Evidence map›Paper›PMID 8120496›Full record

ArticleJournal of epidemiology and community health1993

Physical inactivity is an independent risk factor for hip fracture in the elderly.

C Coupland, D Wood, C Cooper

Open access · bronzeAbstract read
In one paragraph

Article in Journal of epidemiology and community health, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

19 citing papers in PubMed, 93 citations in OpenAlex.

  1. Effectiveness of a smartphone application to promote physical activity in primary care: the SMART MOVE randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014
    Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Article
  8. Health-related predictors of falls and fractures in women over 40.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013
    Article
  9. Article
  10. Pedometer determined ambulatory activity and bone mass: a population-based longitudinal study in older adults.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2010
    Article
  11. Article
  12. Article
  13. Review
  14. Loading and bone fragility.Journal of bone and mineral metabolism · 2005
    Review
  15. Article
  16. Article
  17. Physical activity and predisposition for hip fractures: a review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 1997
    Review
  18. Different risk profiles for hip fractures and distal forearm fractures: a prospective study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 1996
    Article
  19. Falls in older people.Journal of the Royal Society of Medicine · 1994
    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

3 authors at 2 institutions in 1 country.

C CouplandMRC Environmental Epidemiology Unit, University of Southampton, Southampton General Hospital.
D Wood
C Cooper
University of Southampton · GBSouthampton General Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectiveTo test the hypothesis that physical inactivity is an independent risk factor for hip fracture in the elderly.

designPopulation based, case-control study.

settingMetropolitan borough of Newcastle upon Tyne. PARTICIPANT: A total of 197 patients aged 50 years and over, resident in Newcastle, and admitted consecutively with a hip fracture, and 382 community controls, matched by age and sex, who had not suffered a hip fracture. MEASUREMENTS AND MAIN

resultsValidated methods were used to assess customary physical activity. Information on body build, cigarette smoking, and alcohol consumption was also obtained. Grip strength was measured. Physical inactivity was strongly associated with the risk of hip fracture in men and women. Subjects who did not regularly weight-bear, perform muscle-loading activities such as climbing stairs, and perform productive activities such as gardening, were all more than twice as likely to sustain a hip fracture, when compared with subjects at the higher end of the activity spectrum. These increases in risk remained after adjusting for body mass index, smoking, alcohol consumption, and dependence in daily living activities.

conclusionsCustomary physical inactivity is an independent determinant of hip fracture in the elderly. Strategies to improve the day to day activity of elderly people require urgent exploration.

Indexed as

Activities of Daily LivingAgedAged, 80 and overAge FactorsCase-Control StudiesFemaleHip FracturesHumansMaleMiddle AgedMuscle ContractionPhysical ExertionRisk FactorsSex Factors

Identifiers

PMID8120496
PMCPMC1059855
OpenAlexW2126393813

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.