A comprehensive fracture prevention strategy in older adults: the European Union Geriatric Medicine Society (EUGMS) statement

Blain, Hubert; Masud, Tahir; Dargent-Molina, Patricia; Martin, Carl D.; Rosendahl, Erik; Velde, Nathalie van der; Bousquet, Jean; Bénétos, Athanase; Cooper, Cyrus; Kanis, A.; Reginster, Jean‐Yves; Rizzoli, René; Cortet, Bernard; Barbagallo, Mario; Dreinhöfer, Karsten; Vellas, Bruno; Maggi, Stefania; Strandberg, Timo; Álvarez, Marcela Aracena; Annweiler, Cédric; Bernard, Pierre Louis; Beswetherick, N.; Bischoff-Ferrari, A.; Bloch, Frédéric; Boddaert, Jacques; Bonnefoy, Marc; Bousson, Valérie; Bourdel-Marchasson, I.; Capisizu, A.; Che, H.; Clara, G.; Combe, Bernard; Delignières, Didier; Eklund, Patrik; Emmelot-Vonk, Mariëlle H.; Freiberger, Ellen; Gauvain, B.; Goswami, Nandu; Guldemond, Nick; Herrero, Christina; Joël, E.; Jónsdóttir, Anna Björg; Kemoun, G.; Kiss, I; Kolk, Helgi; Kowalski, M.; Krajčı́k, Ŝ; Kutsal, Gökçe; Lauretani, Fulvio; Macijauskienė, Jūratė; Mellingsæter, Marte; Morel, Jacques; Mourey, France; Nourashemi, F.; Nyakas, C.; Puisieux, François; Rambourg, Patrick; Ramirez, Garcia; Rapp, Killian; Rolland, Yves; Ryg, Jesper; Sahota, Opinder; Snoeijs, S.; Stéphan, Yannick; Thomas, E.; Todd, Chris; Treml, Jonathan; Adachi, Rick; Agnusdei, D.; Body, Jean Jacques; Breuil, Véronique; Bruyère, Olivier; Burckardt, P.; Cannata-Andia, B.; Carey, John J.; Chan, Che Hin Chetwyn; Chapuis, Laure; Chevalley, Thierry; Cohen‐Solal, Martine; Dawson‐Hughes, Bess; Dennison, Elaine; Devogelaer, P.; Fardellone, Patrice; Feron, Marilyne; Perez, A.D.; Felsenberg, Dieter; Glueer, Claus-Christian; Harvey, Nicholas C.; Hiligsman, M.; Javaid, M K; Jørgensen, Niklas Rye; Kendler, David L.; Kraenzlin, Marius E.; Laroche, Michel; Legrand, E; Leslie, William D.; Lespessailles, Éric; Lewiecki, E. Michael; Nakamura, Takashi; Παπαϊωάννου, Αλεξάνδρα; Roux, Clément; Silverman, Stuart L.; Henríquez, Sandra; Thomas, T.; Vasikaran, Samuel; Watts, Nelson B.; Weryha, G.

doi:10.1007/s40520-016-0588-4

Cited by 83 publications

(42 citation statements)

References 72 publications

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“…The over-65-year-old population has increased rapidly in recent years [1]. Aging is accompanied by the development of chronic diseases, which makes it necessary to give greater attention to the elderly population [2].…”

Section: Introductionmentioning

confidence: 99%

High-Intensity Interval Circuit Training Versus Moderate-Intensity Continuous Training on Cardiorespiratory Fitness in Middle-Aged and Older Women: A Randomized Controlled Trial

Ballesta-García

González-Moro

Ramos-Campo

et al. 2020

IJERPH

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High-intensity interval training (HIIT) has similar or better effects than moderate-intensity continuous training (MICT) in increasing peak oxygen consumption (VO2max), however, it has not been studied when HIIT is applied in a circuit (HIICT). The aim of this study was to compare the effects of a HIICT versus MICT on VO2max estimated (VO2max-ES), heart rate (HR) and blood pressure (BP) of middle-aged and older women. A quasi-experimental randomized controlled trial was used. Fifty-four women (67.8 ± 6.2 years) were randomized to either HIICT (n = 18), MICT (n = 18) or non-exercise control group (CG; n = 18) for 18 weeks. Participants in HIICT and MICT trained two days/week (one hour/session). Forty-one participants were assessed (HIICT; n = 17, MICT; n = 12, CG; n = 12). Five adverse events were reported. Cardiorespiratory fitness, HR and BP were measured. The tests were performed before and after the exercise intervention programs. VO2max-ES showed significant training x group interaction, in which HIICT and MICT were statistically superior to CG. Moreover, HIICT and MICT were statistically better than CG in the diastolic blood pressure after exercise (DBPex) interaction. For the systolic blood pressure after exercise (SBPex), HIICT was statistically better than CG. In conclusion, both HIICT and MICT generated adaptations in VO2max-ES and DBPex. Furthermore, only HIICT generated positive effects on the SBPex. Therefore, both training methods can be considered for use in exercise programs involving middle-aged and older women.

