Osteoporosis and falls occur with increasing frequency among the elderly. Osteoporosis and fall increases the risk of fracture. Falls in the elderly are associated with a high morbidity and mortality with potentially life-threatening consequences of falls including fractures. Besides fracture fall may cause long term problems such as disability fear of falling and loss of independence. Today osteoporosis is diagnosed by bone scan of the hip and spine. The investigators want to investigate whether other more accessible and less expensive testing methods can be used to diagnose osteoporosis. Additionally, the investigators will examine the incidence of osteoporosis among the elderly in the municipality of Odense. Finally, the investigators would like to investigate the association between factors that can lead to falls and to investigate the performance of older and whether there are changes in functional ability over time.
Study Objectives 1. To define the prevalence of osteoporosis in a falls clinic population, and compare it with two aged matched control groups - fallers not attending the falls clinic and non-fallers. 2. To evaluate the usefulness of peripheral bone scanning techniques in a falls clinic population. 3. To determine the prevalence of vertebral fractures in a falls clinic population and compare it with two aged matched control groups - fallers not attending the falls clinic and non-fallers 4. To investigate functioning, disability, health related quality of life and perceived need for rehabilitation in a falls clinic population including variation in a one year period, and compare it with two aged matched control groups - fallers not attending the falls clinic and non-fallers.
Study Type
OBSERVATIONAL
Enrollment
322
Odense University Hospital Geriatric department
Odense C, Denmark
Bone mineral density using DXA of hip and spine regions (Hologic machine)
Time frame: baseline
Prevalence of vertebral fractures using instant vertebral assessment mode (IVA) of the DXA machine (Hologic machine)
Time frame: baseline
Bone mineral density of the phalanges using radiographic absorptiometry (Alara Metriscan machine)
Time frame: baseline
Broad band ultrasound attenuation of the heel using the heel ultrasound machine (Lunar Achilles machine)
Time frame: baseline
Fall incidences
Time frame: one year
Mental health state
Meausered by Mini Mental State Examination (MMSE)
Time frame: one year
Health related quality of life
Self Reporting Questionnaire will be used
Time frame: one year
Perceived need
Self Reporting Questionnaire
Time frame: one year
Basis mobility
Time up and go, Chair stand, Bergs balance scale, Avlunds scale, gait speed and dual-task will be used
Time frame: One year
Fear of falling
The Falls Efficacy scale - international will be used
Time frame: One year
Muscle strength in upper and lower extremities
A dynamometer will be used
Time frame: One year
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