Department of Pathomorphology in Zabrze, Medical University of Silesia in Katowice, Katowice, Poland.
Int J Clin Pract. 2013 Jul;67(7):673-81. doi: 10.1111/ijcp.12118.
Prevalence of osteoporotic fractures and falls, and functional status may be related with each other.
The aim of the study was to assess functional status and prevalence of falls and fractures in Polish postmenopausal women in a representative, randomly selected population sample from RAC-OST-POL Study.
Population-based epidemiological study.
Raciborz city and district, Poland.
The study included 618 postmenopausal women aged ≥ 55 years (mean age 66.3 ± 7.8 years).
Data concerning falls, fractures etc. were collected using on a questionnaire. Functional assessment was carried out using Instrumental Activity of Daily Living (IADL) Lawton's test and 'Stand up & go' (SUG) test. Skeletal status was assessed using DXA at the hip and with phalangeal quantitative ultrasound (QUS).
Fifty-six per cent of studied women have got a reduced mobility estimated using SUG test (time > 10 s). Functional independence level estimated using IADL test is reduced among 14% of women (≤ 23 points). Twenty-eight per cent of women sustained osteoporotic fracture and 34% of women have got a positive fall history in the last year. The number of falls or fractures correlates significantly with results of IADL and SUG tests. Functional status of women who fell or sustained fracture was significantly decreased in comparison with women without falls or fractures. The significant factors increasing the risk of fall are: presence of depression, presence of chronic disease and a reduced functional independence. The significant factors increasing the risk of fractures are: history of fall, age, T-score value for trochanter bone mineral density.
Results of the study indicate that functional status plays an important role as a factor increasing the risk of falls and fractures in postmenopausal women.
骨质疏松性骨折和跌倒的发生率和功能状态可能相互关联。
本研究旨在评估波兰绝经后女性的功能状态以及在 RAC-OST-POL 研究中代表性随机选择人群样本中的跌倒和骨折发生率。
基于人群的流行病学研究。
波兰拉奇博尔市和区。
该研究纳入了 618 名年龄≥55 岁的绝经后女性（平均年龄 66.3±7.8 岁）。
使用问卷收集有关跌倒、骨折等的数据。使用工具性日常生活活动（IADL）洛文斯顿测试和“站起来走”（SUG）测试进行功能评估。使用 DXA 评估髋部和指骨定量超声（QUS）评估骨骼状况。
56%的研究女性使用 SUG 测试评估移动能力下降（时间>10 秒）。使用 IADL 测试评估的功能独立性水平在 14%的女性中降低（≤23 分）。28%的女性发生骨质疏松性骨折，34%的女性在过去一年中发生跌倒史。女性跌倒或骨折的次数与 IADL 和 SUG 测试的结果显著相关。与无跌倒或骨折的女性相比，跌倒或骨折女性的功能状态显著下降。增加跌倒风险的显著因素是：抑郁、慢性疾病和功能独立性降低。增加骨折风险的显著因素是：跌倒史、年龄、转子骨骨密度 T 评分值。
研究结果表明，功能状态是绝经后女性跌倒和骨折风险增加的重要因素。
