are Associated With Increased Fall Injury Risk in Older Men: The Osteoporotic Fractures in Men Study.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Association of lower-limb strength with different fall histories or prospective falls in community-dwelling older people: a systematic review and meta-analysis.BMC geriatrics · 2025Pooled it
- A systematic review of multicomponent vs. single-component training programs for fall prevention in older adults.Frontiers in public health · 2025Pooled it
- Factors associated with falls in older adults: A secondary analysis of a 12-month randomized controlled trial.Archives of gerontology and geriatrics · 2023Trial
- Compositional data analysis of 24hr activity and its associations with muscle strength and power: The Study of Muscle, Mobility and Aging.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- The role of dominant handgrip strength in fall occurrence possibility and frequency.BMC public health · 2026Article
- Grip strength but not stair climb power is associated with injurious falls in middle-aged and older women: The Study of Women's Health Across the Nation (SWAN).Archives of osteoporosis · 2026Article
- Recent Articles-Skeletal Muscle and Other Topics in Diabetes.Journal of diabetes · 2025Article
- Are we giving too much weight to lean mass loss?Molecular metabolism · 2025Review
- Circulating small extracellular vesicles as blood-based biomarkers of muscle health in aging nonhuman primates.GeroScience · 2025Article
- Association between grip strength level and fall experience among older Chinese adults: a cross-sectional study from the CHARLS.BMC geriatrics · 2025Article
- Blood pressure variability associated with falls in nursing home residents.Geriatrics & gerontology international · 2024Article
- The role of different physical function tests for the prediction of fracture risk in older women.Journal of cachexia, sarcopenia and muscle · 2024Article
- Mitochondrial Oxidative Stress Regulates FOXP3+ T-Cell Activity and CD4-Mediated Inflammation in Older Adults with Frailty.International journal of molecular sciences · 2024Article
- A molecular signature defining exercise adaptation with ageing and in vivo partial reprogramming in skeletal muscle.The Journal of physiology · 2023Article
- Longitudinal association between handgrip strength, gait speed and risk of serious falls in a community-dwelling older population.PloS one · 2023Article
- Effect of Yijinjing combined with elastic band exercise on muscle mass and function in middle-aged and elderly patients with prediabetes: A randomized controlled trial.Frontiers in medicine · 2022Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundPast research has not investigated both lower-extremity power and upper-extremity strength in the same fall injury study, particularly nonfracture fall injuries.
methodsIn the Osteoporotic Fractures in Men Study (baseline: N = 5 994; age 73.7 ± 5.9 years; 10.2% non-White), fall injuries (yes/no) were assessed prospectively with questionnaires approximately every 3 years over 9 years. Maximum leg power (Watts) from Nottingham single leg press and maximum grip strength (kg) from handheld dynamometry were assessed at baseline and standardized to kg body weight. Physical performance included gait speed (6-m usual; narrow walk) and chair stands speed.
resultsOf men with ≥1/4 follow-ups (N = 5 178; age 73.4 ± 5.7 years), 40.4% (N = 2 090) had ≥1 fall injury. In fully adjusted repeated-measures logistic regressions, lower power/kg and grip strength/kg had higher fall injury risk (trend across quartiles: both p < .0001), with lower quartiles at significantly increased risk versus highest Q4 except for grip strength Q3 versus Q4. Fall injury risk was 19% higher per 1 standard deviation (SD) lower power/kg (95% confidence interval [CI]: 1.12-1.26) and 16% higher per SD lower grip strength/kg (95% CI: 1.10-1.23). In models including both leg power/kg and grip strength/kg, odds ratios (ORs) were similar and independent of each other and physical performance (leg power/kg OR per SD = 1.13, 95% CI: 1.06-1.20; grip strength/kg OR per SD = 1.11, 95% CI: 1.05-1.17).
conclusionsLower leg power/kg and grip strength/kg predicted future fall injury risk in older men independent of physical performance. Leg power potentially identifies fall injury risk better than grip strength at higher muscle function, though grip strength may be more suitable in clinical/practice settings.
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