Source:http://linkedlifedata.com/resource/pubmed/id/21303805
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2011-2-28
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pubmed:abstractText |
Few studies have examined the relation between usual physical activity level and rate of hip fracture in older men or applied semiparametric methods from the causal inference literature that estimate associations without assuming a particular parametric model. Using the Physical Activity Scale for the Elderly, the authors measured usual physical activity level at baseline (2000-2002) in 5,682 US men ?65 years of age who were enrolled in the Osteoporotic Fractures in Men Study. Physical activity levels were classified as low (bottom quartile of Physical Activity Scale for the Elderly score), moderate (middle quartiles), or high (top quartile). Hip fractures were confirmed by central review. Marginal associations between physical activity and hip fracture were estimated with 3 estimation methods: inverse probability-of-treatment weighting, G-computation, and doubly robust targeted maximum likelihood estimation. During 6.5 years of follow-up, 95 men (1.7%) experienced a hip fracture. The unadjusted risk of hip fracture was lower in men with a high physical activity level versus those with a low physical activity level (relative risk = 0.51, 95% confidence interval: 0.28, 0.92). In semiparametric analyses that controlled confounding, hip fracture risk was not lower with moderate (e.g., targeted maximum likelihood estimation relative risk = 0.92, 95% confidence interval: 0.62, 1.44) or high (e.g., targeted maximum likelihood estimation relative risk = 0.88, 95% confidence interval: 0.53, 2.03) physical activity relative to low. This study does not support a protective effect of usual physical activity on hip fracture in older men.
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pubmed:grant |
http://linkedlifedata.com/resource/pubmed/grant/U01 AG18197,
http://linkedlifedata.com/resource/pubmed/grant/U01 AR45583,
http://linkedlifedata.com/resource/pubmed/grant/U01 AR45614,
http://linkedlifedata.com/resource/pubmed/grant/U01 AR45632,
http://linkedlifedata.com/resource/pubmed/grant/U01 AR45647,
http://linkedlifedata.com/resource/pubmed/grant/U01 AR45654,
http://linkedlifedata.com/resource/pubmed/grant/U01-AG027810,
http://linkedlifedata.com/resource/pubmed/grant/UL1 RR024140
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
1476-6256
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:day |
1
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pubmed:volume |
173
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
578-86
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pubmed:dateRevised |
2011-6-3
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pubmed:meshHeading |
pubmed-meshheading:21303805-Aged,
pubmed-meshheading:21303805-Follow-Up Studies,
pubmed-meshheading:21303805-Hip Fractures,
pubmed-meshheading:21303805-Humans,
pubmed-meshheading:21303805-Incidence,
pubmed-meshheading:21303805-Male,
pubmed-meshheading:21303805-Mathematical Computing,
pubmed-meshheading:21303805-Motor Activity,
pubmed-meshheading:21303805-Osteoporotic Fractures,
pubmed-meshheading:21303805-Prospective Studies,
pubmed-meshheading:21303805-Questionnaires,
pubmed-meshheading:21303805-Risk Assessment,
pubmed-meshheading:21303805-Risk Factors,
pubmed-meshheading:21303805-United States
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pubmed:year |
2011
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pubmed:articleTitle |
Usual physical activity and hip fracture in older men: an application of semiparametric methods to observational data.
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pubmed:affiliation |
Division of Epidemiology, School of Public Health, University of California, Berkeley, USA. dmackey@sfcc-cpmc.net
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pubmed:publicationType |
Journal Article,
Multicenter Study,
Research Support, N.I.H., Extramural
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