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Section: Introductionmentioning

confidence: 99%

High-Intensity Interval Circuit Training Versus Moderate-Intensity Continuous Training on Cardiorespiratory Fitness in Middle-Aged and Older Women: A Randomized Controlled Trial

Ballesta-García

González-Moro

Ramos-Campo

et al. 2020

IJERPH

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“…Persons who have had a first hip fracture are at high risk of developing a second hip fracture (102). Prevention requires a focus on reducing fall risk and improving bone health.…”

Section: Prevention Of a Second Hip Fracturementioning

confidence: 99%

Orthogeriatrics and Hip Fractures

Sanford

Morley

McKee

2018

The Journal of nutrition, health and aging

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“…The aging demographic poses a major threat to healthcare systems with absolute increases in the burden of noncommunicable diseases, including osteoporosis, with 9 million fragility fractures every year [1,2]. Fragility fractures are robust predictors of sustaining future fractures [3], and this has led to the global prioritisation of systematic secondary fracture prevention based on expected clinical and cost effectiveness [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…In some countries, this is associated with a plateau in the previously improved trends in fracture rates [11]. International societies [4][5][6][7][8] have recommended specialised systems of healthcare delivery called fracture liaison services (FLSs) to close this care gap [12]. An FLS is a small team of healthcare professionals that identifies, investigates, recommends treatment and monitors over time patients aged 50 and above presenting with a fragility fracture [13] ( Fig.…”

Section: Introductionmentioning

confidence: 99%

A patient-level key performance indicator set to measure the effectiveness of fracture liaison services and guide quality improvement: a position paper of the IOF Capture the Fracture Working Group, National Osteoporosis Foundation and Fragility Fracture Network

et al. 2020

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The International Osteoporosis Foundation (IOF) Capture the Fracture® Campaign with the Fragility Fracture Network (FFN) and National Osteoporosis Foundation (NOF) has developed eleven patient-level key performance indicators (KPIs) for fracture liaison services (FLSs) to guide quality improvement. Introduction Fracture Liaison Services (FLSs) are recommended worldwide to reduce fracture risk after a sentinel fracture. Given not every FLS is automatically effective, the IOF Capture the Fracture working group has developed and implemented the Best Practice Framework to assess the organisational components of an FLS. We have now developed a complimentary KPI set that extends this assessment of performance to the patient level. Methods The Capture the Fracture working group in collaboration with the Fragility Fracture Network Secondary Fragility Fracture Special Interest Group and National Osteoporosis Foundation adapted existing metrics from the UK-based Fracture Liaison Service Database Audit to develop a patient-level KPI set for FLSs. Results Eleven KPIs were selected. The proportion of patients: with non-spinal fractures; with spine fractures (detected clinically and radiologically); assessed for fracture risk within 12 weeks of sentinel fracture; having DXA assessment within 12 weeks of sentinel fracture; having falls risk assessment; recommended anti-osteoporosis medication; commenced of strength and balance exercise intervention within 16 weeks of sentinel fracture; monitored within 16 weeks of sentinel fracture; started antiosteoporosis medication within 16 weeks of sentinel fracture; prescribed anti-osteoporosis medication 52 weeks after sentinel fracture. The final KPI measures data completeness for each of the other KPIs. For these indicators, levels of achievement were set at the < 50%, 50-80% and > 80% levels except for treatment recommendation where a level of 50% was used.

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A comprehensive fracture prevention strategy in older adults: the European Union Geriatric Medicine Society (EUGMS) statement

Abstract: Prevention of fragility fractures in older people has become a public health priority, although the most appropriate and cost-effective strategy remains unclear.

Cited by 83 publications

References 72 publications

High-Intensity Interval Circuit Training Versus Moderate-Intensity Continuous Training on Cardiorespiratory Fitness in Middle-Aged and Older Women: A Randomized Controlled Trial

High-Intensity Interval Circuit Training Versus Moderate-Intensity Continuous Training on Cardiorespiratory Fitness in Middle-Aged and Older Women: A Randomized Controlled Trial

Orthogeriatrics and Hip Fractures

A patient-level key performance indicator set to measure the effectiveness of fracture liaison services and guide quality improvement: a position paper of the IOF Capture the Fracture Working Group, National Osteoporosis Foundation and Fragility Fracture Network

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