Movement control during one-leg standing is important for the bone mineral density maintenance or improvement.

Abstract

Both hip fracture and bone mineral density (BMD) decline on the non-fractured side are more likely to occur within 1year. However, there are no longitudinal study reports on the factors associated with BMD maintenance or improvement within the first year after hip fracture. This study aimed to investigate the factors influencing the neck BMD maintenance or improvement in patients with hip fractures from within 2weeks-6months after surgery. Patients were hip fracture after surgery and were divided into two groups: Among neck BMD changes (6months minus 2weeks after surgery) were calculated. Based on among neck BMD change, patients were classified into the BMD maintenance or improvement (change ≥ 0) and the BMD decrease groups (change < 0). Propensity score matching was performed to adjust for confounding factors. To predict the factors affecting neck BMD, hierarchical logistic regression analysis was performed. The dependent variable was the BMD maintenance or improvement group and the BMD decrease group. The independent variables were basic and medical information, and physical functions. The hierarchical logistic regression analysis results showed that movement control during one-leg standing affected femoral neck BMD independently from age, sex. The odds ratio for movement control during one-leg standing was 8.22. The discrimination rate of the model was 69.7%. This study suggested that adequate movement control during one-leg standing is important to maintain or improve neck BMD.