Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Physical Activity and Hip Fracture in Elderly People : A Cohort Study in Korea

노인 인구에서 육체적 활동과 고관절 골절 발생간의 관련성 : 코호트 연구

  • Youn, Kyung-Eun (Department of Preventive Medicine, Seoul National University College of Medicine) ;
  • Lee, Seung-Mi (Department of Preventive Medicine, Seoul National University College of Medicine) ;
  • Kim, Yoon-I (Department of Preventive Medicine, Seoul National University College of Medicine) ;
  • Park, Byung-Joo (Department of Preventive Medicine, Seoul National University College of Medicine)
  • 윤경은 (서울대학교 의과대학 예방의학교실) ;
  • 이승미 (서울대학교 의과대학 예방의학교실) ;
  • 김윤이 (서울대학교 의과대학 예방의학교실) ;
  • 박병주 (서울대학교 의과대학 예방의학교실)
  • Published : 2002.12.01
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Abstract

Objective : To evaluate the relationship between physical activity and the risk of hip fracture in the elderly Korean people. Methods : The study population was a Physical Activity Subcohort (n=8,908) extracted from the Korean Elderly Pharmacoepidemiological Cohort (KEPEC). Physical activity information was obtained from a mailed questionnaire surveys. The outcome data was collected from claims data gathered between Jan. 1993 and Dec. 1998. A hospital survey relating to potential cases was conducted to confirm the final diagnoses. The abstracted data was reviewed by a medical doctor before the final diagnoses were confirmed. A mailing questionnaire survey was performed to obtain information on potentially confounding variables, including alcohol intake, smoking habits, weight, height and postmenopausal duration. There were 79 confirmed cases hospitalized due to hip fractures between Jan. 1993 and Dec. 1998. Relative risk of physical activity scores on the hip fracture, and their 95% confidence intervals, were estimated by a Cox's proportional hazard model using SAS for Windows ver.6.12. Results : Compared to the reference group, the adjusted relative risk of hip fracture associated with the most physical active category: after controlling for age, weight and alcohol intake in the males, and for weight, alcohol intake and postmenopausal duration in the females, were 1.04 (95% CI=0.35-3.06) and 0.f4 (95% CI=0.26-0.77), respectively. Conclusions : Physical activity may protect elderly women from hip fracture.

Keywords

References

  1. 통계청. 2000년도 인구주택 총 조사 집계 결과, 2001
  2. Melton LJ III, Riggs BL. Epidemiology of age-related fractures In Avioli LV. The osteoporotic syndrome. New York Grune & Stratton 1983; 45-72
  3. Rockett BA. Risk factors for hip fracture. NElM 1987; 404-40
  4. Armstrong AL, Wallace WA. The epidemiology of hip fractures and methods of prevention. Acta Orthop Belg 1994; 60: 85-101
  5. Ray WA. Psychotropic drug use and the risk of hip fracture. NElM 1987; 316: 363-9
  6. Peel N. Osteoporosis. BMJ 1995; 310: 989-92 https://doi.org/10.1136/bmj.310.6985.989
  7. Jun Seop lahng, M.D. and lae Chul Lee, M.D. Statistical Study of Femoral Neck Fractures in Korea. J Korean Orthop Assoc 1988; 23: 138-46
  8. Kelsey lL, Hoffman S. Risk factor for hip fracture. NElM 1987; 316: 404-406 9. Bikle DO. Bone disease in alcohol abuse. Ann Intern Med 1985; 103: 42-8 https://doi.org/10.7326/0003-4819-103-1-42
  9. Bikle DD. Bone disease in alcohol abuse. Ann Intern Med 1985; 103: 42-8 https://doi.org/10.7326/0003-4819-103-1-42
  10. Ray WA, Griffin MR. Benzodiazepines of long and short elimination half-life and the risk of hip fracture. JAMA 1989; 262: 3303-7 https://doi.org/10.1001/jama.262.23.3303
  11. Cummings SR, Kelsey JL. Epidemiology of osteoporosis and osteoporotic fractures. Epidemiol Rev 1985; 7: 178-208 https://doi.org/10.1093/oxfordjournals.epirev.a036281
  12. Macdonald JB. The role of drugs in falls in the elderly. Clin Geriatr Med 1985; 1: 621-36
  13. Nickens H. Intrinsic factors in falling among the elderly. Arch Intern Med 1985; 145:1089-93 https://doi.org/10.1001/archinte.145.6.1089
  14. Fuller GF. Falls in the elderly. Am Fam Physician 2000; 61: 2159-68,2173-4
  15. Herrmann R, Meier-Baumgartner HP. Accidental fall-induced, proximal femoral fracture in the elderly-etiology and rehabilitation. Z Gerontol Geriatr 1999; 32: 52-7 https://doi.org/10.1007/s003910050082
  16. Gregg EW, Cauley lA, Seeley DG. Physical activity and osteoporotic fracture risk in older women. Study of Osteoporotic Fractures Research Group Ann Intern Med 1998; 129: 81-8
  17. Myers AH. Prevention of falls in the elderly. Bone 1996; 18: 87S-101S https://doi.org/10.1016/8756-3282(95)00455-6
  18. Hoidrup S, Sorensen TI. Leisure-time physical activity levels and changes in relation to risk of hip fracture in men and women. Am J Epidemiol 2001; 154: 60-8 https://doi.org/10.1093/aje/154.1.60
  19. Park BJ, Cho YK, Kim SA. Construction of the Korea Elderly Pharmacoepid-emiologic Cohort; drug utilization review of cephalosporins in geriatric inpatients. Pharmacoepidemiol Drug Safe 2001; 10: 487-492 https://doi.org/10.1002/pds.665
  20. Park BJ, lung KO, Bae JM, Koo HW, Kim OS. A cohort study on the association between smoking and proximal femur fracture in elderly women in Korea. Korean J Epidemiol 1998; 20: 246-256 (Korean)
  21. Park BJ, Kim OS, Koo HW, Bae JM. Reliability and validity study of a life style questionnaire for elderly people. Korean J Prev Med 1998; 31: 49-58 (Korean)
  22. Herala M, Kivela SL. Recent decline in heavy outdoor work activity predicts occurrence of fractures among the homedwelling elderly. Osteoporos Int 2002; 13: 42-7 https://doi.org/10.1007/s198-002-8336-1
  23. Gonzalez G. Characteristics of falls among free living elders. Rev MEd Chil 2001; 129: 1021-30