With an aging population now the irrefutable reality in Japan, concerns around the health and wellbeing of older adults have come to the forefront of public health dialogues.
Older adults are especially at risk for fragility fractures and falls, which threaten their healthy life expectancy. Although these risks are thought to be influenced by lifestyle factors and medication use, studies that comprehensively evaluate these variables remain limited. Modifiable factors, such as polypharmacy, which is the use of multiple medications at once, and unintentional weight loss are a few such examples that need to be systematically assessed. Further, there is not a clear consensus around physical activity's role in preventing fractures and falls.
To improve this area of geriatric health, a research group led by Dr. Masayoshi Iwamae at Osaka Metropolitan University’s Graduate School of Medicine conducted a cross-sectional analysis to identify factors associated with fragility fractures and falls. Data of 4,967 community-dwelling adults aged 60 years and older in Osaka Prefecture was collected and analyzed from an online survey that covered demographics, a 5-year history of fragility fractures, falls, medication, unintentional weight loss, and physical activity.
In the team’s findings, it was revealed that being female, polypharmacy, a history of falls, and unintentional weight loss were each independently associated with fragility fractures. The associated factors in falls were the use of sleeping medications, polypharmacy, and unintentional weight loss. In contrast, physical activity, a previous subject of debate, was not significantly associated with either fragility fractures or falls.
“These results highlight the importance of comprehensive prevention strategies, including medication optimization and nutritional interventions. Physical activity, meanwhile, should be promoted to improve overall quality of life. This study provides evidence to support practical interventions for community-dwelling older adults,” said Dr. Iwamae.
The findings were published in BMC Geriatrics.
Competing interests
The authors declare no competing interests.
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