The impact of regular physical activity on vertebral fractures: Korean nationwide population-based cohort study
Abstract Background 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 associati...
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BMC
2025-01-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-024-08179-2 |
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| author | Sangsoo Han Sungwoo Choi Hae-Dong Jang Jiwon Park Kyungdo Han Sangun Nah Dong Hun Suh Dong Sub Im Jae-Young Hong |
| author_facet | Sangsoo Han Sungwoo Choi Hae-Dong Jang Jiwon Park Kyungdo Han Sangun Nah Dong Hun Suh Dong Sub Im Jae-Young Hong |
| author_sort | Sangsoo Han |
| collection | DOAJ |
| description | Abstract Background 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. Methods 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. Results 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. Conclusion The degree of RPA could reduce the risk of vertebral fracture. Continuous sufficient RPA helped lower the risk of vertebral fracture. |
| format | Article |
| id | doaj-art-f70887b01d584808ab4a0eb835086b1f |
| institution | Kabale University |
| issn | 1471-2474 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-f70887b01d584808ab4a0eb835086b1f2025-01-26T12:10:08ZengBMCBMC Musculoskeletal Disorders1471-24742025-01-012611810.1186/s12891-024-08179-2The impact of regular physical activity on vertebral fractures: Korean nationwide population-based cohort studySangsoo Han0Sungwoo Choi1Hae-Dong Jang2Jiwon Park3Kyungdo Han4Sangun Nah5Dong Hun Suh6Dong Sub Im7Jae-Young Hong8Department of Emergency Medicine, Soonchunhyang University Bucheon HospitalDepartment of Emergency Medicine, Soonchunhyang University Bucheon HospitalDepartment of Orthopaedic Surgery, Soonchunhyang University Bucheon HospitalDepartment of Orthopedics, Korea University HospitalDepartment of Statistics and Actuarial Science, Soongsil UniversityDepartment of Emergency Medicine, Soonchunhyang University Bucheon HospitalDepartment of Orthopedics, Korea University HospitalDepartment of Orthopedic Surgery, Gil Medical Center College of Medicine, University of GachonDepartment of Orthopedics, Korea University HospitalAbstract Background 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. Methods 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. Results 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. Conclusion The degree of RPA could reduce the risk of vertebral fracture. Continuous sufficient RPA helped lower the risk of vertebral fracture.https://doi.org/10.1186/s12891-024-08179-2Physical activityFractureVertebraeHealth surveysExercise |
| spellingShingle | Sangsoo Han Sungwoo Choi Hae-Dong Jang Jiwon Park Kyungdo Han Sangun Nah Dong Hun Suh Dong Sub Im Jae-Young Hong The impact of regular physical activity on vertebral fractures: Korean nationwide population-based cohort study BMC Musculoskeletal Disorders Physical activity Fracture Vertebrae Health surveys Exercise |
| title | The impact of regular physical activity on vertebral fractures: Korean nationwide population-based cohort study |
| title_full | The impact of regular physical activity on vertebral fractures: Korean nationwide population-based cohort study |
| title_fullStr | The impact of regular physical activity on vertebral fractures: Korean nationwide population-based cohort study |
| title_full_unstemmed | The impact of regular physical activity on vertebral fractures: Korean nationwide population-based cohort study |
| title_short | The impact of regular physical activity on vertebral fractures: Korean nationwide population-based cohort study |
| title_sort | impact of regular physical activity on vertebral fractures korean nationwide population based cohort study |
| topic | Physical activity Fracture Vertebrae Health surveys Exercise |
| url | https://doi.org/10.1186/s12891-024-08179-2 |
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