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Higher impact physical activity is associated with maintenance of bone mineral density but not reduced incident falls or fractures in older men: The Concord Health and Ageing in Men Project

Journal of Bone and Mineral Research Dec 16, 2020

Ng CA, Scott D, Seibel MJ, et al. - In the present study, the researchers sought to examine the longitudinal connections between changes in loading intensities and application rates, estimated from self‐reported physical activity, with bone mineral density (BMD) changes over five years, and also with incident falls over two years and long‐term incident fractures, in community‐dwelling older men. One thousand five hundred ninety-nine men (mean age 76.8 ± 5.4 years) from the Concord Health and Ageing in Men Project were evaluated at baseline (2005‐2007), 2‐year and 5‐year follow‐up. Participants were notified every 4 months for two years for self-reported falls and for fractures over 6.0 ± 2.2 years. All physical activity measures were significantly linked to decreased incident fractures in univariate analyses but none remained significant after multivariable adjustments. Higher BMD was maintained by older men who participated in high and rapid physical activity, although higher energy expenditure was associated with a reduced risk of falls. Coupling traditional data on physical activity with estimates of bone loading will strengthen the understanding of the links between physical activity and bone health.

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