Han Sangsoo, Choi Sungwoo, Jang Hae-Dong, Park Jiwon, Han Kyungdo, Nah Sangun, Suh Dong Hun, Im Dong Sub, Hong Jae-Young
Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, 170 Jomaru-ro, Bucheon, 14584, Republic of Korea.
Department of Orthopaedic Surgery, Soonchunhyang University Bucheon Hospital, 170 Jomaru-ro, Bucheon, 14584, Republic of Korea.
BMC Musculoskelet Disord. 2025 Jan 22;26(1):78. doi: 10.1186/s12891-024-08179-2.
Vertebral fractures are a common medical issue. Physical activity helps improve bone health and manage the risk of fractures. However, much controversy exists about the association between physical activity and vertebral fractures. Therefore, we aimed to investigate the association between changes in regular physical activity (RPA) and vertebral fractures.
This study was a nationwide, observational cohort study based on claim data from the Korean National Health Insurance Service. Physical activity level was obtained from self-reported questionnaires from 2009 to 2012. Participants were divided depending on their levels of physical activity and the occurrence of vertebral fractures from 2013 to 2016 was recorded.
The group with sufficient RPA, compared to the Insufficient group (incidence rate showed a decrease of 1.93/1,000 PY; adjusted HR (aHR): 0.83; 95% CI: 0.81-0.84), had a reduced risk of vertebral fracture. From the perspective of RPA changes, the Continuous Sufficient group had an aHR of 0.74, 95% CI 0.72-0.76, and the Increased group had an aHR of 0.87, 95% CI 0.85-0.88. The Decreased group had an aHR of 0.94, 95% CI 0.92-0.95.
The degree of RPA could reduce the risk of vertebral fracture. Continuous sufficient RPA helped lower the risk of vertebral fracture.
椎体骨折是一个常见的医学问题。体育活动有助于改善骨骼健康并控制骨折风险。然而，关于体育活动与椎体骨折之间的关联存在诸多争议。因此，我们旨在研究规律体育活动（RPA）的变化与椎体骨折之间的关联。
本研究是一项基于韩国国民健康保险服务索赔数据的全国性观察性队列研究。体育活动水平通过2009年至2012年的自我报告问卷获得。参与者根据其体育活动水平进行分组，并记录2013年至2016年椎体骨折的发生情况。
与RPA不足组相比（发病率显示每1000人年减少1.93例；调整后风险比（aHR）：0.83；95%置信区间：0.81 - 0.84），RPA充足组椎体骨折风险降低。从RPA变化的角度来看，持续充足组的aHR为0.74，95%置信区间为0.72 - 0.76，增加组的aHR为0.87，95%置信区间为0.85 - 0.88。减少组的aHR为0.94，95%置信区间为0.92 - 0.95。
RPA的程度可以降低椎体骨折的风险。持续充足的RPA有助于降低椎体骨折的风险。
